EMG Response in Forearm and Neck Muscles When Comparing Surgical Techniques.

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

9 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-05-06

Study Completion Date

2025-09-08

Brief Summary

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Surgeons are performing an increasing number of minimal access procedures because these offer certain advantages including improved recovery times. However, this also results in surgeons operating for longer periods which inevitably increases the already known prevalence of work-related Musculoskeletal (MSK) injuries amongst surgeons. Work-related MSK disorders account for 26 - 47.5% of illnesses and injuries due to overexertion and repetitive use, in professionals with ergonomically challenging jobs. Robotic-assisted laparoscopic surgery (RALS) is a modern technology that could help mitigate these MSK problems and thereby improve patient care. In comparison to standard laparoscopic surgery (LS), RALS offers steadier wrist movements with a reduced fulcrum effect, thus benefiting the patient.

No study has compared the demands of RALS vs. LS on musculoskeletal fatigue (and subsequent injury risk). The investigators need to determine whether a career using RALS is associated with better musculoskeletal health of surgeons than standard LS when performing complex minimally invasive procedures.

The study will recruit Surgeons who perform prostate and bowel surgical procedures who have experience using RALS and/or LS. Surgeons will complete a series of validated questionnaires before and after each surgery to subjectively determine musculoskeletal strain/pain and will have body composition quantified.

They will be fitted with EMG (to measure muscle fatigue) whilst performing real-life surgery. Analysis of data gathered will be used to show what the short- and long- term musculoskeletal demands are and in turn determine if these are associated with changes in motor control.

The researcher's postulated hypothesis is that RALS should have less musculoskeletal effects both short and long term on surgeons, therefore, highlighting the fact that the implementation of RALS should be less controversial, because in the long run, the most expensive objects in the operating room are the personnel.

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Detailed Description

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Conditions

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Surgical Fatigue

Study Design

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Observational Model Type

COHORT

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Robot-Assisted Laparoscopic Surgery

Surgeons performing robot assisted laparoscopic surgery.

No Interventions

Intervention Type OTHER

Observational study.

Laparoscopic Surgery

Surgeons performing manual laparoscopic surgery.

No Interventions

Intervention Type OTHER

Observational study.

Interventions

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No Interventions

Observational study.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Either a laparoscopic or robot-assisted laparoscopic surgeon.
* Good musculoskeletal health.
* Adult.

Exclusion Criteria

* Procedures with major complications (above 50% more time than the average for that surgery).
* Significant co- morbidities that could affect the results of the study. Significant symptoms of musculoskeletal disorder.
* Anything the investigator feels will affect the study's measurements of safety.

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes