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Ergonomics in neurosurgery: basics of training for MIN
EANS Academy. Resch K. 09/25/19; 275844; EP10021
Prof. Klaus Resch
Prof. Klaus Resch

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Abstract
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Objective: The field of ergonomics is shown as important to neurosurgery because of rising problems during evolution of techniques and equipment. The neurosurgeon himself is recommended to be seen as a part of the common system: patient < > surgeon < > technique. In the PICO-Project (Para-endoscopic Intuitive Computer assisted Operation system) these experiences were applied during planning and manufacturing a new neuro-endoscopic operation system. This concept also is a basic of training in Minimal Invasive Neurosurgery (MIN).
Methods: Preclinical laboratory work during a 25-year period showed evidence to study ergonomics conditions during para-endoscopic operation simulation. The trans-endoscopic instrumentation was replaced by para-endoscopic working to integrate the advantages of microsurgical instrumentation with endoscopic visualization.
Results: Three ergonomic application fields in MIN are founded during these experiences:
1. spacial-, 2. procedural- and 3. mental- ergonomics. This summary of a 25-year preclinical laboratory work was culminating in a para-endoscopic operation simulation model, from which later clinically the endoscopic assisted microneurosurgery was derived.
Conclusion: The recognition of the three described preliminary ergonomic application fields can be seen as basic for training in minimal invasive neurosurgery (MIN).
Ergonomics knowledge and concepts are prerequisites for MIN of the future.
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