Surgical Ergonomics for Urologists
Surgical Ergonomics to be practiced by Urologists are given not much importance during our practice and could be not given any consideration during training. Poor knowledge in Ergonomics results in many problems which could shorten the overall performance of the Urologists. Understanding Ergonomics desired to be followed for each variety of surgery will definitely help the Urologist from various musculoskeletal injuries, Rampant but not given attention it is due, so commonly associated with operative procedures we perform.
In the past, most of us who were performing Lower Tract Endourology predominantly were afflicted with Neck Pain and Backaches and instead of giving attention to them; we considered it as part of our profession. With the availability of Endocamera during procedures, this mitigated to some extent but many still had to deal with them. With Open Urological procedures being replaced by Endourological Procedures with lap and Robotics assuming more space, the problems of associated with it have surfaced due t lack of understanding regarding the Ergonomics we have to follow. Today in addition to the injuries mentioned earlier, many have Shoulder problems as well.
The article provided should be understood by all of us and implementations of the recommendations offered should be followed as a routine.
Unfortunately many of the mentors who have take responsibility for training do not follow the needed ergonomics to be followed leaving the trainees at bay as they are not properly instructed.
For ensuring long life as a Urologist, we have to help not only us but our trainees by teaching them how to perform procedures with least strain.
C. Mallikarjuna, has given few talks on the need for us to understand Ergonomics of procedures we practice and hope we will have his commentary on this. There are several Urologists now proficient in Lap and Robotics and their experience in the field would be valuable for us.
With warm Regards,