Ergonomic assessment of the first assistant during robot-assisted surgery View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-04

AUTHORS

Cas D. P. van’t Hullenaar, Paula Bos, Ivo A. M. J. Broeders

ABSTRACT

The use of the da Vinci robot in minimal invasive surgery comes with numerous advantages. Recent papers describe improvements in the ergonomic environment and benefits for the surgeon's posture in the console. Ergonomics for first assistants or scrub nurses at the OR table during robot-assisted procedures, however, have gained minor attention. The aim of this study, therefore, is to analyse the ergonomic environment specifically for first assistants during robot-assisted surgery. Three techniques were used to evaluate body posture and ergonomics during three discriminated actions. First of all, a questionnaire was conducted. Second, sagittal and dorsal photographs of all first assistants were shot. From these photographs, joint angles of the trunk, neck, shoulder, elbow, pelvic girdle and spine were calculated and rapid upper limb assessment (RULA) scores were determined. In addition, intra-observer variability was assessed to determine the robustness of the results. Lastly, the number of obstructions during the surgery was registered by an observer present at the operation theatre. The questionnaires displayed that 73% of the first assistants were in uncomfortable working positions for longer periods of time. Twenty percent of the participants even report pain or visible bruising due to hinderance of the robot arm. Furthermore, an average of 2.8 obstructions per surgical procedure was registered, mainly affecting the lower arm (60%). The photographs demonstrated that all joint angles, except for the elbow joint, are potentially harmful when assisting during robot-assisted surgery. RULA scores revealed high-risk ergonomic risk scores for all measured actions. Tissue traction was recognized as the action with the highest physical workload. During robot-assisted surgery, first assistants experience non-ergonomic trunk, neck and shoulder angles. These recordings are supported by posture analysis. Tissue traction is reported as the most intensive action by the nurses. Tacking, however, can lead to the most unfavourable RULA score. The surgeon's awareness of the position of the robot arms could reduce the number of obstructive moments for the first assistant. Lowering the number of instrument replacements is plausible to lead to better ergonomic postures for first assistant. More... »

PAGES

283-288

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11701-018-0851-0

DOI

http://dx.doi.org/10.1007/s11701-018-0851-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1105778690

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30043126


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "University of Twente", 
          "id": "https://www.grid.ac/institutes/grid.6214.1", 
          "name": [
            "Department of Surgery, Meander Medical Centre, Maatweg 3, 3813 TZ, Amersfoort, The Netherlands", 
            "Department of Technical Medicine, Twente University, Noordhorst (NH101), Postbus 217, 7500 AE, Enschede, The Netherlands"
          ], 
          "type": "Organization"
        }, 
        "familyName": "van\u2019t Hullenaar", 
        "givenName": "Cas D. P.", 
        "id": "sg:person.016225274557.82", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016225274557.82"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Twente", 
          "id": "https://www.grid.ac/institutes/grid.6214.1", 
          "name": [
            "Department of Technical Medicine, Twente University, Noordhorst (NH101), Postbus 217, 7500 AE, Enschede, The Netherlands"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Bos", 
        "givenName": "Paula", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "University of Twente", 
          "id": "https://www.grid.ac/institutes/grid.6214.1", 
          "name": [
            "Department of Surgery, Meander Medical Centre, Maatweg 3, 3813 TZ, Amersfoort, The Netherlands", 
            "Department of Technical Medicine, Twente University, Noordhorst (NH101), Postbus 217, 7500 AE, Enschede, The Netherlands"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Broeders", 
        "givenName": "Ivo A. M. J.", 
        "id": "sg:person.015715323134.92", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.015715323134.92"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.3109/13645701003643972", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1000482980"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.bpg.2013.12.001", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1009609059"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-014-3604-9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011140214", 
          "https://doi.org/10.1007/s00464-014-3604-9"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.sla.0000103020.19595.7d", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1013048580"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.sla.0000103020.19595.7d", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1013048580"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-014-3916-9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1019384032", 
          "https://doi.org/10.1007/s00464-014-3916-9"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-002-9105-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1022124261", 
          "https://doi.org/10.1007/s00464-002-9105-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.aju.2011.12.005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039741917"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11701-007-0016-z", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1041320644", 
          "https://doi.org/10.1007/s11701-007-0016-z"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/0003-6870(93)90080-s", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1044346834"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/0003-6870(93)90080-s", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1044346834"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1553350615577480", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1048827738"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1553350615577480", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1048827738"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-005-0162-1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051411975", 
          "https://doi.org/10.1007/s00464-005-0162-1"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-005-0162-1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051411975", 
          "https://doi.org/10.1007/s00464-005-0162-1"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1080/00140130110087437", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1052688258"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1089/end.2013.0654", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1059260187"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0000000000002223", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1084196721"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0000000000002223", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1084196721"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1515/iss-2017-0007", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1084806818"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2019-04", 
    "datePublishedReg": "2019-04-01", 
    "description": "The use of the da Vinci robot in minimal invasive surgery comes with numerous advantages. Recent papers describe improvements in the ergonomic environment and benefits for the surgeon's posture in the console. Ergonomics for first assistants or scrub nurses at the OR table during robot-assisted procedures, however, have gained minor attention. The aim of this study, therefore, is to analyse the ergonomic environment specifically for first assistants during robot-assisted surgery. Three techniques were used to evaluate body posture and ergonomics during three discriminated actions. First of all, a questionnaire was conducted. Second, sagittal and dorsal photographs of all first assistants were shot. From these photographs, joint angles of the trunk, neck, shoulder, elbow, pelvic girdle and spine were calculated and rapid upper limb assessment (RULA) scores were determined. In addition, intra-observer variability was assessed to determine the robustness of the results. Lastly, the number of obstructions during the surgery was registered by an observer present at the operation theatre. The questionnaires displayed that 73% of the first assistants were in uncomfortable working positions for longer periods of time. Twenty percent of the participants even report pain or visible bruising due to hinderance of the robot arm. Furthermore, an average of 2.8 obstructions per surgical procedure was registered, mainly affecting the lower arm (60%). The photographs demonstrated that all joint angles, except for the elbow joint, are potentially harmful when assisting during robot-assisted surgery. RULA scores revealed high-risk ergonomic risk scores for all measured actions. Tissue traction was recognized as the action with the highest physical workload. During robot-assisted surgery, first assistants experience non-ergonomic trunk, neck and shoulder angles. These recordings are supported by posture analysis. Tissue traction is reported as the most intensive action by the nurses. Tacking, however, can lead to the most unfavourable RULA score. The surgeon's awareness of the position of the robot arms could reduce the number of obstructive moments for the first assistant. Lowering the number of instrument replacements is plausible to lead to better ergonomic postures for first assistant.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s11701-018-0851-0", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": false, 
    "isPartOf": [
      {
        "id": "sg:journal.1038416", 
        "issn": [
          "1863-2483", 
          "1863-2491"
        ], 
        "name": "Journal of Robotic Surgery", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "2", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "13"
      }
    ], 
    "name": "Ergonomic assessment of the first assistant during robot-assisted surgery", 
    "pagination": "283-288", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "da6709c8ce54b5bf3e4861fd32f201565f56933828ea21b2916fcc6206279f0c"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "30043126"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "101300401"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s11701-018-0851-0"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1105778690"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s11701-018-0851-0", 
      "https://app.dimensions.ai/details/publication/pub.1105778690"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T13:17", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000368_0000000368/records_78938_00000000.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://link.springer.com/10.1007%2Fs11701-018-0851-0"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s11701-018-0851-0'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s11701-018-0851-0'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s11701-018-0851-0'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s11701-018-0851-0'


 

This table displays all metadata directly associated to this object as RDF triples.

