Assessment of Obstetrician-Gynecologists Performing Laparoscopic Surgery: Study of Hand Size and Surgical Instruments
| Autor: | James D McGlothlin, Jing Huang |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Background information
Laparoscopic surgery medicine.medical_specialty business.industry Hand size medicine.medical_treatment education Anthropometry 03 medical and health sciences Physical stress 0302 clinical medicine medicine.anatomical_structure Average size Obstetrics and gynaecology 030220 oncology & carcinogenesis Physical therapy Medicine Upper limb 030223 otorhinolaryngology business health care economics and organizations |
| Zdroj: | Journal of Ergonomics. |
| ISSN: | 2165-7556 |
| Popis: | The hypothesis of this study is that small-handed female obstetrician-gynecologists (OB/GYNs) experience more physical stress while performing laparoscopic surgery compared to large-handed OB/GYNs. The size and grip and pinch strength of surgeon’s hands were measured and compared to the average size hands of females and males reported in the U.S. anthropometric literature databases on body dimensions. A descriptive questionnaire was administrated to six OB/GYN surgeons (five females and one male) to obtain general background information, including personal work experience and musculoskeletal disorders symptoms (MDSs). Operating room assessment using Rapid Upper Limb Assessment (RULA), a standard ergonomic assessment tool, and photographs/video that recorded body postures and motions of the surgeons was performed to identify risk factors of work-related MSDs. Primary findings from this study included: 1. Small-handed female OB/GYNs reported difficulty using laparoscopic instruments. 2. Small-handed female OB/GYNs experienced more physical stress according to RULA and questionnaire results while performing laparoscopic surgery compared to large- handed male and female OB/GYNs in this study. 3. Awkward postures tended to be more prevalent among smaller OB/GYNs as a function of surgical workstation layout and laparoscopic hand tools. Based on the observation, laparoscopic instruments need to be reengineered to help reduce the physical stress for small-handed surgeons. |
| Databáze: | OpenAIRE |
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