Assessment of Obstetrician-Gynecologists Performing Laparoscopic Surgery: Study of Hand Size and Surgical Instruments

Huang, Jing; McGlothlin, James D.

doi:10.4172/2165-7556.1000224

Cited by 4 publications

(6 citation statements)

References 14 publications

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“…These findings are similar to the results of Alqahtani et al in terms of injury prevalence and location [7,13]. One possible explanation for this difference in injury patterns could be that adult reconstruction surgical instrumentation may not be ergonomically ideal for female surgeons, who are more likely to have smaller hands, as was found in studies involving the use of laparoscopic instruments [14,15]. For example, a 2004 survey of general surgeons (21.9% female) found that surgeons with a glove size of 6.5 or smaller were more likely to report difficulty using laparoscopic instruments [14].…”

Section: Discussionsupporting

confidence: 86%

Repetitive Musculoskeletal Injuries: A Survey of Female Adult Reconstruction Surgeons

Cohen-Rosenblum

Varady

Leonovicz

et al. 2022

The Journal of Arthroplasty

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Section: Discussionsupporting

confidence: 86%

Repetitive Musculoskeletal Injuries: A Survey of Female Adult Reconstruction Surgeons

Cohen-Rosenblum

Varady

Leonovicz

et al. 2022

The Journal of Arthroplasty

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“…Good concentration is parallel to optimal physical condition in laparoscopy. 14 In our study, fatigue factor probably factor lead to decrease-stable OSA CNS score.…”

Section: Discussionsupporting

confidence: 47%

“…Back pain, neck pain, and arm/shoulder pain are the most anatomy site of musculoskeletal. 14 In other study by Huang and McGlothlin, concentration is an integral component of ergonomic condition in laparoscopy. Good concentration is parallel to optimal physical condition in laparoscopy.…”

Section: Discussionmentioning

confidence: 93%

Comparison Objective Structured Assessment of Camera Navigation Skills Score—Pre- and Post-training Intervention

Winarto¹,

Saspriyana

Kekalih³

2020

World Journal of Laparoscopic Surgery With DVD

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Aim: Inexperienced operating assistants are often tasked with the important role of handling camera navigation during laparoscopic surgery. Incorrect handling can lead to poor visualization and increased operating time. The objective of this research was to examine benefit of camera navigation training in laparoscopic used pelvic box based on Objective Structured Assessment of Camera Navigation Skills (OSA CNS) assessment and explore factors correlated to difference skill after training. Materials and methods: An experimental study (pre-post interventional study) was conducted at the training room of Indonesia Clinical Training and Education Centre (ICTEC) Faculty of Medicine Universitas Indonesia-Dr. Cipto Mangunkusumo Hospital (CMH), on December 2018 to January 2019. Participants were Obstetrics and Gynecology resident Medical Faculty of Universitas Indonesia. We did evaluation before training and 1, 2, 3 weeks after training used OSA CNS. Data analysis used paired-t test. Results: There were significant increasing OSA CNS score after camera navigation training used pelvic box. Average OSA CNS score before training and 1, 2, 3 weeks after training were 15.00 ± 2.03, 17.60 ± 2.69, 16.36 ± 1.84, 17.80 ± 2.26, respectively. Optimum duration of OSA CNS evaluation was 3 weeks after the training. Female gender and low experience were two factors influence camera navigation skill after the training. Conclusion: Laparoscopy camera navigation training used pelvic box could be applied to support residency program curriculum and there were increasing camera navigation skills after training used pelvic box. Female gender and low experience were factors significant correlate to training outcome of camera navigation skill used pelvic box. Clinical significance: Camera navigation training used pelvic box is a critical component for teaching safe endoscopic practices in our Ob/Gyn residency training program.

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“…This may also contribute to inefficient ergonomics in the operating room, something that has been previously shown to be physically taxing on surgeons during laparoscopic procedures. 12…”

Section: Discussionmentioning

confidence: 99%

Left-Handedness in Obstetrics and Gynecology: A Nationwide Survey of U.S. Trainees and Educators

et al. 2021

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Objective This study aimed to evaluate the views and influence of left-handedness among obstetrics and gynecology (OBGYN) trainees and educators and to identify perceived obstacles in training by left-handed (LH) trainees. Study Design An online survey was sent to the U.S. Obstetrics and Gynecology training programs. All participants were asked questions on hand preference for various medical and nonmedical activities, as well as on demographics. Participant responses to handedness and their role as a learner or educator directed them toward further questions. Trainees were surveyed on their experience and outlook as a LH physician in OBGYN. Educators were surveyed on their experience and attitudes in working with LH trainees. LH educators were also surveyed on their experience as a LH physician, similar to the LH trainees. Chi-square or Fisher's exact analysis was used as appropriate, with p-value <0.05 considered statistically significant. Results Responses were received from 21 training programs, totaling 304 individuals. Participants included 205 learners (156 right handed and 49 left handed), and 99 faculty (82 right handed and 17 left handed). A lack of LH surgical instrument availability (93.6%) and difficulty using right-handed (RH) instruments (83%) were notable obstacles reported by LH learners. The majority of LH learners (57.4%) did not consider their handedness to be disadvantageous but did note added difficulty when training under RH mentors when compared with training under LH mentors (66%). In contrast to LH educators, RH educators endorsed added difficulty in instructing operative procedures to LH learners (32.1 vs. 13.3%, p = 0.012). Conclusion LH trainees face unique challenges during their OBGYN training. Educators would benefit from guidance on how best to manage these trainees. Educators should work to adapt surgical and procedural techniques to accommodate LH trainees. Key Points

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Assessment of Obstetrician-Gynecologists Performing Laparoscopic Surgery: Study of Hand Size and Surgical Instruments

Cited by 4 publications

References 14 publications

Repetitive Musculoskeletal Injuries: A Survey of Female Adult Reconstruction Surgeons

Repetitive Musculoskeletal Injuries: A Survey of Female Adult Reconstruction Surgeons

Comparison Objective Structured Assessment of Camera Navigation Skills Score—Pre- and Post-training Intervention

Left-Handedness in Obstetrics and Gynecology: A Nationwide Survey of U.S. Trainees and Educators

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Assessment of Obstetrician-Gynecologists Performing Laparoscopic Surgery: Study of Hand Size and Surgical Instruments

Cited by 4 publications

References 14 publications

Repetitive Musculoskeletal Injuries: A Survey of Female Adult Reconstruction Surgeons

Repetitive Musculoskeletal Injuries: A Survey of Female Adult Reconstruction Surgeons

Comparison Objective Structured Assessment of Camera Navigation Skills Score&mdash;Pre- and Post-training Intervention

Left-Handedness in Obstetrics and Gynecology: A Nationwide Survey of U.S. Trainees and Educators

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Comparison Objective Structured Assessment of Camera Navigation Skills Score—Pre- and Post-training Intervention