Abstract
Despite current progress made in the design and development of surgical instruments, nowadays surgeons report ergonomics risks related to open, laparoscopic, and robotic procedures. A recent study carried out by Stanford University Medical Center (SUMC) claims that nearly 61% of surgeons have reported ergonomic symptoms, and of this population, 55.4% attributed the symptoms to laparoscopic surgery, 36.3% to open surgery, and 8.3% to robotic surgery. The most of studies performed in ergonomics and surgical procedures analyze the following elements: (a) disposition of different elements used during laparoscopic procedures, (b) musculoskeletal symptoms, or (c) ergonomic assessment of postural load. However, it is important to mention that in South America, and specifically in Ecuador, few studies exist that solely analyze in a general way the ergonomic risk due to postural load. On those grounds, in this paper we present a study that is aimed on determining the risks experienced by surgeons in laparoscopic surgeries due to problems related with ergonomic factors, in Cuenca, Ecuador. To analyze the risks factors, we have used an approach that combines the anthropometric characteristics of surgeons and the evaluation of the operating room design.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Gutiérrez, M.C., et al.: Valoración postural y síntomas musculo esqueléticos en el alumnado de un centro de simulación en cirugía mínimamente invasiva guiada por la imagen. J. Sociedad Española de Medicina y Seguridad en el Trabajo 7, 121–173 (2012)
Arenas-Ortiz, L., Cantú-Gómez, Ó.: Factores de riesgo de trastornos músculo-esqueléticos crónicos laborales. J. Medicina Interna de México 29, 370–379 (2013)
Adams, S.R., Hacker, M.R., McKinney, J.L., Elkadry, E.A., Rosenblatt, P.L.: Musculoskeletal pain in gynecologic surgeons. J. Minim. Invasive Gynecol. 20, 656–660 (2013)
Pérez-Duarte, F.J., Sánchez-Margallo, F.M., Díaz-Güemes, M.P.I., Sánchez-Hurtado, M.Á., Lucas-Hernandez, M., Usón, G.J.: Ergonomics in laparoscopic surgery and its importance in surgical training. J. Cir. Esp. 90, 284–291 (2012)
Miller, K., Benden, M., Pickens, A., Shipp, E., Zheng, Q.: Ergonomics principles associated with laparoscopic surgeon injury/illness. Hum. Factors 54, 1087–1092 (2012)
Díez, M.C.G., Herrera, R.S., González, M.A.B., Palazuelos, J.C.M., Figuero, C.R., González, M.A.G., Barragán, R.A.C.: Valoración postural y síntomas musculoesqueléticos en el alumnado de un centro de simulación en cirugía mínimamente invasiva guiada por la imagen. Revista de la Sociedad Española de Medicina y Seguridad del Trabajo 7, 125–136 (2012)
Modi, Y.S., Kuswaha, M.R., Dave, S.P.: Awareness of ergonomic guidelines regarding laparoscopic surgeries, its practice among surgeons and comfort level during and after surgery. Med. J. 68, 31–34 (2013)
Berguer, R., Rab, G.T., Abu-Ghaida, H., Alarcon, A., Chung, J.: A comparison of surgeons’ posture during laparoscopic and open surgical procedures. Surg. Endosc. 11, 139–142 (1997)
Nguyen, N.T., Ho, H.S., Smith, W.D., Philipps, C., Lewis, C., De Vera, R.M., Berguer, R.: An ergonomic evaluation of surgeons’ axial skeletal and upper extremity movements during laparoscopic and open surgery. Am. J. Surg. 182, 720–724 (2001)
Supe, A.N., Kulkarni, G.V., Supe, P.A.: Ergonomics in laparoscopic surgery. J. Minim. Access Surg. 6, 31 (2010)
Sari, V., Nieboer, T.E., Vierhout, M.E., Stegeman, D.F., Kluivers, K.B.: The operation room as a hostile environment for surgeons: physical complaints during and after laparoscopy. Minim. Invasive Ther. Allied Technol. 19, 105–109 (2010)
Aghilinejad, M., Ehsani, A.A., Talebi, A., Koohpayehzadeh, J., Dehghan, N.: Ergonomic risk factors and musculoskeletal symptoms in surgeons with three types of surgery: open, laparoscopic, and microsurgery. Med. J. Islam. Repub. Iran (MJIRI) 30, 1232–1237 (2016)
Norhidayah, M.S., Mohamed, N.M.Z.N., Mansor, M.A., Ismail, A.R.: A study of postural loading in Malaysian mining industry using rapid entire body assessment. In: MATEC Web of Conferences, vol. 74, p. 14 (2016)
StataCorp, L.P.: Stata data analysis and statistical software. Spec. Ed. Release 10, 733 (2007)
Kuorinka, I., Jonsson, B., Kilbom, A., Vinterberg, H., Biering-Sørensen, F., Andersson, G., Jørgensen, K.: Standardised Nordic questionnaires for the analysis of musculoskeletal symptoms. Appl. Ergon. 18, 233–237 (1987)
Acknowledgments
This work has been funded by the Consorcio Ecuatoriano para el Desarrollo del Internet Avanzado (CEDIA).
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this paper
Cite this paper
Ordóñez-Ríos, M., Jara-Díaz, O., Salamea, J.C., Robles-Bykbaev, V. (2018). Ergonomic Assessment and Analysis of Postural Load of Surgeons Performing Laparoscopic Surgeries in Cuenca, Ecuador. In: Duffy, V., Lightner, N. (eds) Advances in Human Factors and Ergonomics in Healthcare and Medical Devices. AHFE 2017. Advances in Intelligent Systems and Computing, vol 590. Springer, Cham. https://doi.org/10.1007/978-3-319-60483-1_44
Download citation
DOI: https://doi.org/10.1007/978-3-319-60483-1_44
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-60482-4
Online ISBN: 978-3-319-60483-1
eBook Packages: EngineeringEngineering (R0)