WTP5.8 An International Multispecialty Survey of Work-Related Musculoskeletal Pain in Laparoscopic Surgeons

Abstract

Abstract Aims Maintenance of uncomfortable body positions during laparoscopic surgery may lead to work-related musculoskeletal disorders in surgeons. Increasing laparoscopic surgical adoption worldwide necessitates understanding of the nature & extent of the impact on surgeons’ physical health. Methods An international open online survey of multispecialty laparoscopic surgeons was undertaken in 2022, with support from ASGBI. This was designed and reported in accordance with the CHERRIES checklist for internet e-survey research. There were no incentives offered or paid advertising. Questions included assessment of surgical experience, incidence, nature, and sequelae of pain. Results There were 259 respondents from 9 specialties across 32 different countries, with 90% reporting pain attributable to performing laparoscopic surgery. All training grades were represented. Longer average operative duration (>4hrs vs <1hr) and a greater number of years in practice (>15yrs vs <5yrs) were both associated with a significantly higher pain prevalence (p<0.01 & p=0.041 respectively). Surgeons with a pre-existing injury were significantly more likely to report pain than those without (p=0.029). Early retirement due to pain was being considered by 20%, particularly those performing longer operations. Thirty-five percent of surgeons sought treatment for laparoscopic induced pain, ranging from analgesia to surgery. Conclusions The physical impact of performing laparoscopic surgery is significant and consistent across specialties and countries. Particular at-risk groups are those with prior injuries and longer operation times. Innovations such as robotic surgery and improved ergonomic education need further evaluation as to whether they may mitigate against these issues.