Balafoutas Dimitrios, Joukhadar Ralf, Vlahos Nikos
2nd Department of Obstetrics and Gynaecology, University of Athens, Aretaieion Hospital, Athens, Greece.
Department of Obstetrics and Gynaecology, Spital Männedorf, Zurich, Switzerland.
Facts Views Vis Obgyn. 2025 Jun 27;17(2):180-191. doi: 10.52054/FVVO.2025.12. Epub 2025 Jun 24.
Modern minimally invasive gynaecological surgery greatly contributes to women's health; however, it can be physically demanding for surgeons. A plethora of available data shows that the optimisation of ergonomics in the operating room (OR) is crucial for the health and efficiency of surgeons.
To provide an overview of the importance of ergonomics and clinically useful, concise recommendations.
A literature review with critical analysis of available data.
Impact of ergonomics on the prevalence of musculoskeletal disorders (MSDs), fatigue levels, efficiency and subjective comfort among surgeons.
Evidence suggests that MSDs are highly prevalent among minimally invasive gynaecological surgeons and that several ergonomic interventions can greatly reduce muscle strain and improve clinical practice, with the most important being the planning of brief intraoperative breaks, the selection of proper laparoscopic instruments and the positioning of the operating table and monitor at the correct height. The adoption of robotic surgery can also improve surgical ergonomics. Clinical practice recommendations for ergonomic improvement in gynaecological laparoscopy based on the existing evidence are provided.
Surgeons must be aware of the optimal ergonomic settings in the OR and impose measures to reduce risks and achieve a comfortable environment.
WHAT IS NEW?: A comprehensive, praxis-oriented review with exact ergonomic advice for minimally invasive gynaecological surgeons.
现代微创妇科手术对女性健康有很大贡献；然而，这对外科医生的体力要求很高。大量现有数据表明，手术室（OR）的人体工程学优化对外科医生的健康和效率至关重要。
概述人体工程学的重要性并提供临床实用的简要建议。
对现有数据进行批判性分析的文献综述。
人体工程学对外科医生肌肉骨骼疾病（MSD）患病率、疲劳程度、效率和主观舒适度的影响。
有证据表明，MSD在微创妇科外科医生中非常普遍，并且一些人体工程学干预措施可以大大减轻肌肉劳损并改善临床实践，其中最重要的是安排短暂的术中休息、选择合适的腹腔镜器械以及将手术台和显示器放置在正确的高度。采用机器人手术也可以改善手术人体工程学。基于现有证据，提供了妇科腹腔镜手术人体工程学改进的临床实践建议。
外科医生必须了解手术室中的最佳人体工程学设置，并采取措施降低风险并营造舒适的环境。
新内容是什么？：为微创妇科外科医生提供全面的、以实践为导向的综述以及确切的人体工程学建议。