133 TRIPLES      21 PREDICATES      44 URIs      21 LITERALS      9 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s11701-018-0851-0 schema:about anzsrc-for:11
2 anzsrc-for:1103
3 schema:author N09e52ccaf8ba4780b3831819142b2a17
4 schema:citation sg:pub.10.1007/s00464-002-9105-2
5 sg:pub.10.1007/s00464-005-0162-1
6 sg:pub.10.1007/s00464-014-3604-9
7 sg:pub.10.1007/s00464-014-3916-9
8 sg:pub.10.1007/s11701-007-0016-z
9 https://doi.org/10.1016/0003-6870(93)90080-s
10 https://doi.org/10.1016/j.aju.2011.12.005
11 https://doi.org/10.1016/j.bpg.2013.12.001
12 https://doi.org/10.1080/00140130110087437
13 https://doi.org/10.1089/end.2013.0654
14 https://doi.org/10.1097/01.sla.0000103020.19595.7d
15 https://doi.org/10.1097/sla.0000000000002223
16 https://doi.org/10.1177/1553350615577480
17 https://doi.org/10.1515/iss-2017-0007
18 https://doi.org/10.3109/13645701003643972
19 schema:datePublished 2019-04
20 schema:datePublishedReg 2019-04-01
21 schema:description The use of the da Vinci robot in minimal invasive surgery comes with numerous advantages. Recent papers describe improvements in the ergonomic environment and benefits for the surgeon's posture in the console. Ergonomics for first assistants or scrub nurses at the OR table during robot-assisted procedures, however, have gained minor attention. The aim of this study, therefore, is to analyse the ergonomic environment specifically for first assistants during robot-assisted surgery. Three techniques were used to evaluate body posture and ergonomics during three discriminated actions. First of all, a questionnaire was conducted. Second, sagittal and dorsal photographs of all first assistants were shot. From these photographs, joint angles of the trunk, neck, shoulder, elbow, pelvic girdle and spine were calculated and rapid upper limb assessment (RULA) scores were determined. In addition, intra-observer variability was assessed to determine the robustness of the results. Lastly, the number of obstructions during the surgery was registered by an observer present at the operation theatre. The questionnaires displayed that 73% of the first assistants were in uncomfortable working positions for longer periods of time. Twenty percent of the participants even report pain or visible bruising due to hinderance of the robot arm. Furthermore, an average of 2.8 obstructions per surgical procedure was registered, mainly affecting the lower arm (60%). The photographs demonstrated that all joint angles, except for the elbow joint, are potentially harmful when assisting during robot-assisted surgery. RULA scores revealed high-risk ergonomic risk scores for all measured actions. Tissue traction was recognized as the action with the highest physical workload. During robot-assisted surgery, first assistants experience non-ergonomic trunk, neck and shoulder angles. These recordings are supported by posture analysis. Tissue traction is reported as the most intensive action by the nurses. Tacking, however, can lead to the most unfavourable RULA score. The surgeon's awareness of the position of the robot arms could reduce the number of obstructive moments for the first assistant. Lowering the number of instrument replacements is plausible to lead to better ergonomic postures for first assistant.
22 schema:genre research_article
23 schema:inLanguage en
24 schema:isAccessibleForFree false
25 schema:isPartOf N4fb5e4f67aa7445fa0dcff568256de8a
26 N8b43d089698b462db4dab1f7ed7e6d09
27 sg:journal.1038416
28 schema:name Ergonomic assessment of the first assistant during robot-assisted surgery
29 schema:pagination 283-288
30 schema:productId N1d16598e04974f2c8c1e4ec90f8ac432
31 N21f05e3b28db468dbbcbb992454fbe32
32 N5c3ba5e7a76244518605e280d3d3d6c6
33 N8039849cf85e4552a65ddea7d6fd39e9
34 Nb30001af3c6849369f076a2952105aaf
35 schema:sameAs https://app.dimensions.ai/details/publication/pub.1105778690
36 https://doi.org/10.1007/s11701-018-0851-0
37 schema:sdDatePublished 2019-04-11T13:17
38 schema:sdLicense https://scigraph.springernature.com/explorer/license/
39 schema:sdPublisher N7345e154f6614b9b9f838d2a580b77b9
40 schema:url https://link.springer.com/10.1007%2Fs11701-018-0851-0
41 sgo:license sg:explorer/license/
42 sgo:sdDataset articles
43 rdf:type schema:ScholarlyArticle
44 N09e52ccaf8ba4780b3831819142b2a17 rdf:first sg:person.016225274557.82
45 rdf:rest N4da56f86dbcd475986945efe32c3dc0d
46 N0a8fed0c803c4672ad67c89518f1fc71 schema:affiliation https://www.grid.ac/institutes/grid.6214.1
47 schema:familyName Bos
48 schema:givenName Paula
49 rdf:type schema:Person
50 N1d16598e04974f2c8c1e4ec90f8ac432 schema:name pubmed_id
51 schema:value 30043126
52 rdf:type schema:PropertyValue
53 N1e125f794cf54042b38f784408429006 rdf:first sg:person.015715323134.92
