Effect of structured training in improving the ergonomic stress in laparoscopic surgery among general surgery residents
Background Minimal access surgery has fast become the standard of care for many operative procedures, but is associated with lot of ergonomic stress to the surgeons performing these procedures, which may result in reduction in surgeon’s performance and work capacity. In this study, we evaluated the...
Gespeichert in:
| Veröffentlicht in: | Surgical endoscopy 2021-08, Vol.35 (8), p.4825-4833 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 4833 |
|---|---|
| container_issue | 8 |
| container_start_page | 4825 |
| container_title | Surgical endoscopy |
| container_volume | 35 |
| creator | Khan, Washim Firoz Krishna, Asuri Roy, Atanu Prakash, Om Jaryal, Ashok Kumar Deepak, Kishore K. Bhattacharjee, Hemanga Sreenivas, Vishnubhatla Bansal, Virinder Kumar |
| description | Background
Minimal access surgery has fast become the standard of care for many operative procedures, but is associated with lot of ergonomic stress to the surgeons performing these procedures, which may result in reduction in surgeon’s performance and work capacity. In this study, we evaluated the impact of structured training program in improving the ergonomic stress in trainee laparoscopic surgeons.
Methods
Laparoscopic surgeons were divided in 2 groups: trainee surgeons (ten) and expert surgeons (three). Baseline surface electromyography (sEMG) data were collected from bilateral deltoid, biceps brachii, forearm extensors, and pronator teres during a predefined suturing task on Tuebingen trainer with integrated porcine organs in both the groups. Trainee surgeons underwent 20 h of laparoscopic intra-corporeal suturing training and surface electromyography data were recorded at the end of training again and compared with baseline.
Results
Experts were found to have lower muscle activation (
p
|
| doi_str_mv | 10.1007/s00464-020-07945-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2439627211</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2549110036</sourcerecordid><originalsourceid>FETCH-LOGICAL-c352t-42d4dbbdb2e8af4f6dffeabcf622bbb1926c193757265325c4823e653cf54daf3</originalsourceid><addsrcrecordid>eNp9kU9LxDAQxYMouK5-AU8FL16qySRtt0dZ1j-w4EXPIU2T2qVN1qRV_PZOrSh48JRk8nvDzHuEnDN6xSgtriOlIhcpBZrSohRZCgdkwQSHFICtDsmClpymgF_H5CTGHUW-ZNmCvG-sNXpIvE3iEEY9jMHUyRBU61rXJK1L2n4f_Nv0GF5MYkLjne9bPeEmxono1F4FH7XfT-UxNCZ8JKr3KGmMM0F1P1WUtLVxQzwlR1Z10Zx9n0vyfLt5Wt-n28e7h_XNNtU8gyEVUIu6quoKzEpZYfMax1WVtjlAVVWshFyzkhdZAXnGIdNiBdzgVdtM1MryJbmc--ISr6OJg-zbqE3XKWf8GCUIXuZQAGOIXvxBd34MDqeTkKFbaDTPkYKZ0rhyDMbKfWh7FT4ko3LKQs5ZSMxCfmUhAUV8FkWEHTrx2_of1SeZco9o</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2549110036</pqid></control><display><type>article</type><title>Effect of structured training in improving the ergonomic stress in laparoscopic surgery among general surgery residents</title><source>SpringerNature Journals</source><creator>Khan, Washim Firoz ; Krishna, Asuri ; Roy, Atanu ; Prakash, Om ; Jaryal, Ashok Kumar ; Deepak, Kishore K. ; Bhattacharjee, Hemanga ; Sreenivas, Vishnubhatla ; Bansal, Virinder Kumar</creator><creatorcontrib>Khan, Washim Firoz ; Krishna, Asuri ; Roy, Atanu ; Prakash, Om ; Jaryal, Ashok Kumar ; Deepak, Kishore K. ; Bhattacharjee, Hemanga ; Sreenivas, Vishnubhatla ; Bansal, Virinder Kumar</creatorcontrib><description>Background
Minimal access surgery has fast become the standard of care for many operative procedures, but is associated with lot of ergonomic stress to the surgeons performing these procedures, which may result in reduction in surgeon’s performance and work capacity. In this study, we evaluated the impact of structured training program in improving the ergonomic stress in trainee laparoscopic surgeons.
Methods
Laparoscopic surgeons were divided in 2 groups: trainee surgeons (ten) and expert surgeons (three). Baseline surface electromyography (sEMG) data were collected from bilateral deltoid, biceps brachii, forearm extensors, and pronator teres during a predefined suturing task on Tuebingen trainer with integrated porcine organs in both the groups. Trainee surgeons underwent 20 h of laparoscopic intra-corporeal suturing training and surface electromyography data were recorded at the end of training again and compared with baseline.
Results
Experts were found to have lower muscle activation (
p
< 0.05) and muscle work (
p
< 0.05) and better bimanual dexterity than the trainee surgeons at baseline. After training, the trainee surgeons showed significant improvement (
p
= 0.01), but still did not reach the values of the expert surgeons (
p
= 0.01). Right deltoid and pronator teres muscles were found to have maximal activity while performing intra-corporeal suturing.
