Work-related upper limb musculoskeletal disorders in paediatric laparoscopic surgery. A multicenter survey

Ciro Esposito; Alaa El Ghoneimi; Atsuyuki Yamataka; Steve Rothenberg; Marcela Bailez; Marcelo Ferro; Piergiorgio Gamba; Marco Castagnetti; Girolamo Mattioli; Pascale Delagausie; Dimitris Antoniou; Philippe Montupet; Antonio Marte; Amulya Saxena; Mirko Bertozzi; Paul Philippe; François Varlet; Hubert Lardy; Antony Caldamone; Alessandro Settimi; Gloria Pelizzo; Francois Becmeur; Maria Escolino; Teresa De Pascale; Azad Najmaldin; Felix Schier

doi:10.1016/j.jpedsurg.2013.01.054

Work-related upper limb musculoskeletal disorders in paediatric laparoscopic surgery. A multicenter survey

Ciro Esposito, Alaa El Ghoneimi, Atsuyuki Yamataka, Steve Rothenberg, Marcela Bailez, Marcelo Ferro, Piergiorgio Gamba, Marco Castagnetti, Girolamo Mattioli, Pascale Delagausie, Dimitris Antoniou, Philippe Montupet, Antonio Marte, Amulya Saxena, Mirko Bertozzi, Paul Philippe, François Varlet, Hubert Lardy, Antony Caldamone, Alessandro SettimiGloria Pelizzo, Francois Becmeur, Maria Escolino, Teresa De Pascale, Azad Najmaldin, Felix Schier

Research output: Contribution to journal › Article › peer-review

Abstract

Background Surgeons are at risk for developing work-related musculoskeletal symptoms (WMS). The present study aims to examine the physical factors and their association with WMS among pediatric laparoscopic surgeons. Methods A questionnaire consisting of 21 questions was created and mailed to 25 pediatric laparoscopic surgeons (LG). 23/25 surgeons (92%) completed the survey. The questionnaire was analyzed and then split into 2 groups. Group 1 (LG1) included surgeons with greater laparoscopic experience, and group 2 (LG2) included surgeons with less important laparoscopic experience. In addition, we constructed and sent to the same surgeons a similar questionnaire focused on WMS after an open procedure (OG) with the aim to compare results of LG with OG. Results The prevalence rate of WMS with shoulder symptoms was 78.2% in surgeons that performed laparoscopy for more than 10 years, with 60.8% also reporting other pain. In 66.6% this pain is evident only after a long-lasting procedure. Forty-four percent of these surgeons require painkillers at least twice a week. Fifty percent of these surgeons also suffer at home. Fifty-five and one half percent of surgeons indicate that this pain is related to their laparoscopic activity. Forty-three and a half percent think that laparoscopy is beneficial only for the patient but has a bad ergonomic effect for surgeons. Sixty-five and two-tenths percent think that robotic surgery can be helpful to improve ergonomics. Comparing the groups, WMS occur more frequently in LG (78.2%) than in OG (56.5%), but this difference was not statistically significant (χ² = 0.05). In addition, WMS occur more frequently in LG1 (84.6%) than in LG2 (70%), but this difference was not statistically significant (χ² = 0.05). Conclusions These results confirmed a strong association between WMS and the number of laparoscopic procedures performed. Skilled laparoscopic surgeons have more pain than less skilled laparoscopic surgeons. WMS in the same group of surgeons are more frequent after laparoscopy than after open procedures. The majority of surgeons refer to shoulder symptoms.

Original language	English
Pages (from-to)	1750-1756
Number of pages	7
Journal	Journal of Pediatric Surgery
Volume	48
Issue number	8
DOIs	https://doi.org/10.1016/j.jpedsurg.2013.01.054
Publication status	Published - Aug 2013

Keywords

Ergonomics
Laparoscopy
Shoulder pain
Work-related musculoskeletal symptoms

ASJC Scopus subject areas

Surgery
Pediatrics, Perinatology, and Child Health

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10.1016/j.jpedsurg.2013.01.054

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Esposito, C., Ghoneimi, A. E., Yamataka, A., Rothenberg, S., Bailez, M., Ferro, M., Gamba, P., Castagnetti, M., Mattioli, G., Delagausie, P., Antoniou, D., Montupet, P., Marte, A., Saxena, A., Bertozzi, M., Philippe, P., Varlet, F., Lardy, H., Caldamone, A., ... Schier, F. (2013). Work-related upper limb musculoskeletal disorders in paediatric laparoscopic surgery. A multicenter survey. Journal of Pediatric Surgery, 48(8), 1750-1756. https://doi.org/10.1016/j.jpedsurg.2013.01.054

