Prevalence of musculoskeletal pain among gynecologic surgeons performing laparoscopic procedures: A systematic review and meta‐analysis

Wu, Lily; Liu, Sarah; Lommen, Jonathan; Pudwell, Jessica; Pelland, Lucie; Bougie, Olga

doi:10.1002/ijgo.14518

Cited by 5 publications

(4 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent meta-analysis found that over 80% of gynecologic surgeons who perform laparoscopy reported musculoskeletal symptoms, with 30% seeking treatment and 3% requiring work-hour modifications. 7 One study on laparoscopic device use, including LigaSure TM , ENSEAL TM , and Harmonic scalpel, found that more women than men reported physical complaints and inappropriate device fit. However, this difference was no…”

Section: Discussionmentioning

confidence: 99%

Energy Device Preferences Among Gynecologic Surgeons

Yu,

Emeka,

Urbina

et al. 2023

JSLS

View full text Add to dashboard Cite

Background and Objectives: Multiple vessel-sealing devices are available for use during laparoscopy. The objective of this study is to determine what surgeon-level and device characteristics influence the choice of advanced energy device during gynecologic laparoscopy.Methods: This is a national cross-sectional study of gynecologic surgeons conducted via social media, utilizing an online, publicly-available, anonymous survey. Gynecologic surgeons who had completed residency training were approached for participation in the survey. Survey completion was voluntary and involved no further follow-ups. The web-based survey consisted of six questions with the option to answer three additional questions if time permitted. The institutional review board determined that this study qualified for exemption.Results: There were 92 respondents who participated in the survey. Of these, 81 completed the survey and were included in the analysis. Female respondents were younger and more frequently reported a glove size of 6.5 or less. Surgeon-level characteristics, including gender, age, glove size, case volume, region, and practice setting, were not significantly associated with preferred energy devices. Device availability in the operating room was the only characteristic associated with preferred energy devices (P-value 5 .0076). Other device-level characteristics such as optimal thermal spread, reduced plume, ease of use, device reliability, and teachability had no statistically significant association with preferred energy devices. Conclusion:Multiple advanced energy devices are available for use during gynecologic laparoscopy. These devices have varying energy profiles, thermal spread, and device size. Despite this diversity, only device availability in the operating room influenced the surgeon's preferred device selection.

show abstract

Section: Discussionmentioning

confidence: 99%

Energy Device Preferences Among Gynecologic Surgeons

Yu,

Emeka,

Urbina

et al. 2023

JSLS

View full text Add to dashboard Cite

show abstract

“…This ergonomic advantage can lead to improved surgical precision. A recent systematic review and meta-analysis revealed that 82% of gynecological surgeons performing laparoscopic procedures experience musculoskeletal symptoms [28]. Lengthy or complex procedures such as sacrocolpopexy, for example, may be more likely to cause such symptoms.…”

Section: Advantages Of Ras For Surgeonsmentioning

confidence: 99%

Expanding Robotic-Assisted Surgery in Gynecology Using the Potential of an Advanced Robotic System

Alkatout,

O’Sullivan,

Peters

et al. 2023

Medicina

View full text Add to dashboard Cite

Minimally invasive surgery (MIS) in gynecology was introduced to achieve the same surgical objectives as traditional open surgery while minimizing trauma to surrounding tissues, reducing pain, accelerating recovery, and improving overall patient outcomes. Minimally invasive approaches, such as laparoscopic and robotic-assisted surgeries, have become the standard for many gynecological procedures. In this review, we aim to summarize the advantages and main limitations to a broader adoption of robotic-assisted surgery compared to laparoscopic surgeries in gynecology. We present a new surgical system, the Dexter Robotic System™ (Distalmotion, Switzerland), that facilitates the transition from laparoscopy expertise to robotic-assisted surgery.

show abstract

“…Studies evaluating the pain prevalence among laparoscopic surgeons are rife in the literature; there are also multiple reviews on the matter [ 1 – 3 ]. However, more nuance is required to draw meaningful conclusions from this data.…”

Section: Introductionmentioning

confidence: 99%

Perceived comfort and tool usability during robot-assisted and traditional laparoscopic surgery: a survey study

Hislop,

Tirosh,

Isaksson

et al. 2024

J Robotic Surg

View full text Add to dashboard Cite

It is known that over half of previously surveyed surgeons performing Robot-Assisted Laparoscopic Surgery (RALS) and three-quarters of those performing Traditional Laparoscopic Surgery (TLS) experience intraoperative pain. This survey study aimed to expand upon the ongoing impact of that pain as well as perceived tool usability associated with TLS and RALS, for which considerably less documentation exists. A survey regarding the presence and impact, either immediate or ongoing, of intraoperative pain and Likert scale questions regarding tool usability was administered to TLS and RALS surgeons on the European Association for Endoscopic Surgery (EAES) mailing list. Prevalence statistics as well as trends based on biological sex and glove size were obtained from the 323 responses. Most respondents were right-handed European males (83−88%) with a medium glove size (55.8%). Moderate or severe shoulder symptoms were experienced by one-third of TLS surgeons. Twenty-one percent of RALS surgeons experienced neck symptoms that impacted their concentration. Small-handed surgeons experienced wrist symptoms significantly more frequently than large-handed surgeons, regardless of modality. RALS was associated with a significantly more optimal back and wrist posture compared to TLS. TLS surgeons reported increased ease with applying and moderating force while operating. These results suggest that intraoperative pain may be severe enough in many cases to interfere with surgeon concentration, negatively impacting patient care. Continuing to understand the relationship between tool usability and comfort is crucial in guaranteeing the health and well-being of both surgeons and patients.

show abstract

Prevalence of musculoskeletal pain among gynecologic surgeons performing laparoscopic procedures: A systematic review and meta‐analysis

Cited by 5 publications

References 25 publications

Energy Device Preferences Among Gynecologic Surgeons

Energy Device Preferences Among Gynecologic Surgeons

Expanding Robotic-Assisted Surgery in Gynecology Using the Potential of an Advanced Robotic System

Perceived comfort and tool usability during robot-assisted and traditional laparoscopic surgery: a survey study

Contact Info

Product

Resources

About