Why the study?
Flexible ureteroscopy indications have broadened to complex renal stones with long operative times, requiring better surgeon understanding of ergonomics and theatre layout to improve performance and surgical outcomes.
Understanding and implementing proper ergonomics during flexible ureteroscopy can decrease musculoskeletal strains for surgeons and improve work efficiency.
Ergonomic awareness in FURS may aid performance for complex stones; leaves open prospective validation before practice change.
The technological advancements of flexible ureteroscopy (FURS) and its accessories have resulted in broadening its indications to include the management of complex renal stones, with long operative time. The surgeon's understanding about the ergonomics of the ureteroscopes and their cognizance of the operation theatre layout helps to improve their performance, including the surgical outcomes. This paper will describe the ergonomics that are involved in conducting FURS which in turn will aid in developing a more conducive surgical environment for the surgeon during the procedure, based on scientific literature review and expert opinions in high-volume centres. Proper surgeon position, well-arranged operation theatre layout, monitor and pedal position, anaesthesia type, and surgical team are important factors to decrease musculoskeletal strains for surgeons and increase work efficiency. Different types of flexible ureteroscope have different characters and knowing these special characters leads to better ergonomics during surgery. Robotic-assisted FURS have shown good safety and ergonomics in clinical application.
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Alnadhari et al. (2021) studied this question.
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