Conclusion
Structured and focused training outside operation theater can significantly reduce unnecessary muscle activation of trainee laparoscopic surgeons and better dexterity leading on to lesser ergonomic stress and thus possibly may reduce the risk of development of future musculo-skeletal disorders.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-020-07945-2</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>2020 SAGES Poster ; Abdominal Surgery ; Electromyography ; Gastroenterology ; Gynecology ; Hepatology ; Laparoscopy ; Medicine ; Medicine & Public Health ; Proctology ; Surgery ; Sutures ; Training</subject><ispartof>Surgical endoscopy, 2021-08, Vol.35 (8), p.4825-4833</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c352t-42d4dbbdb2e8af4f6dffeabcf622bbb1926c193757265325c4823e653cf54daf3</citedby><cites>FETCH-LOGICAL-c352t-42d4dbbdb2e8af4f6dffeabcf622bbb1926c193757265325c4823e653cf54daf3</cites><orcidid>0000-0003-3551-9577</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-020-07945-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-020-07945-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids></links><search><creatorcontrib>Khan, Washim Firoz</creatorcontrib><creatorcontrib>Krishna, Asuri</creatorcontrib><creatorcontrib>Roy, Atanu</creatorcontrib><creatorcontrib>Prakash, Om</creatorcontrib><creatorcontrib>Jaryal, Ashok Kumar</creatorcontrib><creatorcontrib>Deepak, Kishore K.</creatorcontrib><creatorcontrib>Bhattacharjee, Hemanga</creatorcontrib><creatorcontrib>Sreenivas, Vishnubhatla</creatorcontrib><creatorcontrib>Bansal, Virinder Kumar</creatorcontrib><title>Effect of structured training in improving the ergonomic stress in laparoscopic surgery among general surgery residents</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><description>Background
Minimal access surgery has fast become the standard of care for many operative procedures, but is associated with lot of ergonomic stress to the surgeons performing these procedures, which may result in reduction in surgeon’s performance and work capacity. In this study, we evaluated the impact of structured training program in improving the ergonomic stress in trainee laparoscopic surgeons.
Methods
Laparoscopic surgeons were divided in 2 groups: trainee surgeons (ten) and expert surgeons (three). Baseline surface electromyography (sEMG) data were collected from bilateral deltoid, biceps brachii, forearm extensors, and pronator teres during a predefined suturing task on Tuebingen trainer with integrated porcine organs in both the groups. Trainee surgeons underwent 20 h of laparoscopic intra-corporeal suturing training and surface electromyography data were recorded at the end of training again and compared with baseline.
Results
Experts were found to have lower muscle activation (
p
< 0.05) and muscle work (
p
< 0.05) and better bimanual dexterity than the trainee surgeons at baseline. After training, the trainee surgeons showed significant improvement (
p
= 0.01), but still did not reach the values of the expert surgeons (
p
= 0.01). Right deltoid and pronator teres muscles were found to have maximal activity while performing intra-corporeal suturing.
Conclusion
Structured and focused training outside operation theater can significantly reduce unnecessary muscle activation of trainee laparoscopic surgeons and better dexterity leading on to lesser ergonomic stress and thus possibly may reduce the risk of development of future musculo-skeletal disorders.</description><subject>2020 SAGES Poster</subject><subject>Abdominal Surgery</subject><subject>Electromyography</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Proctology</subject><subject>Surgery</subject><subject>Sutures</subject><subject>Training</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU9LxDAQxYMouK5-AU8FL16qySRtt0dZ1j-w4EXPIU2T2qVN1qRV_PZOrSh48JRk8nvDzHuEnDN6xSgtriOlIhcpBZrSohRZCgdkwQSHFICtDsmClpymgF_H5CTGHUW-ZNmCvG-sNXpIvE3iEEY9jMHUyRBU61rXJK1L2n4f_Nv0GF5MYkLjne9bPeEmxono1F4FH7XfT-UxNCZ8JKr3KGmMM0F1P1WUtLVxQzwlR1Z10Zx9n0vyfLt5Wt-n28e7h_XNNtU8gyEVUIu6quoKzEpZYfMax1WVtjlAVVWshFyzkhdZAXnGIdNiBdzgVdtM1MryJbmc--ISr6OJg-zbqE3XKWf8GCUIXuZQAGOIXvxBd34MDqeTkKFbaDTPkYKZ0rhyDMbKfWh7FT4ko3LKQs5ZSMxCfmUhAUV8FkWEHTrx2_of1SeZco9o</recordid><startdate>20210801</startdate><enddate>20210801</enddate><creator>Khan, Washim Firoz</creator><creator>Krishna, Asuri</creator><creator>Roy, Atanu</creator><creator>Prakash, Om</creator><creator>Jaryal, Ashok Kumar</creator><creator>Deepak, Kishore K.