Table 1 ESTEEMA Phase 1 and 2 surveys of SingHealth general surgery residents following minimally invasive abdominal surgery (MAS).
Question | Options |
|---|---|
Resident characteristics | |
1.Gender | Male/Female |
2.Height | (cm) |
3.Dominant hand | Right/Left |
4.Glove size | 5.5/ 6/ 6.5/ 7/ 7.5/ 8 |
5.Year of residency training | Year 1/2/3/4/5 |
Surgery characteristics | |
6.Surgical role | Cameraman/Primary assistant |
7.Conventional laparoscopy or robotic laparoscopy | Laparoscopic/Robotic |
8.Surgical duration | (hours) |
9.Brief description of surgical procedure e.g., anterior resection, gastrectomy | Free text |
10.Complexity of surgery (perceived) | Routine/Complex |
Physical symptoms | |
11.Degree of physical discomfort (i.e., numbness, stiffness, fatigue, or pain) in each body part during or immediately following surgery (1 = no discomfort; 5 = maximum discomfort) | Eyes – 1/2/3/4/5 Neck – 1/2/3/4/5 Shoulder/Arm – 1/2/3/4/5 Wrist/Hand/Finger – 1/2/3/4/5 Trunk – 1/2/3/4/5 Back – 1/2/3/4/5 Leg – 1/2/3/4/5 Foot – 1/2/3/4/5 |
Perceived risk factors (Phase 1 only) | |
12.Factor(s) contributing to physical discomfort (current surgery) Note: not limited to one risk factor | A. Restricted posture B. Uncomfortable table height/position C. Procedural difficulties D. Long surgical duration E. Height disparity with operating surgeon F. Television monitor angle/position G. Others (Free text) |
Suggested measures for ergonomic improvement (Phase 1 only) | |
13.Measure(s) which may be useful to reduce surgical assistant physical discomfort (for future surgeries of the same type) Note: not limited to one suggestion | A. Separate monitors for surgeon and assistants B. Allowing assistant to sit on adjustable chair C. Intraop feedback on table height/position D. Intraop feedback on monitor angle/position E. Intraop feedback on positional changes F. 5-min break every 1–2 h of surgery G. Others (Free text) |
Evaluation of ergonomic improvement measures (Phase 2 only) | |
A. Separate monitors for surgeon and assistant B. Allowing assistant to sit on adjustable chair C. Intraop feedback on table height/position D. Intraop feedback on monitor angle/position E. Intraop feedback on positional changes F. 5-min break every 1–2 h of surgery | 1. Evaluated and useful 2. Evaluated and not useful 3. Not evaluated Note: each measure was individually assessed |
