TY - JOUR
T1 - Surgeon Postures during Deep Inferior Epigastric Perforator Flap Breast Reconstruction Procedures
T2 - 64th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2020
AU - Wang, Tianke
AU - Law, Katherine E.
AU - Harless, Christin
AU - Nguyen, Minh Doan
AU - Susan Hallbeck, M.
N1 - Publisher Copyright:
© 2020 by Human Factors and Ergonomics Society. All rights reserved.
PY - 2020
Y1 - 2020
N2 - Deep inferior epigastric perforator (DIEP) flap is a surgical procedure using tissue harvested from the abdominal area to reconstruct the breast after a mastectomy. Primary surgical phases include the abdominal flap harvest, chest dissection, and anastomosis. In this study, inertial measurement units (IMUs) were used to measure surgeon upper body postures while performing DIEP flap procedures. Ergonomic risks of musculoskeletal disorders were evaluated using the Rapid Upper Limb Assessment (RULA) based on the postures obtained from the IMUs. Joint angles were analyzed using a one-way ANOVA. The neck and back had higher joint angles during the abdominal flap (M=32°, 17°, respectively) and chest dissection (M=31°, 18°, respectively) phases than the anastomosis phase. These high-risk postures may lead to musculoskeletal disorders. Future interventions should focus on improving the postures of the neck and back during the abdominal flap and chest dissection phases of the procedure.
AB - Deep inferior epigastric perforator (DIEP) flap is a surgical procedure using tissue harvested from the abdominal area to reconstruct the breast after a mastectomy. Primary surgical phases include the abdominal flap harvest, chest dissection, and anastomosis. In this study, inertial measurement units (IMUs) were used to measure surgeon upper body postures while performing DIEP flap procedures. Ergonomic risks of musculoskeletal disorders were evaluated using the Rapid Upper Limb Assessment (RULA) based on the postures obtained from the IMUs. Joint angles were analyzed using a one-way ANOVA. The neck and back had higher joint angles during the abdominal flap (M=32°, 17°, respectively) and chest dissection (M=31°, 18°, respectively) phases than the anastomosis phase. These high-risk postures may lead to musculoskeletal disorders. Future interventions should focus on improving the postures of the neck and back during the abdominal flap and chest dissection phases of the procedure.
UR - https://www.scopus.com/pages/publications/85145614804
UR - https://www.scopus.com/inward/citedby.url?scp=85145614804&partnerID=8YFLogxK
U2 - 10.1177/1071181320641143
DO - 10.1177/1071181320641143
M3 - Conference article
AN - SCOPUS:85145614804
SN - 1071-1813
VL - 64
SP - 632
EP - 633
JO - Proceedings of the Human Factors and Ergonomics Society
JF - Proceedings of the Human Factors and Ergonomics Society
IS - 1
Y2 - 5 October 2020 through 9 October 2020
ER -