Esposito, C, Ghoneimi, AE, Yamataka, A, Rothenberg, S, Bailez, M, Ferro, M, Gamba, P, Castagnetti, M, Mattioli, G, Delagausie, P, Antoniou, D, Montupet, P, Marte, A, Saxena, A, Bertozzi, M, Philippe, P, Varlet, F, Lardy, H, Caldamone, A, Settimi, A, Pelizzo, G, Becmeur, F, Escolino, M, Pascale, TD, Najmaldin, A & Schier, F 2013, 'Work-related upper limb musculoskeletal disorders in paediatric laparoscopic surgery. A multicenter survey', Journal of Pediatric Surgery, vol. 48, no. 8, pp. 1750-1756. https://doi.org/10.1016/j.jpedsurg.2013.01.054

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abstract = "Background Surgeons are at risk for developing work-related musculoskeletal symptoms (WMS). The present study aims to examine the physical factors and their association with WMS among pediatric laparoscopic surgeons. Methods A questionnaire consisting of 21 questions was created and mailed to 25 pediatric laparoscopic surgeons (LG). 23/25 surgeons (92%) completed the survey. The questionnaire was analyzed and then split into 2 groups. Group 1 (LG1) included surgeons with greater laparoscopic experience, and group 2 (LG2) included surgeons with less important laparoscopic experience. In addition, we constructed and sent to the same surgeons a similar questionnaire focused on WMS after an open procedure (OG) with the aim to compare results of LG with OG. Results The prevalence rate of WMS with shoulder symptoms was 78.2% in surgeons that performed laparoscopy for more than 10 years, with 60.8% also reporting other pain. In 66.6% this pain is evident only after a long-lasting procedure. Forty-four percent of these surgeons require painkillers at least twice a week. Fifty percent of these surgeons also suffer at home. Fifty-five and one half percent of surgeons indicate that this pain is related to their laparoscopic activity. Forty-three and a half percent think that laparoscopy is beneficial only for the patient but has a bad ergonomic effect for surgeons. Sixty-five and two-tenths percent think that robotic surgery can be helpful to improve ergonomics. Comparing the groups, WMS occur more frequently in LG (78.2%) than in OG (56.5%), but this difference was not statistically significant (χ2 = 0.05). In addition, WMS occur more frequently in LG1 (84.6%) than in LG2 (70%), but this difference was not statistically significant (χ2 = 0.05). Conclusions These results confirmed a strong association between WMS and the number of laparoscopic procedures performed. Skilled laparoscopic surgeons have more pain than less skilled laparoscopic surgeons. WMS in the same group of surgeons are more frequent after laparoscopy than after open procedures. The majority of surgeons refer to shoulder symptoms.",

keywords = "Ergonomics, Laparoscopy, Shoulder pain, Work-related musculoskeletal symptoms",

author = "Ciro Esposito and Ghoneimi, {Alaa El} and Atsuyuki Yamataka and Steve Rothenberg and Marcela Bailez and Marcelo Ferro and Piergiorgio Gamba and Marco Castagnetti and Girolamo Mattioli and Pascale Delagausie and Dimitris Antoniou and Philippe Montupet and Antonio Marte and Amulya Saxena and Mirko Bertozzi and Paul Philippe and Fran{\c c}ois Varlet and Hubert Lardy and Antony Caldamone and Alessandro Settimi and Gloria Pelizzo and Francois Becmeur and Maria Escolino and Pascale, {Teresa De} and Azad Najmaldin and Felix Schier",

year = "2013",

month = aug,

doi = "10.1016/j.jpedsurg.2013.01.054",

language = "English",

volume = "48",

pages = "1750--1756",

journal = "Journal of Pediatric Surgery",

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T1 - Work-related upper limb musculoskeletal disorders in paediatric laparoscopic surgery. A multicenter survey

