Impact of Procedure Type, Case Duration, and Adjunctive Equipment on Surgeon Intraoperative Musculoskeletal Discomfort

Liyun Yang, Samuel R. Money, Melissa M. Morrow, Bethany R. Lowndes, Tiffany K. Weidner, Emma Fortune, Victor J. Davila, Andrew J. Meltzer, William M. Stone, M. Susan Hallbeck

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Background: Surgeons are at high risk of developing musculoskeletal disorders. Study Design: This study was designed to identify risk factors and assess intraoperative physical stressors using subjective and objective measures, including type of procedure and equipment used. Wearable sensors and pre- and postoperation surveys were analyzed. Results: Data from 116 cases (34 male and 19 female surgeons) were collected across surgical specialties. Surgeons reported increased pain in the neck, upper, and lower back both during and after operations. High-stress intraoperative postures were also revealed by the real-time measurement in the neck and back. Surgical duration also impacted physical pain and fatigue. Open procedures had more stressful physical postures than laparoscopic procedures. Loupe usage negatively impacted neck postures. Conclusions: This study highlights the fact that musculoskeletal disorders are common in surgeons and characterizes surgeons’ intraoperative posture as well as surgeon pain and fatigue across specialties. Defining intraoperative ergonomic risk factors is of paramount importance to protect the well-being of the surgical workforce.

Original languageEnglish (US)
Pages (from-to)554-560
Number of pages7
JournalJournal of the American College of Surgeons
Volume230
Issue number4
DOIs
StatePublished - Apr 2020

ASJC Scopus subject areas

  • Surgery

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    Yang, L., Money, S. R., Morrow, M. M., Lowndes, B. R., Weidner, T. K., Fortune, E., Davila, V. J., Meltzer, A. J., Stone, W. M., & Hallbeck, M. S. (2020). Impact of Procedure Type, Case Duration, and Adjunctive Equipment on Surgeon Intraoperative Musculoskeletal Discomfort. Journal of the American College of Surgeons, 230(4), 554-560. https://doi.org/10.1016/j.jamcollsurg.2019.12.035