Work

Ergonomics in the operating room: transition from open to image-based surgery

Year: 2008
Type: dissertation
Abstract: At several specializations, more often minimal invasive procedures are performed instead of open surgery. Laparoscopy is a minimal invasive technique, which is carried out in the abdominal cavity. In spite of the fact that surgical principles are the same for open and laparoscopic procedures, laparoscopy has changed the way of interaction between the surgical team and the operating field in many ways. These changes however have not led to the required adaptations in the operation room to improve the surgical quality and to optimize the work conditions of the surgical team. In this respect, ergonomics can play a role to fit the work environment to the user and improve the surgical quality accordingly. The aim of this thesis is to improve the surgical quality by applying ergonomics (physical, sensory and cognitive) in the operating room. This thesis discusses different studies. The current situation in the Dutch hospitals concerning ergonomics and the aptitude of the operating rooms for laparoscopy is mapped out. Furthermore, in the field of physical ergonomics a product solution, which reduces the physical complaints and the discomfort that the surgical team experiences during procedures, is proposed and evaluated. Subsequently, the sensorial and cognitive aspects of laparoscopic procedures and in particular the image quality during laparoscopic surgery are assessed. This study consists of objective and subjective measurements in thirty-six Dutch hospitals. At last, the results are translated into solutions and methods, which can be applied both by the designers and by the surgical team.
Language: English
Open Access status: green
OpenAlex ID: W2139666655
Cites: 12
Cited by: 3
Related to: 10