428 Comparing characteristics of endometrial cancer in South Asian and White ethnicity women in England

Mohammed, Somala; Polymeros, Konstantinos; Wickham-Joseph, R; Luqman, Iqra; Charadva, Creana; Morris, Thomas; Moss, Esther L.

doi:10.1136/ijgc-2021-esgo.145

Endometrial Cancer 2021

DOI: 10.1136/ijgc-2021-esgo.145

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428 Comparing characteristics of endometrial cancer in South Asian and White ethnicity women in England

Somala Mohammed¹,

Konstantinos Polymeros²,

R Wickham-Joseph

et al.

Abstract: According to our findings, abnormal uterine bleeding is considered the guiding symptom for the diagnosis of this oncological pathology, being to one of the most frequent reasons to demand a gynecological evaluation.Endometrial polyps are the main observed lesions in our cohort, in both ultrasound exam and hysteroscopy.

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Objective assessment of surgeon kinematics during simulated laparoscopic surgery: a preliminary evaluation of the effect of high body mass index models

et al. 2021

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Purpose Laparoscopy is used in many surgical specialties. Subjective reports have suggested that performing laparoscopic surgery in patients with a high body mass index (BMI) is leading to increased prevalence of musculoskeletal symptoms in surgeons. The aim of this study was to objectively quantify the impact on surgeon upper body kinematics and dynamic workload when performing simulated laparoscopy at different BMI levels. Methods Upper body kinematics and dynamic workload of novice, intermediate and expert surgeons were calculated based on measurements from inertial measurement units positioned on upper body segments. Varying thicknesses of foam were used to simulate patient BMIs of 20, 30, 40 and 50 kg/m2 during laparoscopic training. Results Significant increases in the jerkiness, angular speed and cumulative displacement of the head, torso and upper arms were found within all experience groups when subject to the 40 and 50 kg/m2 models. Novice surgeons were found to have less controlled kinematics and larger dynamic workloads compared to the more experienced surgeons. Conclusions Our findings indicate that performing laparoscopic surgery on a high BMI model worsens upper body motion efficiency and efficacy, and increases dynamic workload, producing conditions that are more physically demanding when compared to operating on a 20 kg/m2 model. These findings also suggest that the head, torso, and upper arm segments are especially affected by high BMI models and therefore exposure to patients with high BMIs may increase the risk of musculoskeletal injury when performing laparoscopic surgery.

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Objective assessment of surgeon kinematics during simulated laparoscopic surgery: a preliminary evaluation of the effect of high body mass index models

et al. 2021

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428 Comparing characteristics of endometrial cancer in South Asian and White ethnicity women in England

Cited by 1 publication

References 0 publications

Objective assessment of surgeon kinematics during simulated laparoscopic surgery: a preliminary evaluation of the effect of high body mass index models

Objective assessment of surgeon kinematics during simulated laparoscopic surgery: a preliminary evaluation of the effect of high body mass index models

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