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Impact of Procedure Type, Case Duration, and Adjunctive Equipment on Surgeon Intraoperative Musculoskeletal Discomfort
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Ergonomics. Mayo Clin, Dept Hlth Sci Res, 200 First St SW, Rochester, MN 55905 USA.;Mayo Clin, Robert D & Patricia E Kern Ctr Sci Hlth Care Deli, Rochester, MN 55905 USA..ORCID iD: 0000-0001-7285-824x
Mayo Clin, Phoenix, AZ USA..
Mayo Clin, Dept Hlth Sci Res, 200 First St SW, Rochester, MN 55905 USA.;Mayo Clin, Robert D & Patricia E Kern Ctr Sci Hlth Care Deli, Rochester, MN 55905 USA..
Mayo Clin, Dept Hlth Sci Res, 200 First St SW, Rochester, MN 55905 USA.;Mayo Clin, Robert D & Patricia E Kern Ctr Sci Hlth Care Deli, Rochester, MN 55905 USA.;Univ Nebraska Med Ctr, Dept Neurol Sci, Omaha, NE USA..
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2020 (English)In: Journal of the American College of Surgeons, ISSN 1072-7515, E-ISSN 1879-1190, Vol. 230, no 4, p. 554-560Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Surgeons are at high risk of developing musculoskeletal disorders. STUDY DESIGN: This study was designed to identify risk factors and assess intraoperative physical stressors using subjective and objective measures, including type of procedure and equipment used. Wearable sensors and pre- and postoperation surveys were analyzed. RESULTS: Data from 116 cases (34 male and 19 female surgeons) were collected across surgical specialties. Surgeons reported increased pain in the neck, upper, and lower back both during and after operations. High-stress intraoperative postures were also revealed by the real-time measurement in the neck and back. Surgical duration also impacted physical pain and fatigue. Open procedures had more stressful physical postures than laparoscopic procedures. Loupe usage negatively impacted neck postures. CONCLUSIONS: This study highlights the fact that musculoskeletal disorders are common in surgeons and characterizes surgeons' intraoperative posture as well as surgeon pain and fatigue across specialties. Defining intraoperative ((C) 2020 The Author(s). Published by Elsevier Inc. on behalf of the American College of Surgeons.

Place, publisher, year, edition, pages
ELSEVIER SCIENCE INC , 2020. Vol. 230, no 4, p. 554-560
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:kth:diva-271920DOI: 10.1016/j.jamcollsurg.2019.12.035ISI: 000521732400038PubMedID: 32220445Scopus ID: 2-s2.0-85081724531OAI: oai:DiVA.org:kth-271920DiVA, id: diva2:1425544
Conference
131st Annual Meeting of the Southern-Surgical-Association, DEC, 2019, Hot Springs, VA
Note

QC 20200421

Available from: 2020-04-21 Created: 2020-04-21 Last updated: 2020-04-21Bibliographically approved

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