ArticleSurgical endoscopy2015
Development of an arm support system to improve ergonomics in laparoscopic surgery: study design and provisional results.
Article in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 33 citations in OpenAlex.
- 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
- Ergonomic evaluation of the Senhance® robotic system in minimally invasive gynecologic procedures versus conventional laparoscopy: an exploratory study focusing on surgeon's muscle activity.Archives of gynecology and obstetrics · 2026Article
- Ergonomic interventions to reduce upper limb musculoskeletal pain during robotic surgery: a narrative review.Journal of robotic surgery · 2024Review
- Clinical implementation of the Versius robotic surgical system in visceral surgery-A single centre experience and review of the first 175 patients.Surgical endoscopy · 2023Article
- Unpacking the Broad Landscape of Intraoperative Stressors for Clinical Personnel: A Mixed-Methods Systematic Review.Journal of multidisciplinary healthcare · 2023Review
- Assessment of the training program for Versius, a new innovative robotic system for use in minimal access surgery.BMJ surgery, interventions, & health technologies · 2021Article
- Article
- Interventions to improve ergonomics in the operating theatre: A systematic review of ergonomics training and intra-operative microbreaks.Annals of medicine and surgery (2012) · 2020Review
- Stretching and Strength Training to Improve Postural Ergonomics and Endurance in the Operating Room.Plastic and reconstructive surgery. Global open · 2020Article
- Usability assessment of Versius, a new robot-assisted surgical device for use in minimal access surgery.BMJ surgery, interventions, & health technologies · 2020Article
- Study protocol - Interventions to reduce musculoskeletal occupational injury in surgeons and interventionalists: A systematic review.International journal of surgery protocols · 2019Article
- [Hazard assessment and occupational safety measures in surgery : Relevant knowledge on occupational medicine].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2016Review
- Housing design and testing of a surgical robot developed for orthopaedic surgery.Journal of orthopaedic translation · 2016Article
Corrections and comments
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Authors and funding
14 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLaparoscopic surgery (LS) induces physical stress to the surgeon that is associated with an increased prevalence of musculoskeletal pain and injury in the shoulder-neck region. The aim of this research project is to develop an arm support system (ASsyst) that reduces physical stress and is applicable to various laparoscopic interventions and operation room settings.
methodsA systematic approach to develop an ASsyst started in October 2012 consisting of five consecutive steps. In step 1, 14 laparoscopic interventions were observed using subjective and objective measures to determine key indicators for the conception of an ASsyst in LS. In step 2, an expert workshop was held to find and evaluate solutions to generate concepts for a support system based on the results of step 1 and general methods. During the third step, prototypes of ASsyst were tested in an experimental setting. Steps 4 and 5 are currently in process and include the final development of the ASsyst using the most promising concept for the evaluation during simulated LS.
resultsIncreased levels of physical stress were found in LS. Asymmetric strains were common. Three prototypes of ASsyst emerged from step 1 and 2. These prototypes were a cable construction with a noose for the lower arm, a support from below the elbow and a pneumatic vest supporting the upper arm. The experimental testing of these prototypes demonstrated reduced physical stress when compared to the unsupported environment. The support from below the elbow seemed to be the most practical in terms of implementation in various operation room settings and acceptance by surgeons. Step 4 and 5 are still in process.
conclusionsErgonomic problems have been identified in LS that could be addressed by an ASsyst. The concept of supporting the elbow from below has been found to be the most promising approach.
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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.