Assessment of fatigue, monitor placement, and surgical experience during simulated laparoscopic surgery
Laparoscopic surgery requires the surgeon to assume atypical postures for extended periods of time, potentially leading to fatigue and chronic injury. This study assessed the level of muscle activity and compared the effects of fatigue, monitor placement, and surgical experience during simulated lap...
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| Veröffentlicht in: | Surgical endoscopy 2002-04, Vol.16 (4), p.635-639 |
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| creator | UHRICH, M. L UNDERWOOD, R. A STANDEVEN, J. W SOPER, N. J ENGSBERG, J. R |
| description | Laparoscopic surgery requires the surgeon to assume atypical postures for extended periods of time, potentially leading to fatigue and chronic injury. This study assessed the level of muscle activity and compared the effects of fatigue, monitor placement, and surgical experience during simulated laparoscopic surgery.
Four attending and four resident surgeons repeated a series of four tasks with a View site and a standard operating room monitor. Electromyography (EMG) activity and muscular discomfort scores were obtained before and after a "fatigue session." Two variables, the EMG amplitudes and discomfort scores, were analyzed.
The EMG amplitudes generally exceed the recommended threshold limits of acceptable muscular load. EMG data and discomfort scores demonstrated a fatigue response in several muscle groups. Minimal differences between the two monitor positions were seen. Overall, the EMG data and discomfort scores showed less muscle activity and discomfort in the attending surgeons.
Laparoscopic surgery required a relatively high muscular load, putting surgeons at risk for fatigue and injury. Altering the monitor placement did not reduce the surgeon's risk of fatigue. Experience slightly reduced the level of fatigue, but not enough to reduce the surgeon's risk category. |
| doi_str_mv | 10.1007/s00464-001-8151-5 |
| format | Article |
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Four attending and four resident surgeons repeated a series of four tasks with a View site and a standard operating room monitor. Electromyography (EMG) activity and muscular discomfort scores were obtained before and after a "fatigue session." Two variables, the EMG amplitudes and discomfort scores, were analyzed.
The EMG amplitudes generally exceed the recommended threshold limits of acceptable muscular load. EMG data and discomfort scores demonstrated a fatigue response in several muscle groups. Minimal differences between the two monitor positions were seen. Overall, the EMG data and discomfort scores showed less muscle activity and discomfort in the attending surgeons.
Laparoscopic surgery required a relatively high muscular load, putting surgeons at risk for fatigue and injury. Altering the monitor placement did not reduce the surgeon's risk of fatigue. Experience slightly reduced the level of fatigue, but not enough to reduce the surgeon's risk category.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-001-8151-5</identifier><identifier>PMID: 11972204</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Adult ; Biological and medical sciences ; Body Mass Index ; Electromyography ; Electromyography - methods ; Endoscopy ; Ergonomics - methods ; Ergonomics. Workplace layout ; Ergonomics. Workplace layout. Occupational psychology ; Humans ; Laparoscopes ; Laparoscopy ; Laparoscopy - methods ; Laparoscopy - trends ; Male ; Medical sciences ; Muscle Fatigue ; Muscle function ; Occupational medicine ; Pilot Projects ; Public health. Hygiene-occupational medicine ; Risk Factors ; Surgeons ; Surgery ; Surveys and Questionnaires</subject><ispartof>Surgical endoscopy, 2002-04, Vol.16 (4), p.635-639</ispartof><rights>2002 INIST-CNRS</rights><rights>Copyright Springer-Verlag 2002</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c286t-91a4fe06d199c24ae3ab794766282aed69bd345df08d7790853dc055809529c43</citedby><cites>FETCH-LOGICAL-c286t-91a4fe06d199c24ae3ab794766282aed69bd345df08d7790853dc055809529c43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13638475$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11972204$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>UHRICH, M. L</creatorcontrib><creatorcontrib>UNDERWOOD, R. A</creatorcontrib><creatorcontrib>STANDEVEN, J. W</creatorcontrib><creatorcontrib>SOPER, N. J</creatorcontrib><creatorcontrib>ENGSBERG, J. R</creatorcontrib><title>Assessment of fatigue, monitor placement, and surgical experience during simulated laparoscopic surgery</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><description>Laparoscopic surgery requires the surgeon to assume atypical postures for extended periods of time, potentially leading to fatigue and chronic injury. This study assessed the level of muscle activity and compared the effects of fatigue, monitor placement, and surgical experience during simulated laparoscopic surgery.
Four attending and four resident surgeons repeated a series of four tasks with a View site and a standard operating room monitor. Electromyography (EMG) activity and muscular discomfort scores were obtained before and after a "fatigue session." Two variables, the EMG amplitudes and discomfort scores, were analyzed.
The EMG amplitudes generally exceed the recommended threshold limits of acceptable muscular load. EMG data and discomfort scores demonstrated a fatigue response in several muscle groups. Minimal differences between the two monitor positions were seen. Overall, the EMG data and discomfort scores showed less muscle activity and discomfort in the attending surgeons.
