Trial reportSurgical endoscopy2011
Effects of intraoperative breaks on mental and somatic operator fatigue: a randomized clinical trial.
Trial report in Surgical endoscopy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 55 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Noise Reduction Programme by Work Rules and Technical Devices (i.e.SoundEar-TM)for Surgical Theathres
The Effects of Postural Education or Corrective Exercise Intervention on the Craniovertebral Angle in Young Adults With Forward Head Posture: A Randomized Controlled Trial
Who cites it
55 citing papers in PubMed, 4 syntheses or guidelines pooled it, 144 citations in OpenAlex.
- Impact of Intraoperative Ergonomic Microbreaks on Surgeons' Well-Being and Performance: A Systematic Review.World journal of surgery · 2026Pooled it
- Impact of intrawork rest breaks on doctors' performance and well-being: systematic review.BMJ open · 2022Pooled it
- Restoration of Attention by Rest in a Multitasking World: Theory, Methodology, and Empirical Evidence.Frontiers in psychology · 2022Pooled it
- Work-break schedules for preventing musculoskeletal symptoms and disorders in healthy workers.The Cochrane database of systematic reviews · 2019Pooled it
- Visual, physical, and mental strain during simulated robotic surgical tasks on Hugo™ RAS and impact of microbreaks on them: a randomized controlled trial.Surgical endoscopy · 2026Trial
- Intraoperative active and passive breaks during minimally invasive surgery influence upper extremity physical strain and physical stress response-A controlled, randomized cross-over, laboratory trial.Surgical endoscopy · 2023Trial
- Impact of robotic assistance on mental workload and cognitive performance of surgical trainees performing a complex minimally invasive suturing task.Surgical endoscopy · 2020Trial
- Intra-operative disruptions, surgeon's mental workload, and technical performance in a full-scale simulated procedure.Surgical endoscopy · 2016Trial
- Effect of a laparoscopic instrument with rotatable handle piece on biomechanical stress during laparoscopic procedures.Surgical endoscopy · 2016Trial
- Decreased heart rate variability in surgeons during night shifts.Canadian journal of surgery. Journal canadien de chirurgie · 2014Trial
- Trial
- Decision Fatigue in the Attending Surgeon: The Neural Accumulation of Micro-decisions Across an Operating Day.Cureus · 2026Review
- Article
- Assessment of a Passive Exoskeleton for Neck and Lower Back Support: A Task Study on Muscle Activity and User Perceived Exertion.Sensors (Basel, Switzerland) · 2026Article
- Addressing mental and physical fatigue in major abdominal surgery by incorporating muscle stretches and hydration mini breaks.Annals of the Royal College of Surgeons of England · 2026Article
- Article
- Optimising ergonomics in minimally invasive gynaecological surgery: a comprehensive review and practice recommendations.Facts, views & vision in ObGyn · 2025Article
- Maximizing Surgical Success by Aligning Interventions to Outcomes: A Systematic Review.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Review
- Importance of Exercise for Career Longevity: Maintaining Fitness, Strength, and Flexibility as a Plastic Surgeon.Plastic and reconstructive surgery. Global open · 2025Article
- A calculator for musculoskeletal injuries prediction in surgeons: a machine learning approach.Surgical endoscopy · 2024Article
Corrections and comments
- Commented on by
Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntermittent work breaks are common in fields with high workload but not yet for surgeons during operations. We evaluated the effects of intraoperative breaks during complex laparoscopic surgery (5 min every half hour) on the surgeon.
methodsFifty-one operations were randomized to a scheme with intraoperative breaks and release of the pneumoperitoneum (intermittent pneumoperitoneum (IPP)) or conventional conduct (CPP). Stress hormones and α-amylase were determined in the surgeon's saliva pre-, intra-, and postoperatively. Mental performance and error scores, musculoskeletal strain, and continuous ECG were secondary endpoints.
resultsRegular intraoperative breaks did not prolong the operation (IPP vs. CPP group: 176 vs. 180 min, p > 0.05). The surgeon's cortisol levels during the operation were reduced by 22 ± 10.3% in the IPP vs. the CPP group (p < 0.05). There were significantly fewer (p < 0.05) intraoperative events in the IPP vs. the CPP group, which yielded higher α-amylase peaks. The pre- to postoperative increase in the error rates of the bp-concentration test was fourfold reduced in the IPP group (p = 0.052). The relevant locomotive strain-scores were grossly reduced by IPP (p < 0.001).
conclusionsOur data support the idea that work breaks during complex laparoscopic surgery can reduce psychological stress and preserve performance without prolongation of the operation time compared with the traditional work scheme.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.