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Effect of laparoscopic handle size on surgical performance: A randomized crossover trial.
Tsumanuma, Fernanda Keiko; Hembecker, Paula Karina; Claus, Christiano Marlo Paggi; Loureiro, Marcelo de Paula; Reinert, Fabíola; Abreu de Souza, Mauren.
Afiliación
  • Tsumanuma FK; Graduate Program in Health Technology, Pontifical Catholic University of Paraná (PUC-PR), Imaculada Conceição St., 1155, Curitiba, Paraná, 80215-901, Brazil.
  • Hembecker PK; Graduate Program in Health Technology, Pontifical Catholic University of Paraná (PUC-PR), Imaculada Conceição St., 1155, Curitiba, Paraná, 80215-901, Brazil. Electronic address: paula@phocupacional.com.br.
  • Claus CMP; Department of Surgery, Nossa Senhora das Graças Hospital, Alcides Munhoz St., 433, Curitiba, Paraná, 80810-040, Brazil.
  • Loureiro MP; Graduate Program in Industrial Biotechnology, Positivo University, Prof. Pedro Viriato Parigot de Souza St., 5.300, Curitiba, Paraná, 80740-050, Brazil.
  • Reinert F; Department of Design and Graphic Expression, Federal University of Santa Catarina (UFSC), Campus Universitário Reitor João David Ferreira Lima, s/n, Florianópolis, Santa Catarina, 88040-900, Brazil.
  • Abreu de Souza M; Graduate Program in Health Technology, Pontifical Catholic University of Paraná (PUC-PR), Imaculada Conceição St., 1155, Curitiba, Paraná, 80215-901, Brazil.
Med Eng Phys ; 127: 104165, 2024 05.
Article en En | MEDLINE | ID: mdl-38692768
ABSTRACT
Laparoscopic instrument handles design and dimensions are crucial to determine the configuration of surgeons' hand grip and, therefore, can have a deleterious effect on overall surgical efficiency and surgeons' comfort. The aim of this study is to investigate the impact of laparoscopic handle size and hand surface area on surgical task performance. A single-blind, randomized crossover trial was carried out with 29 novice medical students. Participants performed three simulated tasks in "black box" simulators using two scissor-type handles of different sizes. Surgical performance was assessed by the number of errors and time required to complete each task. Hand anthropometric data were measured using a 3D scanner. Execution time was significantly higher when cutting and suturing tasks were performed with the smaller handle. In addition, hand surface area was positively correlated with peg transfer task time when performed with the standard handle and was correlated with cutting task time in small and standard handle groups. We also found positive correlations between execution time and the number of errors executed by larger-handed participants. Our findings indicate that laparoscopic handle size and hand area influence surgical performance, highlighting the importance of considering hand anthropometry variances in surgical instrument design.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Estudios Cruzados Límite: Adult / Female / Humans / Male Idioma: En Revista: Med Eng Phys Asunto de la revista: BIOFISICA / ENGENHARIA BIOMEDICA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Laparoscopía / Estudios Cruzados Límite: Adult / Female / Humans / Male Idioma: En Revista: Med Eng Phys Asunto de la revista: BIOFISICA / ENGENHARIA BIOMEDICA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido