Ergonomic and safety insights in minimal invasive surgery

Casper Dirk Paul van 't Hullenaar

Research output: ThesisPhD Thesis - Research external, graduation UTAcademic

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Abstract

This dissertation describes several studies that relate to the safety and ergonomics of minimally invasive surgery. The first part of this thesis describes the origin and the application of checklists in the operating room. Also, the effects of a checklist are validated and described. To reduce the number of errors, and to create as few technical and instrumental errors as possible during a procedure, a checklist is essential.

The second part of this thesis describes several research projects related to the basic ergonomics of laparoscopic and robot assisted surgical procedures. In order to improve the current sitting position in a surgical console, the console ergonomics were analysed and a special console chair was designed. Also, the disadvantages of the current console design are described and proposals for future improvements are made.

Part 3 of the thesis describes the role of robot assisted procedures in relation to ergonomics. In one of the studies, a training program was designed and tested with 26 trainees. The results show that such a training program can be very effective in improving the sitting position in the console. In chapter 9, the role of the first assistant / scrub nurse is discussed. After analysis, there was established that they suffer from high physical workload. Simple changes and advices can lead to a severe reduction in workload. Finally, this thesis describes how robotic camera holders can reduce the ergonomic impact of an operation. The first assistant can mainly benefit from such a robotic camera holder. When working with this device, the first assistant can now focus on just one task and displays a significantly lower Rapid Upper Limb Assessment (RULA) ergonomic score.
Original languageEnglish
Awarding Institution
  • University of Twente
Supervisors/Advisors
  • Broeders, Ivo Adriaan Maria Johannes, Supervisor
  • Ruurda, J.P., Co-Supervisor
Award date13 Sep 2018
Place of PublicationEnschede
Publisher
Print ISBNs978-90-365-4594-5
DOIs
Publication statusPublished - 13 Sep 2018

Fingerprint

Human Engineering
Safety
Checklist
Robotics
Workload
Posture
Education
Minimally Invasive Surgical Procedures
Operating Rooms
Upper Extremity
Nurses
Equipment and Supplies
Research

Cite this

van 't Hullenaar, C. D. P. (2018). Ergonomic and safety insights in minimal invasive surgery. Enschede: University of Twente. https://doi.org/10.3990/1.9789036545945
van 't Hullenaar, Casper Dirk Paul. / Ergonomic and safety insights in minimal invasive surgery. Enschede : University of Twente, 2018. 165 p.
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van 't Hullenaar, CDP 2018, 'Ergonomic and safety insights in minimal invasive surgery', University of Twente, Enschede. https://doi.org/10.3990/1.9789036545945

Ergonomic and safety insights in minimal invasive surgery. / van 't Hullenaar, Casper Dirk Paul.

Enschede : University of Twente, 2018. 165 p.

Research output: ThesisPhD Thesis - Research external, graduation UTAcademic

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van 't Hullenaar CDP. Ergonomic and safety insights in minimal invasive surgery. Enschede: University of Twente, 2018. 165 p. https://doi.org/10.3990/1.9789036545945