Operating room & surgeons: Work-Related Musculoskeletal Disorders
Authors: 
Jaime Solleiro Rodriguez, Juan Antonio Juanes Méndez, Fernando Blaya Haro, Roberto D'AmatoAuthors Info & Claims
Pages 318 - 323
Abstract
Objective: This article is intended to be an updated framework of current state of ergonomics and ergonomic considerations in surgery, being a systematic review and a qualitative research of the latest reviewed documentation published on this matter.
Background: Work-Related Musculoskeletal Disorders (WRMDs) appeared among surgeons as a result of the practice of their profession. Despite the growing interest in this matter, it is still an underdeveloped topic, which requires further research. Postural control, the workplace ergonomics, the improvement of the equipment, or the training, are elements that still need to be enhanced to avoid, or at least limit, the pathologies that may be developed due to the practice of surgery.
Methods: Different researches have been carried out to obtain the knowledge base. For this, a search array has been developed based in the main keywords in this field: “surgery”, “ergonomics” or “musculoskeletal disorders”, in the main scientific free search engine PUBMED (Medline). The selection criteria has been based on articles in English language published no longer than 5 years ago, that is, from May 2016. All the references presented in this document have been read and reviewed in detail. The PRISMA methodology has been used to present the results.
Results: From the search carried out, 13 articles have been selected, 8 reviews and 5 specific studies, which present the main physical symptoms suffered by surgeons during an operation, neck, back and shoulder most commonly mentioned as the main affected areas for pain, discomfort or injuries in most of the surgery typologies.
Conclusion: Despite the diseases associated with their activity, surgeons are not prone to treat their pathologies with a specialist. Preventive actions, such as training, microbreaks during surgery, or ergonomic improvement of the position, are considered vital to enhance the working conditions of the surgeon and his team. Additionally, the development of the equipment in the operating room could meet the growing demand of enhancements in the surgical field.
References
[1]
H. Reza Zahiri, Alex Addo, and Adrian E. Park. 2019. Musculoskeletal Disorders in Minimally Invasive Surgery. Advances in Surgery 53, 209–220.
[2]
Andrew T. Schlussel and Justin A. Maykel. 2019. Ergonomics and Musculoskeletal Health of the Surgeon. Clin. Colon Rectal Surg. 32, 6 (2019), 424–434.
[3]
Chee Chee H. Stucky, Kate D. Cromwell, Rachel K. Voss, Yi Ju Chiang, Karin Woodman, Jeffrey E. Lee, and Janice N. Cormier. 2018. Surgeon symptoms, strain, and selections: Systematic review and meta-analysis of surgical ergonomics. Annals of Medicine and Surgery 27, 1–8.
[4]
Chantal C.J. Alleblas, Anne Marie De Man, Lukas Van Den Haak, Mark E. Vierhout, Frank Willem Jansen, and Theodoor E. Nieboer. 2017. Prevalence of Musculoskeletal Disorders among Surgeons Performing Minimally Invasive Surgery. Annals of Surgery 266, 905–920.
[5]
Tina Dalager, Karen Søgaard, Katrine Tholstrup Bech, Ole Mogensen, and Pernille Tine Jensen. 2017. Musculoskeletal pain among surgeons performing minimally invasive surgery: a systematic review. Surg. Endosc. 31, 2 (February 2017), 516–526.
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Ameer Alhusuny, Margaret Cook, Akram Khalil, Yanfei Xie, and Venerina Johnston. 2020. Neck/Shoulder Problems and Visual Disturbances Among Surgeons: A Scoping Review. Journal of Surgical Research 247, 413–428.
[7]
David Moher, Alessandro Liberati, Jennifer Tetzlaff, Douglas G. Altman, Doug Altman, Gerd Antes, David Atkins, Virginia Barbour, Nick Barrowman, Jesse A. Berlin, Jocalyn Clark, Mike Clarke, Deborah Cook, Roberto D'Amico, Jonathan J. Deeks, P. J. Devereaux, Kay Dickersin, Matthias Egger, Edzard Ernst, Peter C. Gøtzsche, Jeremy Grimshaw, Gordon Guyatt, Julian Higgins, John P.A. Ioannidis, Jos Kleijnen, Tom Lang, Nicola Magrini, David McNamee, Lorenzo Moja, Cynthia Mulrow, Maryann Napoli, Andy Oxman, Bá Pham, Drummond Rennie, Margaret Sampson, Kenneth F. Schulz, Paul G. Shekelle, David Tovey, and Peter Tugwell. 2009. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Medicine 6, e1000097.
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PRISMA 2020 Checklist Section and Topic Item # Checklist item Location where item is reported TITLE Title 1 Identify the report as a systematic review.
[9]
Tatiana Catanzarite, Jasmine Tan-Kim, Emily L. Whitcomb, and Shawn Menefee. 2018. Ergonomics in Surgery: A Review. Female Pelvic Medicine and Reconstructive Surgery 24, 1–12.
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Sherise Epstein, Emily H. Sparer, Bao N. Tran, Qing Z. Ruan, Jack T. Dennerlein, Dhruv Singhal, and Bernard T. Lee. 2018. Prevalence of work-related musculoskeletal disorders among surgeons and interventionalists: A systematic review and meta-analysis. JAMA Surg. 153, 2 (February 2018).
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Alexandre Lavé, Renato Gondar, Andreas K. Demetriades, and Torstein R. Meling. 2020. Ergonomics and musculoskeletal disorders in neurosurgery: a systematic review. Acta Neurochir. (Wien). 162, 9 (September 2020), 2213–2220.
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Chrisovalantis Lakhiani, Sean M. Fisher, David E. Janhofer, and David H. Song. 2018. Ergonomics in microsurgery. Journal of Surgical Oncology 118, 840–844.
[13]
Vijay R. Ramakrishnan and Paul N. Montero. 2013. Ergonomic Considerations in Endoscopic Sinus Surgery: Lessons Learned from Laparoscopic Surgeons. Am. J. Rhinol. Allergy 27, 3 (May 2013), 245–250.
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Jamaal L. Benjamin and Quinn C. Meisinger. 2018. Ergonomics in the Development and Prevention of Musculoskeletal Injury in Interventional Radiologists. Tech. Vasc. Interv. Radiol. 21, 1 (March 2018), 16.
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Ian Jun Yan Wee, Li Jen Kuo, and James Chi Yong Ngu. 2020. A systematic review of the true benefit of robotic surgery: Ergonomics. International Journal of Medical Robotics and Computer Assisted Surgery 16.
Index Terms
- Operating room & surgeons: Work-Related Musculoskeletal Disorders
Index terms have been assigned to the content through auto-classification.
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Published: 20 December 2021
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TEEM'21
TEEM'21: Ninth International Conference on Technological Ecosystems for Enhancing Multiculturality
October 26 - 29, 2021
Barcelona, Spain
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