Ergonomic assessment of neck posture in the minimally invasive surgery suite during laparoscopic cholecystectomy.
Surg Endosc
; 22(11): 2421-7, 2008 Nov.
Article
en En
| MEDLINE
| ID: mdl-18622549
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.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Postura
/
Colecistectomía Laparoscópica
/
Ergonomía
/
Cuello
Tipo de estudio:
Clinical_trials
Límite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Surg Endosc
Asunto de la revista:
DIAGNOSTICO POR IMAGEM
/
GASTROENTEROLOGIA
Año:
2008
Tipo del documento:
Article
País de afiliación:
Países Bajos