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Preliminary Analysis of a New Ergonomic System for Surgical Instruments Used in Laparoscopy

Received: 10 May 2013     Published: 30 June 2013
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Abstract

Background. The laparoscopic surgeon requires very fine motor dexterity to perform complex surgical procedures. This skill can be significantly altered by the motor stress of the surgeon, which mainly results from a lack of ergonomics of the instruments. The objective of this article was to analyse a new ergonomic system that can significantly reduce motor stress. Material and Methods. Two expert surgeons tested the new ergonomic system by performing transfer and suture tasks. The results were compared to those obtained from executing the same tasks using commercial laparoscopic instruments, without any pre-selection being established. Electronic switches were placed on the handles of the instruments to register the time of opening and closure, as well as the time taken to complete the tasks. Results. The comparative data indicate that the new ergonomic system substantially reduces the motor stress of the surgeon by reducing the number of manual operations needed to carry out the routine training tasks of transfer and suture. Conclusions. A new ergonomic system has been developed that reduces the number of manual operations required for carrying out the same task using commercial laparoscopic instruments. The execution time and motor stress is substantially decreased with this new design. We have confidence that these results will be extended to surgical procedures.

Published in Journal of Surgery (Volume 1, Issue 2)
DOI 10.11648/j.js.20130102.15
Page(s) 28-31
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2013. Published by Science Publishing Group

Keywords

Instrumental Ergonomics, Motor Stress, Ergonomic Optimization

References
[1] D.C. Van der Zee, and N.M.A. Bax, "Digital nerve compression due to laparoscopic surgery," Surg. Endosc. vol. 9, pp. 740, 1995.
[2] U. Matern, P. Waller, "Instruments for minimally invasive surgery," Surg. Endosc. vol. 13, pp. 174–182, 1999.
[3] U. Matern, M. Eichenlaub, P. Waller, and K.D. Rückauer, "An experimental comparison of various ergonomic handles and their design," Surg. Endosc. vol. 13, pp. 756–762, 1999.
[4] U. Matern, C. Giebmeyer, R. Bergmann, P. Waller, and M. Faist, "Ergonomic aspects of four different types of laparoscopic instrument handle with respect to elbow angle," Surg. Endosc. vol. 16, pp. 1528–1532, 2002.
[5] U. Matern, G. Kuttler, C. Giebmeyer, P. Waller, and M. Faist, "Ergonomic aspects of five different types of laparoscopic instrument handles under dynamic conditions with respect to specific laparoscopic tasks: An electromyographic-based study," Surg. Endosc. vol. 18, pp. 1231–1241, 2004.
[6] U. Matern, S. Koneczny, M. Tedeus, K. Dietz, and G. Bue, "Ergonomic testing of two different types of handles via virtual reality simulation," Surg. Endosc. vol. 19, pp. 1147–1150, 2005.
[7] D. Büchel, R. Marvik, B. Hallabrin, and U. Matern, "Ergonomics of disposable handles for minimally invasive surgery," Surg. Endosc. vol. 24, pp. 992–1004, 2005.
Cite This Article
  • APA Style

    Arturo Minor Martínez, Ricardo Ordorica Flores, Alfredo Vázquez Huerta, José Luis Ortiz Simón. (2013). Preliminary Analysis of a New Ergonomic System for Surgical Instruments Used in Laparoscopy. Journal of Surgery, 1(2), 28-31. https://doi.org/10.11648/j.js.20130102.15

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    ACS Style

    Arturo Minor Martínez; Ricardo Ordorica Flores; Alfredo Vázquez Huerta; José Luis Ortiz Simón. Preliminary Analysis of a New Ergonomic System for Surgical Instruments Used in Laparoscopy. J. Surg. 2013, 1(2), 28-31. doi: 10.11648/j.js.20130102.15

