Ergonomic evaluation of the scrub nurse's posture at different monitor positions during laparoscopic cholecystectomy.
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.
Papp
Andras
A
Department of Surgery, Faculty of Medicine, University of Pécs, Ifjuság utja, Pécs, Hungary. andras.papp@aok.pte.hu
Feussner
Hubertus
H
Seitz
Thomas
T
Bubb
Heiner
H
Schneider
Armin
A
Horvath
Ors Peter
OP
Vereczkei
Andras
A
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