{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T19:55:04Z","timestamp":1781812504218,"version":"3.54.5"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:00:00Z","timestamp":1769126400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:00:00Z","timestamp":1769126400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study evaluates the prevalence, gender differences, and impact of work\u2010related musculoskeletal injuries (WRIs) among minimally invasive surgeons and assesses their ergonomic practices and awareness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study was conducted among surgeons performing minimally invasive surgery (MIS) across subspecialties, including gynecology, urology, orthopedics, general surgery, pediatrics, plastic surgery, and otolaryngology. Participants completed an anonymous electronic questionnaire addressing demographics, lifestyle, health status, WRIs, ergonomic practices, and preventive measures. Descriptive and comparative analyses were performed, and multivariable regression identified independent factors associated with WRIs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixty\u2010nine MIS surgeons responded (48% female, 52% male; mean age 45\u2009years). Half (49.3%) reported at least one WRI, most commonly affecting the neck, back, and wrists. Female surgeons were significantly more likely to experience WRIs compared with male surgeons (69.7% vs. 30.6%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), particularly back, neck, and wrist pain. Preventive measures were inconsistently implemented; male surgeons more often changed surgical approaches, while female surgeons more frequently limited surgical schedules. Robotic surgery alleviated some ergonomic risks but was associated with higher neck pain prevalence compared with non\u2010robotic approaches (43.5% vs. 21.7%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.06). Multivariable regression confirmed female gender as the only independent predictor of WRI (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.007).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Minimally invasive surgeons report a high prevalence of work\u2010related injuries, with significant gender disparities in both injury rates and the adoption of preventive strategies. These findings highlight the need for targeted ergonomic education, gender\u2010sensitive interventions, and systemic improvements to promote surgeon well\u2010being and ensure professional sustainability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70821","type":"journal-article","created":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T09:18:15Z","timestamp":1769159895000},"page":"264-270","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Putting the spotlight on surgeons: Work\u2010related injuries in minimally invasive surgeons"],"prefix":"10.1002","volume":"174","author":[{"given":"Asha","family":"Bhalwal","sequence":"first","affiliation":[{"name":"Advanced Minimally Invasive Gynecologic Surgery, Department of Obstetrics, Gynecology and Reproductive Sciences McGovern Medical School at the University of Texas Health Science Center  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3237-1696","authenticated-orcid":false,"given":"Ran","family":"Matot","sequence":"additional","affiliation":[{"name":"Advanced Minimally Invasive Gynecologic Surgery, Department of Obstetrics, Gynecology and Reproductive Sciences McGovern Medical School at the University of Texas Health Science Center  Houston Texas USA"},{"name":"Sackler School of Medicine Tel\u2010Aviv University  Tel\u2010Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aya","family":"Mohr\u2010Sasson","sequence":"additional","affiliation":[{"name":"Advanced Minimally Invasive Gynecologic Surgery, Department of Obstetrics, Gynecology and Reproductive Sciences McGovern Medical School at the University of Texas Health Science Center  Houston Texas USA"},{"name":"Sackler School of Medicine Tel\u2010Aviv University  Tel\u2010Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,23]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2017.4947"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6126-z"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2020.12.130"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002223"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6460-1"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-016-5020-9"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-018-3674-7"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-016-5247-5"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2020.07.017"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2022.09.552"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/s24123840"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2023.05.056"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCG.0000000000000134"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/17474124.2017.1356225"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2023.08.038"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2024.050395"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2014.03.013"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002845"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-024-03322-y"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-016-5160-y"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqp011"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.20572"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.3171\/2023.11.SPINE23705"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2024.01.003"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.23530"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqv200"}],"container-title":["International Journal of Gynecology &amp; 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