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Human factors evaluation of surgeons’ working positions for gynaecological minimal access surgery

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journal contribution
posted on 03.08.2017 by Sue Hignett, Diane Gyi, Lisa Calkins, Laura L. Jones, E.L. Moss
Study Objective: To investigate work-related musculoskeletal disorders (WRMSD) in gynaecological minimal access surgery (MAS), including bariatric (plus size) patients. Design: Mixed methods Design classification: Level III (descriptive and qualitative) Setting: UK Teaching Hospital Patients: Not applicable Interventions: Not applicable Measurements: Survey, observations (anthropometry, postural analysis) and interviews. Results: WRMSD were present in 63% of survey respondents (n=67). The pilot study (n=11) identified contributory factors including workplace layout, equipment design and preference of port use (relative to patient size). Statistically significant differences for WRMSD-related posture risks were found within groups (average size mannequin and plus size mannequin) but not between patient size groups suggesting that port preference may be driven by surgeon preference (and experience) rather than patient size. Conclusion: Some of the challenges identified in this project need new engineering solutions to allow flexibility to support surgeon choice of operating approach (open, laparoscopic or robotic) with a work place which supports adaptation to the task, surgeon and patient.

Funding

Dr. Moss reports grants from Hope Against Cancer, Cancer Research UK, and University Hospitals of Leicester Charitable Trust.

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Published in

The Journal of Minimally Invasive Gynecology

Citation

HIGNETT, S. ... et al, 2017. Human factors evaluation of surgeons’ working positions for gynaecological minimal access surgery. Journal of Minimally Invasive Gynecology, 24(7), pp.1177-1183.

Publisher

© Elsevier

Version

AM (Accepted Manuscript)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/

Acceptance date

15/07/2017

Publication date

2017

Notes

This paper was published in the journal Journal of Minimally Invasive Gynecology and the definitive published version is available at https://doi.org/10.1016/j.jmig.2017.07.011.

ISSN

1553-4650

Language

en

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