A narrative review of ergonomic problems, principles, and potential solutions in surgical operations.
A narrative review of ergonomic problems, principles, and potential solutions in surgical operations.
复制标题
对外科手术中的人体工程学问题、原理和潜在解决方案的叙述性回顾。
DOI：
10.1016/j.surg.2023.04.003
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发表时间：
2023
期刊：
影响因子：
3.8
通讯作者：
Gravina,Nicole
中科院分区：
文献类型：
--
作者：
Barrios,EvanL;Polcz,ValerieE;Hensley,SaraE;SarosiJr,GeorgeA;Mohr,AliciaM;Loftus,TylerJ;UpchurchJr,GilbertR;Sumfest,JillM;Efron,PhilipA;Dunleavy,Kim;Bible,Letitia;Terracina,KristaP;Al-Mansour,MazenR;Gravina,Nicole
背景人体工程学的发展和意识对外科医生的长期健康和福祉至关重要。与工作相关的肌肉骨骼疾病影响绝大多数外科医生，各种手术方式（开放式，腹腔镜和机器人手术）对肌肉骨骼系统的影响不同。以前的评论已经解决了各个方面的手术人体工程学的历史或方法的人体工程学评估，但本研究的目的是综合人体工程学分析的手术方式，同时讨论未来的方向，该领域的基础上，目前围手术期interventions.Methodspubmed查询“人体工程学”，“工作相关的肌肉骨骼疾病，”和“手术”，返回124个结果。从122篇英文论文中，通过文章的来源进行了进一步的搜索，以获得相关的literature.Results99个来源，最终包括在内。与工作有关的肌肉骨骼疾病最终会产生有害影响，从慢性疼痛和感觉异常到手术时间减少和考虑提前退休。少报症状和缺乏正确的人体工程学原理的认识，大大阻碍了人体工程学技术在手术室的广泛应用，降低了生活质量和职业寿命。治疗干预措施存在于一些机构，但需要进一步的研究和开发必要的广泛implementation.ConclusionAwareness适当的人体工程学原理和肌肉骨骼疾病的有害影响是第一步，在保护这个普遍的问题。在手术室实施人体工程学实践正处于十字路口，将这些原则融入日常生活必须是所有外科医生的优先事项。
BackgroundErgonomic development and awareness are critical to the long-term health and well-being of surgeons. Work-related musculoskeletal disorders affect an overwhelming majority of surgeons, and various operative modalities (open, laparoscopic, and robotic surgery) differentially affect the musculoskeletal system. Previous reviews have addressed various aspects of surgical ergonomic history or methods of ergonomic assessment, but the purpose of this study is to synthesize ergonomic analysis by surgical modality while discussing future directions of the field based on current perioperative interventions.Methodspubmed was queried for “ergonomics,” “work-related musculoskeletal disorders,” and “surgery,” which returned 124 results. From the 122 English-language papers, a further search was conducted via the articles’ sources for relevant literature.ResultsNinety-nine sources were ultimately included. Work-related musculoskeletal disorders culminate in detrimental effects ranging from chronic pain and paresthesias to reduced operative time and consideration for early retirement. Underreporting symptoms and a lack of awareness of proper ergonomic principles substantially hinder the widespread utilization of ergonomic techniques in the operating room, reducing the quality of life and career longevity. Therapeutic interventions exist at some institutions but require further research and development for necessary widespread implementation.ConclusionAwareness of proper ergonomic principles and the detrimental effects of musculoskeletal disorders is the first step in protecting against this universal problem. Implementing ergonomic practices in the operating room is at a crossroads, and incorporating these principles into everyday life must be a priority for all surgeons.