Ergonomics in the operating room and surgical training: a survey on the Italian scenario.

Autor:	Restaino S; Clinic of Obstetrics and Gynecology, 'S. Maria della Misericordia' University Hospital, Azienda Sanitaria Universitaria Friuli Centrale (ASUFC), Udine, Italy., D'Indinosante M; Dipartimento per le Scienze Della Salute Della Donna, del Bambino e di Sanità Pubblica, UOC Ginecologia Oncologica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Perelli F; Division of Gynaecology and Obstetrics, Santa Maria Annunziata Hospital, USL Toscana Centro, Florence, Italy., Arcieri M; Clinic of Obstetrics and Gynecology, 'S. Maria della Misericordia' University Hospital, Azienda Sanitaria Universitaria Friuli Centrale (ASUFC), Udine, Italy., Cherchi V; General Surgery Clinic and Liver Transplant Center, University Hospital of Udine, Udine, Italy., Petrillo M; Gynecologic and Obstetric Clinic, Department of Medicine, Surgery and Pharmacy, University of Sassari, Sassari, Italy., Cavaliere AF; Department of Gynecology and Obstetrics of 'San Giovanni Calibita' Fatebenefratelli Hospital-Gemelli Hospital, Rome, Italy., Cianci S; Dipartimento di Ginecologia Oncologica e Chirurgia Ginecologica Miniinvasiva, Università degli studi di Messina, Policlinico G. Martino, Messina, Italy., Pellecchia G; Department of Medicine, University of Udine, Udine, Italy., Meniconi RL; Department of General Surgery and Liver Transplantation, San Camillo Forlanini Hospital, Rome, Italy., Coppola A; Department of General Surgery, Sapienza Università di Roma, Rome, Italy., Chiantera V; Unit of Gynecologic Oncology, National Cancer Institute, IRCCS, Fondazione 'G. Pascale', Naples, Italy., Scambia G; Dipartimento per le Scienze Della Salute Della Donna, del Bambino e di Sanità Pubblica, UOC Ginecologia Oncologica, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy., Driul L; Clinic of Obstetrics and Gynecology, 'S. Maria della Misericordia' University Hospital, Azienda Sanitaria Universitaria Friuli Centrale (ASUFC), Udine, Italy., Vizzielli G; Clinic of Obstetrics and Gynecology, 'S. Maria della Misericordia' University Hospital, Azienda Sanitaria Universitaria Friuli Centrale (ASUFC), Udine, Italy.
Jazyk:	angličtina
Zdroj:	Frontiers in public health [Front Public Health] 2024 Aug 07; Vol. 12, pp. 1417250. Date of Electronic Publication: 2024 Aug 07 (Print Publication: 2024).
DOI:	10.3389/fpubh.2024.1417250
Abstrakt:	Introduction: Surgical-related injuries are frequent, in fact the reported percentage of musculoskeletal disorders in surgeons is between 47% and 87%. These conditions are caused by long periods of standing, incorrect postures, repeated movements, little rest between operations, the lack of integrated operator rooms, the correct number and arrangement of monitors and the use of non-ergonomic instruments. This survey aims to assess the Italian overview both highlighting how prevalent surgical-related injury is in our surgeons and whether there is an operating room ergonomics education program in Italian surgical specialty schools. Methods: An anonymous questionnaire was designed through SurveyMonkey© web application. This survey was composed of 3 different sections concerning the general characteristics of the participants, their surgical background and any training performed, and any injuries or ailments related to the surgical activity. The survey was carried out in the period 1th of December 2022 and the 6th of February 2023. Results: At the close of our survey, 300 responses were collected. Among the participants, the two most represented specialties were Gynecology and Obstetrics (42.3%) and General Surgery (39.7%) and surgeons were mainly employed in the Northern regions of Italy (54.8%). Analyzing the participants' background, 61.7% of the respondents had laparoscopic training during their training and only 53.1% had a pelvic trainer during their residency. In accordance with 98.7% of the respondents, during surgery we have the feeling of being in an uncomfortable position that causes discomfort or muscle pain, and regarding the frequency of these discomforts, the majority of our study population experiences these problems monthly (46.2%), while in 29.6% it is experienced weekly, 12.1% annually and finally 12.1% daily. The surgical approach that is most correlated with these disorders is laparoscopy (62.7%) while the one that causes the least discomfort is robotic surgery (1.4%). These discomforts cause 43.9% of our population to take a break or do short exercises to reduce pain during surgery, and the body areas most affected are the back (61.6%), neck (40.6%) and shoulders (37.8%). Conclusion: Despite this, our survey allows us to highlight some now-known gaps present in the surgical training program of our schools and the lack of protection toward our surgeons during their long career. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision. (Copyright © 2024 Restaino, D’Indinosante, Perelli, Arcieri, Cherchi, Petrillo, Cavaliere, Cianci, Pellecchia, Meniconi, Coppola, Chiantera, Scambia, Driul, Vizzielli and SPIGC Working Group.)
Databáze:	MEDLINE
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