They save lives, but who saves them? Surgeons face silent injuries in operation theatres; AIIMS and IIT-Delhi step in

Surgeons may be saving lives every day, but they’re often putting their own health at risk in the process, especially during long laparoscopic surgeries. These operations, which require working with long, rigid tools while watching a screen, force doctors into stressful positions for hours. Shoulders stay hunched, wrists twist, and necks strain, all of which can lead to pain, fatigue, and serious long-term injuries.

To tackle this growing problem, IIT Delhi and AIIMS have teamed up to create a new generation of laparoscopic instruments with better design and ergonomics, reported TOI.

Why are surgeons in pain?

Unlike robotic or open surgery, laparoscopic procedures limit how much a surgeon can move. “We are working with 300mm-long tools, performing complex surgeries without the feel of touch,” explained Dr Sachit Anand, a paediatric surgeon at AIIMS. “The stress on our muscles and joints is huge, but it's rarely discussed.”


Prof Sabyasachi Paldas from IIT Delhi added that the design of existing tools causes repetitive hand movements and awkward body positions. This often results in musculoskeletal disorders that can affect a surgeon’s ability to work in the long term.

What’s the solution?

A joint team of surgeons and designers, including students like Nabeeha Akhtar from IIT Delhi, is using a detailed, multi-stage process to develop better tools. They are working on prototypes for graspers, scissors, and needle holders that aim to reduce stress on the body. The goal is to have working models ready by December, with simulations planned for January.

“We’re focusing on reducing fatigue and pain by improving posture and movement,” said Dr Gourab Kar from the IIT design department. He added that they’re also looking at changes in the operating room itself, like adjusting the table height and monitor position.

Why it matters

“In laparoscopy, you work in 2D but aim for 3D outcomes. Every move outside the body needs to be precise inside,” said Dr Anand. “This puts extra pressure on the surgeon’s wrists, fingers, spine and shoulders. It’s even harder in Indian hospitals where we see high patient numbers and low awareness about ergonomics.”

This initiative comes as India marks World Hepatitis Day with a focus on safer healthcare. It serves as a timely reminder that safety in healthcare should also include the well-being of doctors. After all, a healthy surgeon is essential for healthy patients.

Inputs from TOI