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    AMA Style

    Arturo Minor Martínez, Ricardo Ordorica Flores, Alfredo Vázquez Huerta, José Luis Ortiz Simón. Preliminary Analysis of a New Ergonomic System for Surgical Instruments Used in Laparoscopy. J Surg. 2013;1(2):28-31. doi: 10.11648/j.js.20130102.15

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  • @article{10.11648/j.js.20130102.15,
      author = {Arturo Minor Martínez and Ricardo Ordorica Flores and Alfredo Vázquez Huerta and José Luis Ortiz Simón},
      title = {Preliminary Analysis of a New Ergonomic System for Surgical Instruments Used in Laparoscopy},
      journal = {Journal of Surgery},
      volume = {1},
      number = {2},
      pages = {28-31},
      doi = {10.11648/j.js.20130102.15},
      url = {https://doi.org/10.11648/j.js.20130102.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20130102.15},
      abstract = {Background. The laparoscopic surgeon requires very fine motor dexterity to perform complex surgical procedures. This skill can be significantly altered by the motor stress of the surgeon, which mainly results from a lack of ergonomics of the instruments. The objective of this article was to analyse a new ergonomic system that can significantly reduce motor stress. Material and Methods. Two expert surgeons tested the new ergonomic system by performing transfer and suture tasks. The results were compared to those obtained from executing the same tasks using commercial laparoscopic instruments, without any pre-selection being established. Electronic switches were placed on the handles of the instruments to register the time of opening and closure, as well as the time taken to complete the tasks. Results. The comparative data indicate that the new ergonomic system substantially reduces the motor stress of the surgeon by reducing the number of manual operations needed to carry out the routine training tasks of transfer and suture. Conclusions. A new ergonomic system has been developed that reduces the number of manual operations required for carrying out the same task using commercial laparoscopic instruments. The execution time and motor stress is substantially decreased with this new design. We have confidence that these results will be extended to surgical procedures.},
     year = {2013}
    }
    

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  • TY  - JOUR
    T1  - Preliminary Analysis of a New Ergonomic System for Surgical Instruments Used in Laparoscopy
    AU  - Arturo Minor Martínez
    AU  - Ricardo Ordorica Flores
    AU  - Alfredo Vázquez Huerta
    AU  - José Luis Ortiz Simón
    Y1  - 2013/06/30
    PY  - 2013
    N1  - https://doi.org/10.11648/j.js.20130102.15
    DO  - 10.11648/j.js.20130102.15
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 28
    EP  - 31
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20130102.15
    AB  - Background. The laparoscopic surgeon requires very fine motor dexterity to perform complex surgical procedures. This skill can be significantly altered by the motor stress of the surgeon, which mainly results from a lack of ergonomics of the instruments. The objective of this article was to analyse a new ergonomic system that can significantly reduce motor stress. Material and Methods. Two expert surgeons tested the new ergonomic system by performing transfer and suture tasks. The results were compared to those obtained from executing the same tasks using commercial laparoscopic instruments, without any pre-selection being established. Electronic switches were placed on the handles of the instruments to register the time of opening and closure, as well as the time taken to complete the tasks. Results. The comparative data indicate that the new ergonomic system substantially reduces the motor stress of the surgeon by reducing the number of manual operations needed to carry out the routine training tasks of transfer and suture. Conclusions. A new ergonomic system has been developed that reduces the number of manual operations required for carrying out the same task using commercial laparoscopic instruments. The execution time and motor stress is substantially decreased with this new design. We have confidence that these results will be extended to surgical procedures.
    VL  - 1
    IS  - 2
    ER  - 

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Author Information
  • Department of Electrical Engineering, CINVESTAV del IPN, Mexico, DF

  • Department of Pediatrics, Children Hospital Federico Gomez, Mexico, DF

  • Department of Electrical Engineering, CINVESTAV del IPN, Mexico, DF

  • Department of Electrical-Electronics Engineering, Instituto Tecnologico de Nuevo Laredo, Tamaulipas, Mexico

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