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Growing pains: strategies for improving ergonomics in minimally invasive gynecologic surgery.
Curr Opin Obstet Gynecol. 2023 Aug 01; 35(4):361-367.CO

Abstract

PURPOSE OF REVIEW

To evaluate factors contributing to the development of work-related musculoskeletal disorders (WMSDs) and review strategies for mitigating ergonomic strain in minimally invasive gynecologic surgery.

RECENT FINDINGS

Factors associated with increased ergonomic strain and the development of WMSDs include increasing patient body mass index (BMI), smaller surgeon hand size, noninclusive design of instruments and energy devices and improper positioning of surgical equipment. Each type of minimally invasive surgery (laparoscopic, robotic, vaginal) confers its own ergonomic risk to the surgeon. Recommendations have been published regarding optimal ergonomic surgeon and equipment positioning. Intraoperative breaks and stretching are effective in reducing surgeon discomfort. Formal training in ergonomics has not yet been widely implemented, but educational interventions have been effective in reducing surgeon discomfort and can improve surgeon recognition of suboptimal ergonomics.

SUMMARY

Considering the serious downstream effects of WMSDs on surgeons, it is imperative to implement strategies for WMSD prevention. Optimal positioning of the surgeons and operative equipment should be routine. Intraoperative breaks and stretching should be incorporated during procedures and between every case. Formal education in ergonomics should be provided to surgeons and trainees. Additionally, more inclusive instrument design by industry partners should be prioritized.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Lin E
Division of Gynecology, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Young R
No affiliation info available
Shields J
No affiliation info available
Smith K
No affiliation info available
Chao L
No affiliation info available

MeSH

HumansFemaleGynecologic Surgical ProceduresErgonomicsRoboticsSurgeonsLaparoscopyPainMinimally Invasive Surgical Procedures

Pub Type(s)

Review
Journal Article

Language

eng

PubMed ID

37144567

Citation

Lin, Emily, et al. "Growing Pains: Strategies for Improving Ergonomics in Minimally Invasive Gynecologic Surgery." Current Opinion in Obstetrics & Gynecology, vol. 35, no. 4, 2023, pp. 361-367.
Lin E, Young R, Shields J, et al. Growing pains: strategies for improving ergonomics in minimally invasive gynecologic surgery. Curr Opin Obstet Gynecol. 2023;35(4):361-367.
Lin, E., Young, R., Shields, J., Smith, K., & Chao, L. (2023). Growing pains: strategies for improving ergonomics in minimally invasive gynecologic surgery. Current Opinion in Obstetrics & Gynecology, 35(4), 361-367. https://doi.org/10.1097/GCO.0000000000000875
Lin E, et al. Growing Pains: Strategies for Improving Ergonomics in Minimally Invasive Gynecologic Surgery. Curr Opin Obstet Gynecol. 2023 Aug 1;35(4):361-367. PubMed PMID: 37144567.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Growing pains: strategies for improving ergonomics in minimally invasive gynecologic surgery. AU - Lin,Emily, AU - Young,Riley, AU - Shields,Jessica, AU - Smith,Katherine, AU - Chao,Lisa, Y1 - 2023/04/25/ PY - 2023/7/3/medline PY - 2023/5/5/pubmed PY - 2023/5/5/entrez SP - 361 EP - 367 JF - Current opinion in obstetrics & gynecology JO - Curr Opin Obstet Gynecol VL - 35 IS - 4 N2 - PURPOSE OF REVIEW: To evaluate factors contributing to the development of work-related musculoskeletal disorders (WMSDs) and review strategies for mitigating ergonomic strain in minimally invasive gynecologic surgery. RECENT FINDINGS: Factors associated with increased ergonomic strain and the development of WMSDs include increasing patient body mass index (BMI), smaller surgeon hand size, noninclusive design of instruments and energy devices and improper positioning of surgical equipment. Each type of minimally invasive surgery (laparoscopic, robotic, vaginal) confers its own ergonomic risk to the surgeon. Recommendations have been published regarding optimal ergonomic surgeon and equipment positioning. Intraoperative breaks and stretching are effective in reducing surgeon discomfort. Formal training in ergonomics has not yet been widely implemented, but educational interventions have been effective in reducing surgeon discomfort and can improve surgeon recognition of suboptimal ergonomics. SUMMARY: Considering the serious downstream effects of WMSDs on surgeons, it is imperative to implement strategies for WMSD prevention. Optimal positioning of the surgeons and operative equipment should be routine. Intraoperative breaks and stretching should be incorporated during procedures and between every case. Formal education in ergonomics should be provided to surgeons and trainees. Additionally, more inclusive instrument design by industry partners should be prioritized. SN - 1473-656X UR - https://www.unboundmedicine.com/medline/citation/37144567/Growing_pains:_strategies_for_improving_ergonomics_in_minimally_invasive_gynecologic_surgery_ DB - PRIME DP - Unbound Medicine ER -