Journals / Eurasian Journal of Medical Investigation / 2019 / Cilt: 3 - Sayı: 3

Management of Needle Loss in Laparoscopic Operations

Pages
251–254
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In such cases, theneedle should be localized with the help of imaging and the foreign body lost in the abdomen should be removed,considering the medicolegal problems.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The incidence of needles lost during abdominal surgery is considered to be 1 in 9000 abdominal operations.
📊
Key Findings & Data:Laparoscopic Sleeve Gastrectomy procedure was decided to be performed to the 28-year-old female who presented tothe clinic for bariatric surgery.
💡
Conclusion & Impact:In such cases, theneedle should be localized with the help of imaging and the foreign body lost in the abdomen should be removed,considering the medicolegal problems.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

The incidence of needles lost during abdominal surgery is considered to be 1 in 9000 abdominal operations. The mostimportant problem is that the reluctance of clinicians and hospitals to disclose such errors and the disclosure of datais often underestimated and concealed because of the prevention of insurance and legal claims by confientialityrequirements. In this case report, we present an obesity patient in whom the needle was lost during gastrectomy. Laparoscopic Sleeve Gastrectomy procedure was decided to be performed to the 28-year-old female who presented tothe clinic for bariatric surgery. At the end of the operation, while the needle used in suturing was taken from the trocarto out of the abdomen, it was seperated at the point of junction, fell into the abdomen and could not be located laporoscopically. The operation was terminated due to the development of hypoxia in the patient because of the prolongation of the operation time during the needle search. The localization of the needle was determined on the abdominalcomputed tomography of the patient; the patient was re-operated and the needle was removed. In such cases, theneedle should be localized with the help of imaging and the foreign body lost in the abdomen should be removed,considering the medicolegal problems.

🔖

Cite This Article

AĞCA, B., MEMİŞOĞLU, K., ERGİN, A., FERSAHOĞLU, M. M., BULUT, N. E. (2022). Management of Needle Loss in Laparoscopic Operations. Eurasian Journal of Medical Investigation, Cilt: 3 - Sayı: 3, 251–254. https://ajindex.com/articles/508737

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (1)

  1. Greenberg CC, Gawande AA. Beyond Counting: current evidence on the problem of retaining foreign bodies in surgery. Ann Surg 2008;247:19–20. [CrossRef] 2. Lincourt AE, Harrell A, Cristiano J, Sechrist C, Kercher K, Heniford BT. Retained foreign bodies after surgery. J Surg Res 2007;138:170–4. [CrossRef] 3. Small AC, Gainsburg DM, Mercado MA, Link RE, Hedican SP, Palese MA. Laparoscopic needle-retrieval device for improving quality of care in minimally invasive surgery. J Am Coll Surg 2013;217:400–5. [CrossRef] 4. Gawande AA, Studdert DM, Orav EJ, Brennan TA, Zinner MJ. Risk factors for retained instruments and sponges after surgery. N Engl J Med Mass Med Soc 2013;348:229–35. [CrossRef] 5. Zaman S, Clarke R, Schofild A. Intraoperative loss of a surgical needle: a laparoscopic dilemma. JSLS Soc Laparoendosc Surg 2015;19:e2013.00401. [CrossRef] 6. Sotelo RJ, Haese A, Machuca V, Medina L, Nuñez L, Santinelli F, et al. Safer surgery by learning from complications: a focus on robotic prostate surgery. Eur Urol 2016;69:334–44. [CrossRef] 7. Jayadevan R, Stensland K, Small A, Hall S, Palese M. A protocol to recover needles lost during minimally invasive surgery. JSLS Soc Laparoendosc Surg 2014;18:e2014.00165. [CrossRef] 8. Ariz C, Horton K, Fishman E. 3D CT evaluation of retained foreign bodies. Emerg Radiol 2004;11:95–9. [CrossRef] 9. Finding a Lost Needle in Laparoscopic Surgery Walid Barto, MBBS, FRACS, Carl Yazbek, MBBS, and Stephen Bell, FRACS Surg Laparosc Endosc Percutan Tech 2011;21:e163–e165.