Investigation of the Association Between Surgeon Sex and Laparoscopic Device Ergonomic Strain in Gynecologic Surgery

Investigation of the Association Between Surgeon Sex and Laparoscopic Device Ergonomic Strain in Gynecologic Surgery

[ad_1]

  • Study Objective

To assess if female compared to male sex is associated with greater ergonomic strain with use of 4 advanced energy laparoscopic devices (LigaSure, HALO PKS, ENSEAL, and Harmonic scalpel).

  • Design

Online survey distributed by e-mail using the REDCap platform. All responses were anonymous.

  • Setting

Nationwide survey in the United States.

  • Attendees

Gynecologic surgeons were surveyed through the Society of Gynecologic Surgeons listserv and 4 Obstetrics and Gynecology departmental listservs.

Speeches

The survey was distributed between 5/01/2020-11/01/2020.

The primary outcome was the presence of physical complaints due to laparoscopic devices. Descriptive statistics compared surgeon characteristics and ergonomic symptoms. Logistic regression was performed, adjusted for surgeon characteristics.

Measurements and Main Results

The response rate was 39%, comprising 149 women (78%) and 41 men (22%). Women compared to men had a significantly younger age (mean 34 vs 44 years old, p<.01), smaller glove size (mean 6.5 vs 7.5, p<.01), shorter height (median 66 vs 71 in, p<. 01), and were less frequently in practice for >10 years (19% vs 49%, p<.01). Women significantly more often reported physical complaints related to use of laparoscopic devices (79% vs 41%, p<.01). Women reported all devices had too large a fit for appropriate use (p<.01). Women were found to have 5.37 times the odds of physical complaints attributed to the use of laparoscopic instruments (cOR 5.37, 95% CI 2.56-11.25); with adjustment for glove size, age, and laparoscopic case volume and duration, this was no longer significant (aOR 2.02, 95% 0.59-6.93).

Conclusion

Women significantly more often report physical complaints and inappropriate fit of the LigaSure, HALO PKS, ENSEAL, and Harmonic scalpel. Female sex is associated with fivefold greater odds of physical complaints with laparoscopic device use. Further investigation of the surgeon factors underlying device-related strain is a critical next step to understanding and reducing surgeon ergonomic injury.

Leave a Comment

Your email address will not be published.