AU - Esposito, Ciro

AU - Ghoneimi, Alaa El

AU - Yamataka, Atsuyuki

AU - Rothenberg, Steve

AU - Bailez, Marcela

AU - Ferro, Marcelo

AU - Gamba, Piergiorgio

AU - Castagnetti, Marco

AU - Mattioli, Girolamo

AU - Delagausie, Pascale

AU - Antoniou, Dimitris

AU - Montupet, Philippe

AU - Marte, Antonio

AU - Saxena, Amulya

AU - Bertozzi, Mirko

AU - Philippe, Paul

AU - Varlet, François

AU - Lardy, Hubert

AU - Caldamone, Antony

AU - Settimi, Alessandro

AU - Pelizzo, Gloria

AU - Becmeur, Francois

AU - Escolino, Maria

AU - Pascale, Teresa De

AU - Najmaldin, Azad

AU - Schier, Felix

PY - 2013/8

Y1 - 2013/8

N2 - Background Surgeons are at risk for developing work-related musculoskeletal symptoms (WMS). The present study aims to examine the physical factors and their association with WMS among pediatric laparoscopic surgeons. Methods A questionnaire consisting of 21 questions was created and mailed to 25 pediatric laparoscopic surgeons (LG). 23/25 surgeons (92%) completed the survey. The questionnaire was analyzed and then split into 2 groups. Group 1 (LG1) included surgeons with greater laparoscopic experience, and group 2 (LG2) included surgeons with less important laparoscopic experience. In addition, we constructed and sent to the same surgeons a similar questionnaire focused on WMS after an open procedure (OG) with the aim to compare results of LG with OG. Results The prevalence rate of WMS with shoulder symptoms was 78.2% in surgeons that performed laparoscopy for more than 10 years, with 60.8% also reporting other pain. In 66.6% this pain is evident only after a long-lasting procedure. Forty-four percent of these surgeons require painkillers at least twice a week. Fifty percent of these surgeons also suffer at home. Fifty-five and one half percent of surgeons indicate that this pain is related to their laparoscopic activity. Forty-three and a half percent think that laparoscopy is beneficial only for the patient but has a bad ergonomic effect for surgeons. Sixty-five and two-tenths percent think that robotic surgery can be helpful to improve ergonomics. Comparing the groups, WMS occur more frequently in LG (78.2%) than in OG (56.5%), but this difference was not statistically significant (χ2 = 0.05). In addition, WMS occur more frequently in LG1 (84.6%) than in LG2 (70%), but this difference was not statistically significant (χ2 = 0.05). Conclusions These results confirmed a strong association between WMS and the number of laparoscopic procedures performed. Skilled laparoscopic surgeons have more pain than less skilled laparoscopic surgeons. WMS in the same group of surgeons are more frequent after laparoscopy than after open procedures. The majority of surgeons refer to shoulder symptoms.

AB - Background Surgeons are at risk for developing work-related musculoskeletal symptoms (WMS). The present study aims to examine the physical factors and their association with WMS among pediatric laparoscopic surgeons. Methods A questionnaire consisting of 21 questions was created and mailed to 25 pediatric laparoscopic surgeons (LG). 23/25 surgeons (92%) completed the survey. The questionnaire was analyzed and then split into 2 groups. Group 1 (LG1) included surgeons with greater laparoscopic experience, and group 2 (LG2) included surgeons with less important laparoscopic experience. In addition, we constructed and sent to the same surgeons a similar questionnaire focused on WMS after an open procedure (OG) with the aim to compare results of LG with OG. Results The prevalence rate of WMS with shoulder symptoms was 78.2% in surgeons that performed laparoscopy for more than 10 years, with 60.8% also reporting other pain. In 66.6% this pain is evident only after a long-lasting procedure. Forty-four percent of these surgeons require painkillers at least twice a week. Fifty percent of these surgeons also suffer at home. Fifty-five and one half percent of surgeons indicate that this pain is related to their laparoscopic activity. Forty-three and a half percent think that laparoscopy is beneficial only for the patient but has a bad ergonomic effect for surgeons. Sixty-five and two-tenths percent think that robotic surgery can be helpful to improve ergonomics. Comparing the groups, WMS occur more frequently in LG (78.2%) than in OG (56.5%), but this difference was not statistically significant (χ2 = 0.05). In addition, WMS occur more frequently in LG1 (84.6%) than in LG2 (70%), but this difference was not statistically significant (χ2 = 0.05). Conclusions These results confirmed a strong association between WMS and the number of laparoscopic procedures performed. Skilled laparoscopic surgeons have more pain than less skilled laparoscopic surgeons. WMS in the same group of surgeons are more frequent after laparoscopy than after open procedures. The majority of surgeons refer to shoulder symptoms.

KW - Ergonomics

KW - Laparoscopy

KW - Shoulder pain

KW - Work-related musculoskeletal symptoms

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Work-related upper limb musculoskeletal disorders in paediatric laparoscopic surgery. A multicenter survey

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