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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2017 ; 12
(9
): e0184400
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Sources of pain in laparoendoscopic gynecological surgeons: An analysis of
ergonomic factors and proposal of an aid to improve comfort
#MMPMID28910316
Lee SR
; Shim S
; Yu T
; Jeong K
; Chung HW
PLoS One
2017[]; 12
(9
): e0184400
PMID28910316
show ga
Minimally invasive surgery (MIS) offers cosmetic benefits to patients; however,
surgeons often experience pain during MIS. We administered an ergonomic
questionnaire to 176 Korean laparoscopic gynecological surgeons to determine
potential sources of pain during surgery. Logistic regression analysis was used
to identify factors that had a significant impact on gynecological surgeons'
pain. Operating table height at the beginning of surgery and during the operation
were significantly associated with neck and shoulder discomfort (P <0.001). The
ability to control the operating table height was the single factor most
significantly associated with neck (P <0.001) and shoulder discomfort (P <0.001).
Discomfort of the hand/digits was significantly associated with the trocar site
(P = 0.035). The type of electrocautery activation switch and foot pedal were
significantly related to surgeons' foot and leg discomfort (P <0.001). In
evaluating the co-occurrence of pain in 4 different sites (neck, shoulder, back,
hand/digits), the neck and shoulder were determined to have the highest
co-occurrence of pain (Spearman's ? = 0.64, P <0.001). These results provide
guidance for identifying ergonomic solutions to reduce gynecological laparoscopic
surgeons' pain. Based on our results, we propose the use of an ergonomic surgical
step stool to reduce physical pain related to performing laparoscopic operations.