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Surgical Endoscopy

Published in:

01-11-2008

Ergonomic assessment of neck posture in the minimally invasive surgery suite during laparoscopic cholecystectomy

Authors: M. J. van Det, W. J. H. J. Meijerink, C. Hoff, M. A. van Veelen, J. P. E. N. Pierie

Published in: Surgical Endoscopy | Issue 11/2008

Abstract

Background

With the expanding implementation of minimally invasive surgery, the operating team is confronted with challenges in the field of ergonomics. Visual feedback is derived from a monitor placed outside the operating field. This crossover trial was conducted to evaluate and compare neck posture in relation to monitor position in a dedicated minimally invasive surgery (MIS) suite and a conventional operating room.

Methods

Assessment of the neck was conducted for 16 surgeons, assisting surgeons, and scrub nurses performing a laparoscopic cholecystectomy in both types of operating room. Flexion and rotation of the cervical spine were measured intraoperatively using a video analysis system. A two-question visual analog scale (VAS) questionnaire was used to evaluate posture in relation to the monitor position.

Results

Neck rotation was significantly reduced in the MIS suite for the surgeon (p = 0.018) and the assisting surgeon (p < 0.001). Neck flexion was significantly improved in the MIS suite for the surgeon (p < 0.001) and the scrub nurse (p = 0.018). On the questionnaire, the operating room team scored their posture significantly higher in the MIS suite and also indicated fewer musculoskeletal complaints.

Conclusions

The ergonomic quality of the neck posture is significantly improved in the MIS suite for the entire operating room team.

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Title: Ergonomic assessment of neck posture in the minimally invasive surgery suite during laparoscopic cholecystectomy
Authors: M. J. van Det
W. J. H. J. Meijerink
C. Hoff
M. A. van Veelen
J. P. E. N. Pierie
Publication date: 01-11-2008
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 11/2008
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-008-0042-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Ergonomic assessment of neck posture in the minimally invasive surgery suite during laparoscopic cholecystectomy

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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