Laparoscopic surgery required a relatively high muscular load, putting surgeons at risk for fatigue and injury. Altering the monitor placement did not reduce the surgeon's risk of fatigue. Experience slightly reduced the level of fatigue, but not enough to reduce the surgeon's risk category.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Electromyography</subject><subject>Electromyography - methods</subject><subject>Endoscopy</subject><subject>Ergonomics - methods</subject><subject>Ergonomics. Workplace layout</subject><subject>Ergonomics. Workplace layout. Occupational psychology</subject><subject>Humans</subject><subject>Laparoscopes</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Laparoscopy - trends</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Muscle Fatigue</subject><subject>Muscle function</subject><subject>Occupational medicine</subject><subject>Pilot Projects</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Risk Factors</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surveys and Questionnaires</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkc1rFEEQxRtRzCb6B3iRRtBTRqv6a6aPIWgUAl703PR21ywd5svuGTD_fXrdhYCnOtTvPareY-wdwmcEaL8UAGVUA4BNhxob_YLtUEnRCIHdS7YDK6ERrVUX7LKUB6i4Rf2aXSDaVghQO3a4KYVKGWla-dzz3q_psNE1H-cprXPmy-ADHbfX3E-Rly0fUvADp78L5URTIB63nKYDL2ncBr9S5INffJ5LmJcU_ikoP75hr3o_FHp7nlfs97evv26_N_c_737c3tw3QXRmbSx61ROYiNYGoTxJv6_3t8aITniKxu6jVDr20MW2tdBpGQNo3YHVwgYlr9ink--S5z8bldWNqQQaBj_RvBXXokEjjajgh__Ah3nLU73NCbRKI7SmQniCQv2nZOrdktPo86NDcMcK3KkCVytwxwqcrpr3Z-NtP1J8Vpwzr8DHM-BLjbLPfgqpPHPSyE61Wj4Bc1eOvg</recordid><startdate>20020401</startdate><enddate>20020401</enddate><creator>UHRICH, M. 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R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c286t-91a4fe06d199c24ae3ab794766282aed69bd345df08d7790853dc055809529c43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Electromyography</topic><topic>Electromyography - methods</topic><topic>Endoscopy</topic><topic>Ergonomics - methods</topic><topic>Ergonomics. Workplace layout</topic><topic>Ergonomics. Workplace layout. Occupational psychology</topic><topic>Humans</topic><topic>Laparoscopes</topic><topic>Laparoscopy</topic><topic>Laparoscopy - methods</topic><topic>Laparoscopy - trends</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Muscle Fatigue</topic><topic>Muscle function</topic><topic>Occupational medicine</topic><topic>Pilot Projects</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Risk Factors</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>UHRICH, M. L</creatorcontrib><creatorcontrib>UNDERWOOD, R. A</creatorcontrib><creatorcontrib>STANDEVEN, J. W</creatorcontrib><creatorcontrib>SOPER, N. J</creatorcontrib><creatorcontrib>ENGSBERG, J. 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L</au><au>UNDERWOOD, R. A</au><au>STANDEVEN, J. W</au><au>SOPER, N. J</au><au>ENGSBERG, J. R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of fatigue, monitor placement, and surgical experience during simulated laparoscopic surgery</atitle><jtitle>Surgical endoscopy</jtitle><addtitle>Surg Endosc</addtitle><date>2002-04-01</date><risdate>2002</risdate><volume>16</volume><issue>4</issue><spage>635</spage><epage>639</epage><pages>635-639</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Laparoscopic surgery requires the surgeon to assume atypical postures for extended periods of time, potentially leading to fatigue and chronic injury. This study assessed the level of muscle activity and compared the effects of fatigue, monitor placement, and surgical experience during simulated laparoscopic surgery.
Four attending and four resident surgeons repeated a series of four tasks with a View site and a standard operating room monitor. Electromyography (EMG) activity and muscular discomfort scores were obtained before and after a "fatigue session." Two variables, the EMG amplitudes and discomfort scores, were analyzed.
The EMG amplitudes generally exceed the recommended threshold limits of acceptable muscular load. EMG data and discomfort scores demonstrated a fatigue response in several muscle groups. Minimal differences between the two monitor positions were seen. Overall, the EMG data and discomfort scores showed less muscle activity and discomfort in the attending surgeons.
Laparoscopic surgery required a relatively high muscular load, putting surgeons at risk for fatigue and injury. Altering the monitor placement did not reduce the surgeon's risk of fatigue. Experience slightly reduced the level of fatigue, but not enough to reduce the surgeon's risk category.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>11972204</pmid><doi>10.1007/s00464-001-8151-5</doi><tpages>5</tpages></addata></record> |
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| ispartof | Surgical endoscopy, 2002-04, Vol.16 (4), p.635-639 |
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| subjects | Adult Biological and medical sciences Body Mass Index Electromyography Electromyography - methods Endoscopy Ergonomics - methods Ergonomics. Workplace layout Ergonomics. Workplace layout. Occupational psychology Humans Laparoscopes Laparoscopy Laparoscopy - methods Laparoscopy - trends Male Medical sciences Muscle Fatigue Muscle function Occupational medicine Pilot Projects Public health. Hygiene-occupational medicine Risk Factors Surgeons Surgery Surveys and Questionnaires |
| title | Assessment of fatigue, monitor placement, and surgical experience during simulated laparoscopic surgery |
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