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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > September, 2007 Vol. VIII, No. 9

How to Make Laparoscopy More Ergonomic

Tips to ease the strain and pain of minimally invasive surgery.

Ramon Berguer, MD

Laparoscopic surgery can take quite a toll on a surgeon's body. A busy day in the OR leaves us with aches and pains from head to toe. Think about all the twisting of arms and turning of wrists needed to maneuver instruments into the right positions. Fingers ache if we don't hold the grips just so. The reward for staring at poorly placed monitors is a sore neck. But a few tweaks to your OR ergonomics can help reduce repetitive strain and other injuries.

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Categories: General Surgery, Safety
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Fits into my hand; What the surgeon can do; Enlisting staff support; Autonomy Laparo-Angle Instruments; Call; Cambridge Endoscopic Devices; Civco Medical Solutions; Comparison; Compiled; Configuration; Corp. Designed; Designed; Devices; Diamond Line II; Difficulty Surgical Instruments: Survey; Effort Required; Endoscopic Devices; Enlisting; Ergonomic Comparison; Ergonomic Instruments The Autonomy Laparo-Angle Instruments; Experience; Fingers; Fits; Hall Properly; Hand Size; Handle Configuration; II; In-line; Include; Influence; Instrument; Instruments The Autonomy Laparo-Angle Instruments; Ins... show all keywords
Fits into my hand; What the surgeon can do; Enlisting staff support; Autonomy Laparo-Angle Instruments; Call; Cambridge Endoscopic Devices; Civco Medical Solutions; Comparison; Compiled; Configuration; Corp. Designed; Designed; Devices; Diamond Line II; Difficulty Surgical Instruments: Survey; Effort Required; Endoscopic Devices; Enlisting; Ergonomic Comparison; Ergonomic Instruments The Autonomy Laparo-Angle Instruments; Experience; Fingers; Fits; Hall Properly; Hand Size; Handle Configuration; II; In-line; Include; Influence; Instrument; Instruments The Autonomy Laparo-Angle Instruments; Instruments: Survey; Laparo-Angle Instruments; Laparoscopic; Laparoscopic Technique: Influence; Laparostat; Line II; MIS; Maryland; Medical Solutions; Metzenbaum; Nathan Hall Properly; ORs; People; Physical Effort Required; Pistol-grip Handle Configuration; Promoted; RealHand; Relationship Hand Size; Required; Robotic; Sampling; Set; Simply; Size; Snowden-Pencer MIS; Solutions; Staffers; Stryker Corp. Designed; Surgeon Experience; Surgeons; Surgical Instruments: Survey; Survey; Technique: Influence; Wingman; abdominal; access; account; ache; adaptor; adhesive; adjust; adjustable; ahead; amount; arm; arms; assume; attend; awkward; begun; big; binoculars; boards; body; boom-mounted; break; brightly; built; bumping; busy; cables; camera; career; chances; change; cheapest; choices; clear; close; closely; clutter; color; colored; combination; comfortable; complex; concentrating; conference; confines; constantly; contoured; control; cord; costs; critical; crowded; cut; damage; day; degrees; deltoid; designed; devices; dexterity; difficult; digital; dim; dissector; distribute; easier; easily; edges; elbow; electrocautery-capable; electrosurgery; endoscope; endoscopes; ergonomic; ergonomically; ergonomics; evenly; eventually; eye; facilities; factors; fatigue; feature; fewer; field; find; fine; fingers; flare; flexor; follow; foot; force; forearm; free; freedom; freeze; front; full; glove; good; grabbing; grasp; grasping; greater; grip; gripping; grips; hand; handle; hands; hard; harder; harmful; he'll; head; head-mounted; heavy; height; held; high-dexterity; hit; hold; holder; holding; holes; hours; hurting; implemented; important; improvement; in-line; including; increase; inserted; insertion; install; instruments; intense; items; joints; justify; keeping; key; knee; laparoscopic; laparoscopy; learn; leaves; lengthen; letting; level; lifts; lights; limited; line; list; long; lose; lot; lower; make; maneuver; maneuvering; manually; matter; means; measurements; mid-thigh; minutes; mobile; monitor; motion; move; movement; muscles; musculoskeletal; neck; needed; needle; negotiate; nerve; non-operating; note; offer; offered; open; operate; operating; opportunity; optimize; optimum; option; page; pain; palm; part; patient; pedals; penetrate; perform; physician's; physicians; pistol-grip; place; points; poorly; popular; position; positions; posture; prefer; pressure; price; procedure; procedures; protocol; prototypes; provide; pull; pulling; put; rail; ratchet; ratcheted; realize; reason; reduce; remain; reminders; reminding; repetitive; resorting; result; reward; ring; risk; save; scissors; scope; screen; secured; select; separated; set; settle; shave; shopping; situation; size; small; smaller; smooth; sore; sort; space; spend; spot; squeeze; staff; staffers; stand; standard; stands; staplers; staring; static; steady; sterile; storage; straight; strain; stress; structures; study; suitable; support; surfaces; surgeon; surgeons; surgery; surgical; surprising; suture; system; systems; table; tactile; takes; tape; tapping; task; technical; technique; temporary; tend; thumb; time; tips; tired; tissue; toll; traditional; trigger; trocars; tubes; turning; tweaks; twisting; tying; typical; unbalanced; uncomfortable; uncommon; unit; upper; variety; vasculature; video; visit; ways; workload; worsens; wrist-neutral; wrists; written

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