Chadha Sugandh, Sundararajan Lakshmi
Department of Paediatric Surgery, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India.
J Indian Assoc Pediatr Surg. 2025 Jul-Aug;30(4):484-490. doi: 10.4103/jiaps.jiaps_307_24. Epub 2025 May 21.
The aim of the study was to assess the awareness and identify the issues faced by pediatric surgeons in India concerning laparoscopic ergonomics.
An online survey was conducted by circulating a questionnaire consisting of 18 questions among pediatric surgical consultants and trainees in 2023. The questions were used to assess the musculoskeletal issues faced by the surgeons while operating and they included gender, height, experience, complexity of the procedure performed, position of the monitor, operating table height, length of instruments used, and health issues faced due to bad ergonomics.
Chi-square test, Pearson's score for correlation, ANOVA.
A total of 152 pediatric surgeons participated, of which 119 were males and 32 were females, with 96 (62%) working at a teaching institution. 73 (48%) were senior consultants with >10 years of experience. 79 (52%) performed advanced laparoscopic procedures. Neonatal surgeries (71%) were the most challenging. Fifty-four (36%) surgeons faced musculoskeletal illnesses. This was more prevalent among senior grade consultants (58%), female surgeons (50%), surgeons with heights between 155 and 175 cm (81.2%), surgeons older than 60 years (58%), and those performing advanced procedures (75%). Most participants (98%) were keen on improving their laparoscopic ergonomics. 140 (93%) surgeons noted that laparoscopic ergonomics was overlooked at their hospitals and 84 (56%) lacked institutional support for acquiring the necessary infrastructure.
Thirty-six percent of surgeons experienced musculoskeletal disorders while performing advanced procedures (75%), and height, female gender, and complexity of procedures were noted to have a positive correlation with the injury.
本研究旨在评估印度小儿外科医生对腹腔镜人体工程学的认识，并确定他们所面临的问题。
2023年，通过向小儿外科顾问和实习生发放一份包含18个问题的问卷进行在线调查。这些问题用于评估外科医生在手术过程中面临的肌肉骨骼问题，包括性别、身高、经验、所执行手术的复杂程度、显示器位置、手术台高度、所用器械长度以及因不良人体工程学而面临的健康问题。
卡方检验、皮尔逊相关系数、方差分析。
共有152名小儿外科医生参与，其中119名男性，32名女性，96名（62%）在教学机构工作。73名（48%）是经验超过10年的高级顾问。79名（52%）进行高级腹腔镜手术。新生儿手术（71%）最具挑战性。54名（约36%）外科医生患有肌肉骨骼疾病。这在高级顾问（58%）、女外科医生（50%）、身高在155至175厘米之间的外科医生（81.2%）、60岁以上的外科医生（58%）以及进行高级手术的医生（75%）中更为普遍。大多数参与者（98%）热衷于改善他们的腹腔镜人体工程学。140名（93%）外科医生指出，他们所在医院忽视了腹腔镜人体工程学，84名（56%）缺乏获取必要基础设施的机构支持。
36%的外科医生在进行高级手术（75%）时患有肌肉骨骼疾病，并且身高、女性性别和手术复杂程度与损伤呈正相关。
