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Impact of minimally invasive surgery on surgeon health (ISSUE) study: protocol of a single-arm observational study conducted in the live surgery setting.

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posted on 2023-04-14, 09:13 authored by Anumithra Amirthanayagam, Massimiliano Zecca, Shaun Barber, Baljit Singh, Esther L Moss
The rapid evolution of minimally invasive surgery has had a positive impact on patient outcomes; however, it is reported to be associated with work-related musculoskeletal symptoms (WMS) in surgeons. Currently there is no objective measure to monitor the physical and psychological impact of performing a live surgical procedure on the surgeon. A single-arm observational study with the aim of developing a validated assessment tool to quantify the impact of surgery (open/laparoscopic/robotic-assisted) on the surgeon. Development and validation cohorts of major surgical cases of varying levels of complexity performed by consultant gynaecological and colorectal surgeons will be recruited. Recruited surgeons wear three Xsens DOT monitors (muscle activity) and an Actiheart monitor (heart rate). Salivary cortisol levels will be taken and questionnaires (WMS and State-Trait Anxiety Inventory) completed by the participants preoperatively and postoperatively. All the measures will be incorporated to produce a single score that will be called the 'S-IMPACT' score. Ethical approval for this study has been granted by the East Midlands Leicester Central Research Ethics Committee REC ref 21/EM/0174. Results will be disseminated to the academic community through conference presentations and peer-reviewed journal publications. The S-IMPACT score developed within this study will be taken forward for use in definitive multicentre prospective randomised control trials.

Funding

This study is funded by an Intuitive Surgical Research grant RM60G0742.

History

Citation

Amirthanayagam A, Zecca M, Barber S, et alImpact of minimally invasive surgery on surgeon health (ISSUE) study: protocol of a single-arm observational study conducted in the live surgery setting BMJ Open 2023;13:e066765. doi: 10.1136/bmjopen-2022-066765

Author affiliation

Leicester Clinical Trials Unit

Version

  • VoR (Version of Record)

Published in

BMJ Open

Volume

13

Issue

3

Pagination

e066765

Publisher

BMJ Publishing Group

issn

2044-6055

eissn

2044-6055

Acceptance date

2023-02-14

Copyright date

2023

Available date

2023-03-07

Spatial coverage

England

Language

eng

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