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. 2019 Aug 22;32(6):424–434. doi: 10.1055/s-0039-1693026

Table 2. Factors contributing to mental fatigue.

Fulcrum effect of instruments causes visualization of inverted movements
Increased level of hand–eye coordination
Two-dimensional images
Loss of depth perception
Effects of light reflection and shadows
Lack of efficiency in movement around the operative field
Duration of surgery