The Influence of Micropauses on Surgeons’ Precision After Short Laparoscopy Procedures

Abstract

Micropauses had no influence on surgical precision as evaluated after short laparoscopy procedures. The only differences were surgeon-dependent and intervention-dependent.

An exploratory study comparing three work/rest schedules during simulated repetitive precision work

“…As noted above, there were no statistically-significant differences in task performance among the three W/R schedules. This lack of an effect agrees with previous work showing that introducing regardless of length and duration, did not significantly influence precision task performance (Hallbeck et al, 2017;Komorowski et al, 2015;Lin et al, 2012;McLean et al, 2001). We found some evidence of differences between schedules in specific performance measures, but these effects were not consistent (see Table 3, a summary of the influences of schedules on performance measure in the three W/R schedules).…”

“…McLean et al (2001) evaluated the effects of task duration or rest periods on typing task productivity, but found no significant difference in output. In surgical tasks, Komorowski et al (2015) and Hallbeck et al (2017) reported no significant influences of work/rest schedules on surgical precision.…”

“…For highly-repetitive tasks, such as in light assembly, it thus appears that using short/microbreaks could be a promising intervention for reducing upper-extremity fatigue, although a majority of earlier studies have focused on surgical (Dorion & Darveau, 2013;Hallbeck et al, 2017;Komorowski et al, 2015;Park et al, 2017) or video display terminal tasks (Chaikumarn et al, 2018;Henning et al, 1989;McLean et al, 2001;Sundelin & Hagberg, 1989). Note that the U.S. Occupational Safety and Health Administration suggests introducing short/micro breaks when work involves static postures or is highly repetitive (OSHA, 2001(OSHA, , 2003.…”

Study protocol - Interventions to reduce musculoskeletal occupational injury in surgeons and interventionalists: A systematic review

“…Plastic surgeons often wear loupes which increase cervical loading by 40% [2], whilst other interventionalists regularly wear lead aprons which increase strain [3], [4]. A 15-pound lead apron can put approximately 300 pounds per square inch of initial pressure on the intervertebral disc [5], [6], [7], [8]. Specific procedures also appear to carry greater risk of musculoskeletal injury.…”

“…Specific procedures also appear to carry greater risk of musculoskeletal injury. Minimally invasive surgery in particular has been reported as carrying greater risk of musculoskeletal injury [1], [2], [3], [4], [5], [6], [7], [8], [9], [10], [11], [12], [13], [14], [15], [16], [17], [18], [19].…”