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Ergonomics in the operating room and surgical training: a survey on the Italian scenario

Authors :
Stefano Restaino
Marco D’Indinosante
Federica Perelli
Martina Arcieri
Vittorio Cherchi
Marco Petrillo
Anna Franca Cavaliere
Stefano Cianci
Giulia Pellecchia
Roberto Luca Meniconi
Alessandro Coppola
Vito Chiantera
Giovanni Scambia
Lorenza Driul
Giuseppe Vizzielli
SPIGC Working Group
Berton Federico
Conti Luigi
Formisano Giampaolo
Guaitoli Eleonora
Iossa Angelo
Maruccia Michele
Mazzari Andrea
Oragano Luigi
Pasculli Alessandro
Ratti Francesca
Serenari Matteo
Settembrini Alberto
Sirignano Pasqualino
Soriero Domenico
Vallicelli Carlo
Cianci (Sicilia) Stefano
Iaco (Puglia) Giulia De
Falcone (Campania) Francesca
Giaccari (Triveneto) Sara
Giovenzana (Lombardia) Marco
Pasqui (Toscana) Edoardo
Petrillo (Sardegna) Marco
Portigliotti (Piemonte) Luca
Sena (Calabria) Giuseppe
Sparavigna (Liguria) Marco
Bettini Giordana
Fanello Gianfranco
Mendogni Paolo
Monteleone Lorenzo
Pertile Nicoletta Pia Ardò Davide
Tomaiuolo Pasquina
Negrello Sara
Di Bartolomeo Mattia
Patini Romeo
Vito Marcuzzo Alberto
Campione Alberto
Comacchio Giovanni
Murana Giacomo
Antonio Martino
Manitto Mattia
Galzerano Giuseppe
Di Marco Carlo
Velluti Francesco
Berardi Gianmauro
Romboli Andrea
Weindelmejer Jacopo
Tamburrino Domenico
Calarco Alessandro
Losco Luigi
Nacchiero Eleonora
Elia Rossella
Torto Federico Lo
Vicenti Giovanni
Pappalardo Vincenzo
Pisani Dafne
Palmisano Graziano
Brascia Debora
Troisi Luigi
Renzi Federica
Melandro Fabio
Pecere Silvia
Gazia Carlo
Di Franco Gregorio
Romano Gaetano
Bolletta Alberto
Botteri Emanuele
Di Meo Giovanna
Ronsini Carlo
Chiappetta Sonia
Sgaramella Ilaria
Pennestri Francesco
Girardi Antonella
Mariniello Donatella
Marcasciano Marco
Telegrafo Michele
Fragomeni Simona
Paoli Francesca De
Bogani Giorgio
Gueli Alletti Salvatore
Pedone Anchora Luigi
Della Corte Luigi
Piovano Elisa
Borghese Martina
Taliento Cristina
Raimondo Diego
Raffone Antonio
Casarin Jvan
Perrone Emanuele
Stabile Guglielmo
Capozzi Vito
Source :
Frontiers in Public Health, Vol 12 (2024)
Publication Year :
2024
Publisher :
Frontiers Media S.A., 2024.

Abstract

IntroductionSurgical-related injuries are frequent, in fact the reported percentage of musculoskeletal disorders in surgeons is between 47% and 87%. These conditions are caused by long periods of standing, incorrect postures, repeated movements, little rest between operations, the lack of integrated operator rooms, the correct number and arrangement of monitors and the use of non-ergonomic instruments. This survey aims to assess the Italian overview both highlighting how prevalent surgical-related injury is in our surgeons and whether there is an operating room ergonomics education program in Italian surgical specialty schools.MethodsAn anonymous questionnaire was designed through SurveyMonkey© web application. This survey was composed of 3 different sections concerning the general characteristics of the participants, their surgical background and any training performed, and any injuries or ailments related to the surgical activity. The survey was carried out in the period 1th of December 2022 and the 6th of February 2023.ResultsAt the close of our survey, 300 responses were collected. Among the participants, the two most represented specialties were Gynecology and Obstetrics (42.3%) and General Surgery (39.7%) and surgeons were mainly employed in the Northern regions of Italy (54.8%). Analyzing the participants’ background, 61.7% of the respondents had laparoscopic training during their training and only 53.1% had a pelvic trainer during their residency. In accordance with 98.7% of the respondents, during surgery we have the feeling of being in an uncomfortable position that causes discomfort or muscle pain, and regarding the frequency of these discomforts, the majority of our study population experiences these problems monthly (46.2%), while in 29.6% it is experienced weekly, 12.1% annually and finally 12.1% daily. The surgical approach that is most correlated with these disorders is laparoscopy (62.7%) while the one that causes the least discomfort is robotic surgery (1.4%). These discomforts cause 43.9% of our population to take a break or do short exercises to reduce pain during surgery, and the body areas most affected are the back (61.6%), neck (40.6%) and shoulders (37.8%).ConclusionDespite this, our survey allows us to highlight some now-known gaps present in the surgical training program of our schools and the lack of protection toward our surgeons during their long career.

Details

Language :
English
ISSN :
22962565
Volume :
12
Database :
Directory of Open Access Journals
Journal :
Frontiers in Public Health
Publication Type :
Academic Journal
Accession number :
edsdoj.308141fe865548bc8e9e7985478fe691
Document Type :
article
Full Text :
https://doi.org/10.3389/fpubh.2024.1417250