54 rdf:rest rdf:nil
55 N21f05e3b28db468dbbcbb992454fbe32 schema:name nlm_unique_id
56 schema:value 101300401
57 rdf:type schema:PropertyValue
58 N4da56f86dbcd475986945efe32c3dc0d rdf:first N0a8fed0c803c4672ad67c89518f1fc71
59 rdf:rest N1e125f794cf54042b38f784408429006
60 N4fb5e4f67aa7445fa0dcff568256de8a schema:issueNumber 2
61 rdf:type schema:PublicationIssue
62 N5c3ba5e7a76244518605e280d3d3d6c6 schema:name doi
63 schema:value 10.1007/s11701-018-0851-0
64 rdf:type schema:PropertyValue
65 N7345e154f6614b9b9f838d2a580b77b9 schema:name Springer Nature - SN SciGraph project
66 rdf:type schema:Organization
67 N8039849cf85e4552a65ddea7d6fd39e9 schema:name readcube_id
68 schema:value da6709c8ce54b5bf3e4861fd32f201565f56933828ea21b2916fcc6206279f0c
69 rdf:type schema:PropertyValue
70 N8b43d089698b462db4dab1f7ed7e6d09 schema:volumeNumber 13
71 rdf:type schema:PublicationVolume
72 Nb30001af3c6849369f076a2952105aaf schema:name dimensions_id
73 schema:value pub.1105778690
74 rdf:type schema:PropertyValue
75 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
76 schema:name Medical and Health Sciences
77 rdf:type schema:DefinedTerm
78 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
79 schema:name Clinical Sciences
80 rdf:type schema:DefinedTerm
81 sg:journal.1038416 schema:issn 1863-2483
82 1863-2491
83 schema:name Journal of Robotic Surgery
84 rdf:type schema:Periodical
85 sg:person.015715323134.92 schema:affiliation https://www.grid.ac/institutes/grid.6214.1
86 schema:familyName Broeders
87 schema:givenName Ivo A. M. J.
88 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.015715323134.92
89 rdf:type schema:Person
90 sg:person.016225274557.82 schema:affiliation https://www.grid.ac/institutes/grid.6214.1
91 schema:familyName van’t Hullenaar
92 schema:givenName Cas D. P.
93 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016225274557.82
94 rdf:type schema:Person
95 sg:pub.10.1007/s00464-002-9105-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1022124261
96 https://doi.org/10.1007/s00464-002-9105-2
97 rdf:type schema:CreativeWork
98 sg:pub.10.1007/s00464-005-0162-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1051411975
99 https://doi.org/10.1007/s00464-005-0162-1
100 rdf:type schema:CreativeWork
101 sg:pub.10.1007/s00464-014-3604-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1011140214
102 https://doi.org/10.1007/s00464-014-3604-9
103 rdf:type schema:CreativeWork
104 sg:pub.10.1007/s00464-014-3916-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1019384032
105 https://doi.org/10.1007/s00464-014-3916-9
106 rdf:type schema:CreativeWork
107 sg:pub.10.1007/s11701-007-0016-z schema:sameAs https://app.dimensions.ai/details/publication/pub.1041320644
108 https://doi.org/10.1007/s11701-007-0016-z
109 rdf:type schema:CreativeWork
110 https://doi.org/10.1016/0003-6870(93)90080-s schema:sameAs https://app.dimensions.ai/details/publication/pub.1044346834
111 rdf:type schema:CreativeWork
112 https://doi.org/10.1016/j.aju.2011.12.005 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039741917
113 rdf:type schema:CreativeWork
114 https://doi.org/10.1016/j.bpg.2013.12.001 schema:sameAs https://app.dimensions.ai/details/publication/pub.1009609059
115 rdf:type schema:CreativeWork
116 https://doi.org/10.1080/00140130110087437 schema:sameAs https://app.dimensions.ai/details/publication/pub.1052688258
117 rdf:type schema:CreativeWork
118 https://doi.org/10.1089/end.2013.0654 schema:sameAs https://app.dimensions.ai/details/publication/pub.1059260187
119 rdf:type schema:CreativeWork
120 https://doi.org/10.1097/01.sla.0000103020.19595.7d schema:sameAs https://app.dimensions.ai/details/publication/pub.1013048580
121 rdf:type schema:CreativeWork
122 https://doi.org/10.1097/sla.0000000000002223 schema:sameAs https://app.dimensions.ai/details/publication/pub.1084196721
123 rdf:type schema:CreativeWork
124 https://doi.org/10.1177/1553350615577480 schema:sameAs https://app.dimensions.ai/details/publication/pub.1048827738
125 rdf:type schema:CreativeWork
126 https://doi.org/10.1515/iss-2017-0007 schema:sameAs https://app.dimensions.ai/details/publication/pub.1084806818
127 rdf:type schema:CreativeWork
128 https://doi.org/10.3109/13645701003643972 schema:sameAs https://app.dimensions.ai/details/publication/pub.1000482980
129 rdf:type schema:CreativeWork
130 https://www.grid.ac/institutes/grid.6214.1 schema:alternateName University of Twente
131 schema:name Department of Surgery, Meander Medical Centre, Maatweg 3, 3813 TZ, Amersfoort, The Netherlands
132 Department of Technical Medicine, Twente University, Noordhorst (NH101), Postbus 217, 7500 AE, Enschede, The Netherlands
133 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...