title: Ergonomic evaluation of the scrub nurse's posture at different monitor positions during laparoscopic cholecystectomy.
abstract: OBJECTIVE
  Our aims were to measure the posture and movement of the scrub nurse very accurately, without using any markers, during a minimally invasive surgical procedure.
  
  
  BACKGROUND
  One of the most important subjects in ergonomic studies of minimally invasive surgery is the question of the proper placement of monitors.
  
  
  METHODS
  Two simultaneous and synchronized video recordings were carried out in 2 different monitor setups. The different steps of the operation were identified and measured in seconds. Longer-lasting postures were imported to and analyzed with a software. Results of the different setups were compared with each other, and with an "ideal" comfort posture.
  
  
  RESULTS
  Measuring the typical postures of the most pronounced static phase, the evolving stress was significantly influenced by different monitor setups.
  
  
  CONCLUSIONS
  With the installation of an additional monitor positioned to satisfy the nurse's comfort, the static stress could be decreased.
authors.affiliation: Department of Surgery, Faculty of Medicine, University of Pécs, Ifjuság utja, Pécs, Hungary. andras.papp@aok.pte.hu
authors.forename: Andras
authors.initials: A
authors.lastname: Papp
authors.forename: Hubertus
authors.initials: H
authors.lastname: Feussner
authors.forename: Thomas
authors.initials: T
authors.lastname: Seitz
authors.forename: Heiner
authors.initials: H
authors.lastname: Bubb
authors.forename: Armin
authors.initials: A
authors.lastname: Schneider
authors.forename: Ors Peter
authors.initials: OP
authors.lastname: Horvath
authors.forename: Andras
authors.initials: A
authors.lastname: Vereczkei
mesh_terms: D000328:Adult; D017081:Cholecystectomy, Laparoscopic; D006804:Ergonomics; D005260:Female; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D009140:Musculoskeletal Diseases / Q000517:prevention & control; D009784:Occupational Diseases / Q000517:prevention & control*; D016272:Occupational Health; D013527:Perioperative Nursing; D011187:Posture; D013997:Time Factors