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• W3201259046 abstract "Poor ergonomics are a cause of chronic pain and disability for many surgeons, reducing career longevity and threatening the public’s access to surgical care. From the ergonomic standpoint, male fertility microsurgery can be potentially hazardous to the surgeon, especially during prolonged vasectomy reversal. The 4K-3D ORBEYE exoscope offers better ergonomics compared to the traditional operating microscope. However, no study has evaluated an objective means to measure surgeons’ ergonomic stress during microsurgery. We compared the ergonomic risk of male fertility microsurgery using wearable sensor inertial measurement units (IMUs) to monitor the ergonomics of 4K-3D exoscope vs operating microscope. Preoperatively, surgeons had 3 IMUs placed on their head, torso, and upper arms to measure deviations from neutral body position.The IMU sensors measure body-posture angles via the fusion of data from an accelerometer, magnetometer, and gyroscope contained within each sensor. After processing, ergonomic risk was assessed by calculating the percentage of time spent in a specified range of risk categories for each body segment, facilitating stratification into ergonomic risk categories. Objectively measured ergonomic risk was compared between 4K-3D exoscope and standard operating microscope. Overall, surgeons spent 29% of procedure time in high-risk neck positions. High-risk positions for the head and torso were observed during 15% and 6% of the minutes of procedure time, respectively while using the 4K-3D exoscope. On the other hand, surgeons spend a longer time in high-risk positions while using the standard operating microscope (38% for torso and 8% for shoulder). The highest postural neck risk for surgeons was during standard operating microscope vs 4K-3D exoscope (OR = 8.4; p<0.001). To the best of our knowledge, this is the very first report evaluating the ergonomics of the ORBEYE exoscope during male fertility microsurgery. This study demonstrates the utility of wearable technology as a means to assess surgeons’ ergonomics and posture during male fertility microsurgery, providing evidence and method for future research in other urological subspecialties." @default.
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• W3201259046 date "2021-09-01" @default.
• W3201259046 modified "2023-09-26" @default.
• W3201259046 title "MEASURING ERGONOMIC RISK BY USING WEARABLE TECHNOLOGY: A COMPARISON OF A 4K-3D EXOSCOPE TO THE OPERATING MICROSCOPE IN MALE FERTILITY MICROSURGERY" @default.
• W3201259046 doi "https://doi.org/10.1016/j.fertnstert.2021.07.265" @default.
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