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Optimizing ergonomics during open, laparoscopic, and robotic-assisted surgery: A review of surgical ergonomics literature and development of educational illustrations
Journal article   Open access   Peer reviewed

Optimizing ergonomics during open, laparoscopic, and robotic-assisted surgery: A review of surgical ergonomics literature and development of educational illustrations

Emmanuel Tetteh, Tianke Wang, Joseph Kim, Tianqi Smith, Hamid Norasi, Meegan Van Straten, Geeta Lal, Kristin Chrouser, Jenny M. Shao and M. Susan Hallbeck
The American journal of surgery, Vol.235, 115551
11/2023
DOI: 10.1016/j.amjsurg.2023.11.005
PMID: 37981518
url
https://doi.org/10.1016/j.amjsurg.2023.11.005View
Published (Version of record) Open Access

Abstract

Background The surgical profession is plagued with a high prevalence of work-related musculoskeletal disorders. While numerous interventions have been tested over the years, surgical ergonomics education is still uncommon. Methods The available literature on surgical ergonomics was reviewed, and with input from surgeons, recommendations from the review were used to create pictorial reminders for open, laparoscopic, and robot-assisted surgical modalities. These simple pictorial ergonomic recommendations were then assessed for practicality by residents and surgeons. Results A review of the current literature on surgical ergonomics covered evidence-based ergonomic recommendations on equipment during open and laparoscopic surgery, as well as proper adjustment of the surgical robot for robot-assisted surgeries. Ergonomic operative postures for the three modalities were examined, illustrated, and assessed. Conclusions The resulting illustrations of ergonomic guidelines across surgical modalities may be employed in developing ergonomic education materials and improving the identification and mitigation of ergonomic risks in the operating room.

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