</creator><creator>Bhattacharjee, Hemanga</creator><creator>Sreenivas, Vishnubhatla</creator><creator>Bansal, Virinder Kumar</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3551-9577</orcidid></search><sort><creationdate>20210801</creationdate><title>Effect of structured training in improving the ergonomic stress in laparoscopic surgery among general surgery residents</title><author>Khan, Washim Firoz ; Krishna, Asuri ; Roy, Atanu ; Prakash, Om ; Jaryal, Ashok Kumar ; Deepak, Kishore K. ; Bhattacharjee, Hemanga ; Sreenivas, Vishnubhatla ; Bansal, Virinder Kumar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c352t-42d4dbbdb2e8af4f6dffeabcf622bbb1926c193757265325c4823e653cf54daf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>2020 SAGES Poster</topic><topic>Abdominal Surgery</topic><topic>Electromyography</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Proctology</topic><topic>Surgery</topic><topic>Sutures</topic><topic>Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Khan, Washim Firoz</creatorcontrib><creatorcontrib>Krishna, Asuri</creatorcontrib><creatorcontrib>Roy, Atanu</creatorcontrib><creatorcontrib>Prakash, Om</creatorcontrib><creatorcontrib>Jaryal, Ashok Kumar</creatorcontrib><creatorcontrib>Deepak, Kishore K.</creatorcontrib><creatorcontrib>Bhattacharjee, Hemanga</creatorcontrib><creatorcontrib>Sreenivas, Vishnubhatla</creatorcontrib><creatorcontrib>Bansal, Virinder Kumar</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khan, Washim Firoz</au><au>Krishna, Asuri</au><au>Roy, Atanu</au><au>Prakash, Om</au><au>Jaryal, Ashok Kumar</au><au>Deepak, Kishore K.</au><au>Bhattacharjee, Hemanga</au><au>Sreenivas, Vishnubhatla</au><au>Bansal, Virinder Kumar</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of structured training in improving the ergonomic stress in laparoscopic surgery among general surgery residents</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><date>2021-08-01</date><risdate>2021</risdate><volume>35</volume><issue>8</issue><spage>4825</spage><epage>4833</epage><pages>4825-4833</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><abstract>Background
Minimal access surgery has fast become the standard of care for many operative procedures, but is associated with lot of ergonomic stress to the surgeons performing these procedures, which may result in reduction in surgeon’s performance and work capacity. In this study, we evaluated the impact of structured training program in improving the ergonomic stress in trainee laparoscopic surgeons.
Methods
Laparoscopic surgeons were divided in 2 groups: trainee surgeons (ten) and expert surgeons (three). Baseline surface electromyography (sEMG) data were collected from bilateral deltoid, biceps brachii, forearm extensors, and pronator teres during a predefined suturing task on Tuebingen trainer with integrated porcine organs in both the groups. Trainee surgeons underwent 20 h of laparoscopic intra-corporeal suturing training and surface electromyography data were recorded at the end of training again and compared with baseline.
Results
Experts were found to have lower muscle activation (
p
< 0.05) and muscle work (
p
< 0.05) and better bimanual dexterity than the trainee surgeons at baseline. After training, the trainee surgeons showed significant improvement (
p
= 0.01), but still did not reach the values of the expert surgeons (
p
= 0.01). Right deltoid and pronator teres muscles were found to have maximal activity while performing intra-corporeal suturing.
Conclusion
Structured and focused training outside operation theater can significantly reduce unnecessary muscle activation of trainee laparoscopic surgeons and better dexterity leading on to lesser ergonomic stress and thus possibly may reduce the risk of development of future musculo-skeletal disorders.</abstract><cop>New York</cop><pub>Springer US</pub><doi>10.1007/s00464-020-07945-2</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-3551-9577</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0930-2794 |
| ispartof | Surgical endoscopy, 2021-08, Vol.35 (8), p.4825-4833 |
| issn | 0930-2794 1432-2218 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2439627211 |
| source | SpringerNature Journals |
| subjects | 2020 SAGES Poster Abdominal Surgery Electromyography Gastroenterology Gynecology Hepatology Laparoscopy Medicine Medicine & Public Health Proctology Surgery Sutures Training |
| title | Effect of structured training in improving the ergonomic stress in laparoscopic surgery among general surgery residents |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T05%3A07%3A13IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effect%20of%20structured%20training%20in%20improving%20the%20ergonomic%20stress%20in%20laparoscopic%20surgery%20among%20general%20surgery%20residents&rft.jtitle=Surgical%20endoscopy&rft.au=Khan,%20Washim%20Firoz&rft.date=2021-08-01&rft.volume=35&rft.issue=8&rft.spage=4825&rft.epage=4833&rft.pages=4825-4833&rft.issn=0930-2794&rft.eissn=1432-2218&rft_id=info:doi/10.1007/s00464-020-07945-2&rft_dat=%3Cproquest_cross%3E2549110036%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2549110036&rft_id=info:pmid/&rfr_iscdi=true |