Abstract
Background: The aim of this study is to gain insight into the problems encountered by the medical team related to products used for minimally invasive surgery.Methods: An inventory was made of the problems encountered during 12 endoscopic operations performed in one city hospital (Eindhoven, the Netherlands). After the observation, a questionnaire was distributed to all medical staff involved. Results: All categories of personnel had physical, perceptional, and cognitive problems, especially surgeons, residents, and the sterile operation nurse. The main causes were the positioning of apparatus and staff, work clothing, and the limited reach of apparatus and/or instruments. Of the questionnaires, 80% were returned: 50% of the medical staff experienced perceptional problems and 63% had physical discomfort during the surgical procedure. Conclusion: The diversity of problems observed and/or reported by the staff during minimally invasive surgery decrease the comfort, efficiency, and safety of the operating-room work environment. Therefore, a new design approach is needed for MIS products in order to address the problems that occur with the current equipment.
Similar content being viewed by others
References
R Berguer (1997) ArticleTitleThe application of ergonomics in the work environment of general surgeons. Rev Environ Health 12 99–106 Occurrence Handle1:STN:280:ByiH3Mbjs1Q%3D Occurrence Handle9273926
R Berguer (1998) ArticleTitleSurgical technology and the ergonomics of laparoscopic instruments. Surg Endosc 12 458–462 Occurrence Handle10.1007/s004649900705 Occurrence Handle1:STN:280:DyaK1c3ktVKgsA%3D%3D Occurrence Handle9569372
R Berguer S Gerber G Kilpatrick D Beckley (1998) ArticleTitleAn ergonomic comparison of in-line vs pistol-grip handle configuration in a laparoscopic grasper. Surg Endosc 12 805–808 Occurrence Handle10.1007/s004649900717 Occurrence Handle1:STN:280:DyaK1c3msleitg%3D%3D Occurrence Handle9601994
R Berguer DL Forkey WD Smith (1999) ArticleTitleErgonomic problems associated with laparoscopic surgery. Surg Endosc 13 466–468 Occurrence Handle10.1007/s004649901014 Occurrence Handle1:STN:280:DyaK1M3ksVOnug%3D%3D Occurrence Handle10227943
R Berguer S Gerber G Kilpatrick M Remler D Beckley (1999) ArticleTitleA comparison of forearm and thumb muscle electromyographic responses to the use of laparoscopic instruments with either a finger grasp or a palm grasp. Ergonomics 42 1634–1645 Occurrence Handle10.1080/001401399184721 Occurrence Handle1:STN:280:DC%2BD3c7gvVSitQ%3D%3D Occurrence Handle10643405
KT den Boer T de Jong J Dankelman DJ Gouma (2001) ArticleTitleProblems with laparoscopic instruments: opinion of experts. J Laparoendosc Adv Surg Tech A 11 149–155 Occurrence Handle10.1089/10926420152389297 Occurrence Handle1:STN:280:DC%2BD38%2FhvFSjsw%3D%3D Occurrence Handle11441992
RHM Goossens MA Van Veelen (2001) ArticleTitleAssessment of ergonomics in laparoscopic surgery. Min Invas Ther Allied Technol 10 l75–179 Occurrence Handle10.1080/13645700152601351
GB Hanna SM Shimi A Cuschieri (1998) ArticleTitleTask performance in endoscopic surgery is influenced by location of the image display. Ann Surg 227 481–484 Occurrence Handle10.1097/00000658-199804000-00005 Occurrence Handle1:STN:280:DyaK1c3it12qtQ%3D%3D Occurrence Handle9563533
U Matern M Eichenlaub P Waller K Ruckauer (1999) ArticleTitleMIS instruments. An experimental comparison of various ergonomic handles and their design. Surg Endosc 13 756–762 Occurrence Handle10.1007/s004649901093 Occurrence Handle1:STN:280:DyaK1MzlvF2jtA%3D%3D Occurrence Handle10430679
U Matern P Waller (1999) ArticleTitleInstruments for minimally invasive surgery: principles of ergonomic handles. Surg Endosc 13 174–182 Occurrence Handle10.1007/s004649900934 Occurrence Handle1:STN:280:DyaK1M7hslCqsg%3D%3D Occurrence Handle9918626
M Patkin (2000) History of ergonomy in surgery. HP Bruch F Kockerling R Bouchard C Schuss-Pass (Eds) New aspects of high technology in medicine. Monduzzi Editore Hanover, Germany 239–246
MS Sanders EJ McCormick (1993) Human Factors in Engineering and Design. McGraw-Hill Book Company New York
MO Schurr G Buess (1995) ArticleTitleOREST II—ergonomic workplace and systems platform for endoscopic technologies. Endosc Surg Allied Technol 4 193–198 Occurrence Handle1:STN:280:ByyB1MjltlY%3D Occurrence Handle8517358
MO Schurr GF Buess F Wieth HJ Saile M Botsch (1999) ArticleTitleErgonomic surgeon’s chair for use during minimally invasive surgery. Surg Laparosc Endosc Percutan Tech 9 244–247 Occurrence Handle10.1097/00019509-199908000-00002 Occurrence Handle1:STN:280:DC%2BD3czis12rtg%3D%3D Occurrence Handle10871169
MA Van Veelen DW Meijer (1999) ArticleTitleErgonomics and design of laparoscopic instruments: results of a survey among laparoscopic surgeons. J Laparoendosc Adv Surg Tech A 9 481–489 Occurrence Handle1:STN:280:DC%2BD3c%2Fps1eluw%3D%3D Occurrence Handle10632508
MA Van Veelen DW Meijer RHM Goossens CJ Snijders (2001) ArticleTitleNew ergonomic design criteria for handles of laparoscopic dissection forceps. J Laparoendosc Adv Surg Tech A 11 17–26 Occurrence Handle10.1089/10926420150502896 Occurrence Handle1:STN:280:DC%2BD38%2FhvFWisQ%3D%3D Occurrence Handle11444319
MA Van Veelen G Kazemier J Koopman RH Goossens DW Meijer (2002) ArticleTitleAssessment of the ergonomically optimal operating surface height for laparoscopic surgery. J Laparoendosc Adv Surg Tech A 12 47–52 Occurrence Handle10.1089/109264202753486920 Occurrence Handle1:STN:280:DC%2BD387nsF2nsQ%3D%3D Occurrence Handle11908485
MA Van Veelen JJ Jakimowicz RH Goossens DW Meijer JB Bussmann (2002) ArticleTitleEvaluation of the usability of two types of image display systems, during laparoscopy. Surg Endosc 16 674–678 Occurrence Handle10.1007/s00464-001-9116-4 Occurrence Handle11972213
MA Van Veelen DW Meijer RH Goossens CJ Snijders JJ Jakimowicz (2002) ArticleTitleImproved usability of a new handle design for laparoscopic dissection forceps. Surg Endosc 16 201–207 Occurrence Handle10.1007/s004640090102 Occurrence Handle11961640
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
van Veelen, M., Nederlof, E., Goossens, R. et al. Ergonomic problems encountered by the medical team related to products used for minimally invasive surgery . Surg Endosc 17, 1077–1081 (2003). https://doi.org/10.1007/s00464-002-9105-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00464-002-9105-2