In this video, we will discuss that In the era of advanced laparoscopic and robotic procedures, the spotlight often remains on surgical outcomes and technology. However, behind every successful minimal access surgery is a surgeon whose performance is directly influenced by their physical comfort and working environment. This video, titled "Ergonomics in Minimal Access Surgery: Enhancing Precision While Protecting the Surgeon," explores how applying ergonomic principles in the operating room enhances surgical accuracy while preventing occupational injuries and fatigue.

Why Ergonomics Matter in Minimal Access Surgery

Minimal access surgery involves operating through small incisions using long instruments under two-dimensional or robotic visualization. These procedures demand precise hand movements, long static postures, and visual concentration—all of which can lead to cumulative physical strain on the surgeon. Without attention to ergonomics, surgeons are at risk of developing musculoskeletal disorders (MSDs), including neck stiffness, shoulder pain, wrist strain, and lower back discomfort.

Key Aspects of Ergonomics Covered in the Video

Port Placement Strategy

Proper triangulation and alignment of trocars ensures optimal instrument mobility and minimizes surgeon fatigue. The video demonstrates how to strategically position working and camera ports to maintain natural hand posture and maximize efficiency.

Monitor Positioning

The surgeon’s line of sight should be level with or slightly below the monitor, placed directly in front of them. This minimizes neck rotation and flexion, reducing eye strain and cervical discomfort.

Operating Table and Instrument Height

The height of the operating table should allow the surgeon to work with elbows close to the body and forearms parallel to the floor. Adjusting the setup helps reduce unnecessary muscle tension in the arms and shoulders.

Instrument Design and Grip Type

Ergonomic handle designs—such as pistol grips, inline handles, and finger loops—are discussed, along with how they reduce grip force and improve precision, especially during fine movements like suturing.

Surgeon Posture and Foot Pedal Position

The video emphasizes the importance of a balanced stance, correct body positioning, and proper placement of foot pedals to avoid awkward angles and leg strain during procedures.

Ergonomic Challenges in Robotic Surgery

While robotic platforms improve hand dexterity, they present new ergonomic considerations. The video touches on console setup, hand rest position, and eye alignment to reduce fatigue during long robotic procedures.

Breaks and Physical Conditioning

Short intraoperative pauses and post-surgery stretching are recommended to prevent repetitive stress injuries and promote long-term health.

Benefits of Ergonomic Optimization

Enhanced surgical precision and control
Reduced physical fatigue and procedural errors
Lower incidence of surgeon burnout and injuries
Increased career longevity and operative endurance
Improved team dynamics and OT efficiency

Conclusion

Ergonomics in minimal access surgery is not a luxury—it’s a necessity. It ensures not only the comfort and well-being of the surgical team but also directly affects patient safety and operative success. By adopting ergonomic best practices, surgeons can perform with greater accuracy, stamina, and confidence, especially during complex or lengthy procedures.

Watch the full video to explore practical, evidence-based strategies for optimizing ergonomics in your surgical practice. Don’t forget to like, comment, and subscribe for more educational insights from World Laparoscopy Hospital.