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Pediatric Surgery International
Published in: Pediatric Surgery International 4/2014

01-04-2014 | Original Article

Work-related upper limb musculoskeletal disorders in pediatric minimally invasive surgery: a multicentric survey comparing laparoscopic and sils ergonomy

Authors: Ciro Esposito, Azad Najmaldin, Felix Schier, Atsuyuki Yamataka, Marcelo Ferro, Giovanna Riccipetitoni, Piotr Czauderna, Todd Ponsky, Holger Till, Maria Escolino, Marianna Iaquinto, Antonio Marte, Amulya Saxena, Alessandro Settimi, Steve Rothenberg

Published in: Pediatric Surgery International | Issue 4/2014

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Abstract

Purpose

Surgeons are at risk for developing work-related musculoskeletal symptoms (WMS). The present study aims to compare laparoscopy and SILS ergonomy among pediatric surgeons.

Methods

A questionnaire formed by 17 questions was mailed to 14 pediatric surgeons, seven with a large experience in laparoscopy and seven in SILS. All surgeons completed the survey. The questionnaires were focused on the type of laparoscopic or SILS activity, location and type of pain, need for drugs and its physical consequences. Results were analyzed using χ 2 test.

Results

Results indicated a similar incidence of WMS with shoulder symptoms (>75 %) in both groups. In laparoscopic group this pain is evident only after a long lasting procedure, while in SILS group the pain is present after each procedure performed. SILS surgeons used painkillers and other therapies statistically more frequently than laparoscopic group (χ 2 = 0.001).

Conclusions

This study confirms there is a strong association between WMS and MIS surgery. The incidence of pain is similar in both groups. Pain was present only after long lasting procedures in laparoscopic group, while SILS surgeons have pain after each procedure performed. In addition SILS surgeons use more frequently painkillers and other therapies compared to laparoscopic surgeons. In conclusion, it seems that SILS has a worse ergonomy compared to laparoscopy.
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Metadata
Title
Work-related upper limb musculoskeletal disorders in pediatric minimally invasive surgery: a multicentric survey comparing laparoscopic and sils ergonomy
Authors
Ciro Esposito
Azad Najmaldin
Felix Schier
Atsuyuki Yamataka
Marcelo Ferro
Giovanna Riccipetitoni
Piotr Czauderna
Todd Ponsky
Holger Till
Maria Escolino
Marianna Iaquinto
Antonio Marte
Amulya Saxena
Alessandro Settimi
Steve Rothenberg
Publication date
01-04-2014
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Surgery International / Issue 4/2014
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI
https://doi.org/10.1007/s00383-013-3437-y

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