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Indian Journal of Obstetrics and Gynecology

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Need for Optimal Laparoscopic Ergonomics in Gynaecology

Gayatri L. Patil, Professor, Department of Obstetrics and Gynecology, S S Institute of Medical Sciences and Research Centre, Davangere, Karnataka 577005, India. , Geetha H.H.1 , K. Banu2 , Patil G.L.3 , Patil L.S.4 , Shashikala P.5

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Indian Journal of Obstetrics and Gynecology 6(2):p 123-128, Mar-Apr 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6218.6

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Abstract

Laparoscopic surgeries are in vogue, with little importance paid to the comfort of the surgeon and the operating team. We conducted a questionnaire basedqualitative study with the following. Objectives: 1. Assess the ergonomic challenges faced by the laparoscopic surgeon 2. Assess the types and extent of ill health faced by these surgeons 3. Modifications to improve operative practice. Methodology: 25 gynaecologists practicing laparoscopic surgery were asked to answer a questionnaire to know the personal characteristics, their level of awareness of ergonomics and any ill health faced by them after performing a laparoscopic procedure, Statistical analysis was done using thematic analysis in the form of percentages. Results: Only 60% of surgeons adopted ergonomics, majority (80%) operated with poor OT setups, in odd postures, standard sized instruments were used. Patient related factors were trouble some to all surgeons. Neckpain, backache and finger joint pains were common physical constraints while mental fatigue and stress was common among surgeons in the post procedure period. Conclusion: Laparoscopic surgery is more demanding to the surgeons. Surgeons need to be aware and adopt optimal ergonomics during laparoscopic surgery.

Keywords: Laparoscopic Surgeon; Ergonomics in Laparoscopy; Surgeon Safety. 

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.6218.6

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