Lysis of Anterior Abdominal Wall Adhesions during Pelvic Laparoscopic Surgery: An Ergonomic Seated Approach
| Autor: | S. Behbehani, M.A. Stuparich, S. Nahas, A. Lyon |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Pelvic girdle business.industry medicine.medical_treatment Elbow Obstetrics and Gynecology Wrist Sitting Surgery body regions Abdominal wall Position (obstetrics) medicine.anatomical_structure Abdominal wall adhesions mental disorders medicine business |
| Zdroj: | Journal of Minimally Invasive Gynecology. 27:S85-S86 |
| ISSN: | 1553-4650 |
| DOI: | 10.1016/j.jmig.2020.08.081 |
| Popis: | Study Objective To describe a seated position during laparoscopic adhesiolysis of the anterior abdominal wall in pelvic gynecologic surgery that improves the surgeon's ergonomic positioning and lessens discomfort. Design Photos of the surgeon during traditional standing approach and seated approach were taken intraoperatively and posture was compared against standard ergonomic guidelines. Posture was evaluated by measuring angles between anatomic areas such as the angle of flexion at the elbow. Setting Operating room during laparoscopic anterior abdominal wall adhesiolysis. Patients or Participants Primary gynecologic surgeon. Interventions Surgeon assumes a seated position during anterior abdominal wall adhesiolysis. Measurements and Main Results When the table is positioned at the correct height during laparoscopic surgery, accessing the anterior abdominal wall while standing causes extremes in body positioning. This maneuver results in asymmetry of the pelvic girdle, lateral spine bending, misalignment of the neck and back, and excessive wrist radial deviation. This positioning causes the surgeon to potentially have hip, back, neck, and wrist discomfort. In contrast, the seated position gives the surgeon more optimal ergonomic positioning, with return to pelvic symmetry, neutral cervical, thoracic, and lumbar spine position, and neutral wrist position. Conclusion Sitting for anterior abdominal wall adhesiolysis during pelvic surgery improves ergonomics and comfort. Increased awareness of and training in proper ergonomic techniques may decrease musculoskeletal injuries in laparoscopic surgeons. |
| Databáze: | OpenAIRE |
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