Prolonged laparoscopic surgery is associated with an increased risk of vertebral disc prolapse

Cass, Gemma; Vyas, Surabhi; Akande, Valentine

doi:10.3109/01443615.2013.831048

Cited by 37 publications

(30 citation statements)

References 28 publications

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“…1 ). Twenty-one observational studies included only survey data [ 1 , 5 , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] , [17] , [18] , [19] , [20] , [21] , [22] , [23] , [24] , [25] , [26] ], 10 studies evaluated muscle strain using EMG [ [27] , [28] , [29] , [30] , [31] , [32] , [33] , [34] , [35] , [36] ], three studies incorporated both EMG analysis and survey data [ [37] , [38] , [39] ], and six studies used other tools such as pain scales and strain indices [ 1 , [40] , [41] , [42] , [43] , [44] , [45] ]. Of these only one study was a randomized case control design [ 28 ] while all other studies were non-randomized.…”

Section: Resultsmentioning

confidence: 99%

“…Many surgeons have experienced a work-related injury such as cervical spinal stenosis, lumbar disc herniation, or carpal tunnel syndrome [ [1] , [2] , [3] , [4] , [5] ]. These injuries result in surgeons undergoing surgery themselves, taking leaves of absence, and even retiring earlier than planned [ 1 , 5 ]. Chronic pain, numbness, and fatigue also may occur from years of manual labor rather than as a result of a specific injury, while still potentially limiting overall work performance.…”

Section: Introductionmentioning

confidence: 99%

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Surgeon symptoms, strain, and selections: Systematic review and meta-analysis of surgical ergonomics

Stucky

Cromwell

Voss

et al. 2018

Annals of Medicine and Surgery

177

111

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BackgroundMany surgeons experience work-related pain and musculoskeletal symptoms; however, comprehensive reporting of surgeon ailments is lacking in the literature. We sought to evaluate surgeons' work-related symptoms, possible causes of these symptoms, and to report outcomes associated with those symptoms.Materials and methodsFive major medical indices were queried for articles published between 1980 and 2014. Included articles evaluated musculoskeletal symptoms and ergonomic outcomes in surgeons. A meta-analysis using a fixed-effect model was used to report pooled results.ResultsForty articles with 5152 surveyed surgeons were included. Sixty-eight percent of surgeons surveyed reported generalized pain. Site-specific pain included pain in the back (50%), neck (48%), and arm or shoulder (43%). Fatigue was reported by 71% of surgeons, numbness by 37%, and stiffness by 45%. Compared with surgeons performing open surgery, surgeons performing minimally invasive surgery (MIS) were significantly more likely to experience pain in the neck (OR 2.77 [95% CI 1.30–5.93]), arm or shoulder (OR 4.59 [2.19–9.61]), hands (OR 2.99 [1.33–6.71], and legs (OR 12.34 [5.43–28.06]) and experience higher odds of fatigue (8.09 [5.60–11.70]) and numbness (6.82 [1.75–26.65]). Operating exacerbated pain in 61% of surgeons, but only 29% sought treatment for their symptoms. We found no direct association between muscles strained and symptoms.ConclusionsMost surgeons report work-related symptoms but are unlikely to seek medical attention. MIS surgeons are significantly more likely to experience musculoskeletal symptoms than surgeons performing open surgery. Symptoms experienced do not necessarily correlate with strain.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Surgeon symptoms, strain, and selections: Systematic review and meta-analysis of surgical ergonomics

Stucky

Cromwell

Voss

et al. 2018

Annals of Medicine and Surgery

177

111

View full text Add to dashboard Cite

show abstract

“…Studies have described a high level of ergonomic and mental stress among surgeons performing minimally invasive surgery compared to open procedures. [45][46][47][48] The surgeons in the present study reported open surgery as the most common procedure, but this is likely to change due to the rapid increase in minimally invasive surgery. Those surgeons who performed both techniques reported the laparoscopic approach to be the most painful procedure.…”

Section: Discussionmentioning

confidence: 99%

Surgery Is Physically Demanding and Associated With Multisite Musculoskeletal Pain: A Cross-Sectional Study

Dalager

Søgaard

Boyle

et al. 2019

Journal of Surgical Research

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Background: Performing surgery involves well-known risk factors for developing musculoskeletal pain. Multisite musculoskeletal pain has shown to have an even higher adverse impact on the individual. We examined prevalence and intensity of multisite musculoskeletal pain in surgeons and identified characteristics associated with two or more painful body sites. Materials and methods: Information on sociodemographic, work experience, work demands, health status, physical capacity, and prevalence and intensity of musculoskeletal pain were collected from an internet-based questionnaire in 284 surgeons. Descriptive statistics were used to report prevalence and intensity of musculoskeletal pain. A logistic regression model was conducted to assess the characteristics associated with multisite musculoskeletal pain. Results: Musculoskeletal pain was reported by 93% of the surgeons and 77% experienced multisite pain. The reported median pain intensities ranged from 2 to 4. Multisite musculoskeletal pain was significantly associated with being a female surgeon (OR: 3.4;

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“…Surgeons encounter musculoskeletal strain and disorders resulting from long periods of muscle tension and awkward poses 1 – 3 . Injuries to surgeons include pain in specific areas of the body, vertebral disk prolapse and carpal tunnel syndrome 4 , 5 . These issues are closely related to the mental and physical workloads of surgeons during surgery 2 .…”

Section: Introductionmentioning

confidence: 99%

Correlative Evaluation of Mental and Physical Workload of Laparoscopic Surgeons Based on Surface Electromyography and Eye-tracking Signals

Zhang

Liu

Feng

et al. 2017

Sci Rep

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Surgeons’ mental and physical workloads are major focuses of operating room (OR) ergonomics, and studies on this topic have generally focused on either mental workload or physical workload, ignoring the interaction between them. Previous studies have shown that physically demanding work may affect mental performance and may be accompanied by impaired mental processing and decreased performance. In this study, 14 participants were recruited to perform laparoscopic cholecystectomy (LC) procedures in a virtual simulator. Surface electromyography (sEMG) signals of the bilateral trapezius, bicipital, brachioradialis and flexor carpi ulnaris (FCU) muscles and eye-tracking signals were acquired during the experiment. The results showed that the least square means of muscle activity during the LC phases of surgery in an all-participants mixed effects model were 0.79, 0.81, and 0.98, respectively. The observed muscle activities in the different phases exhibited some similarity, while marked differences were found between the forearm bilateral muscles. Regarding mental workload, significant differences were observed in pupil dilation between the three phases of laparoscopic surgery. The mental and physical workloads of laparoscopic surgeons do not appear to be generally correlated, although a few significant negative correlations were found. This result further indicates that mental fatigue does markedly interfere with surgeons’ operating movements.

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Prolonged laparoscopic surgery is associated with an increased risk of vertebral disc prolapse

Cited by 37 publications

References 28 publications

Surgeon symptoms, strain, and selections: Systematic review and meta-analysis of surgical ergonomics

Surgeon symptoms, strain, and selections: Systematic review and meta-analysis of surgical ergonomics

Surgery Is Physically Demanding and Associated With Multisite Musculoskeletal Pain: A Cross-Sectional Study

Correlative Evaluation of Mental and Physical Workload of Laparoscopic Surgeons Based on Surface Electromyography and Eye-tracking Signals

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