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Intraoperative Dislodgment and Retrieval of Broken Parts of Laparoscopic Instruments: Arduous Exercise and Lessons Gleaned

  • Instrumentation and Techniques
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Abstract

Background

Dislodgement and breakage of instruments in laparoscopy is a rare event which not only surmounts the anxiety of the team, but also imposes an exceedingly onerous situation for the patient. Frequently a broken fragment of an instrument is confined to an area remote from the primary operative site and gets entrapped in the bowel loops or in the omentum.

Method

We present the intraoperative loss of the distal tip of three 5-mm laparoscopy instruments (monopolar L-hook, myoma screw and tenaculum) in the abdominal cavity during endoscopy.

Result

Various retrieval methods for laparoscopy instruments have been described.

Conclusion

The distal working tips of laparoscopic instruments have delicate functioning and tend to fall off or break during usage. Maintenance of instruments used in endoscopy requires special care and should be done as outlined by the manufacturer. Reporting of such incidents should be encouraged and published despite the discomposure accompanying it as it aids in better understanding and learning to handle these situations.

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References

  1. Magrina JF. Complications of laparoscopic surgery. Clin Obstet Gynecol. 2002;45:469–80.

    Article  Google Scholar 

  2. Smith BA, Brown RA, Lobe TE. The lost needle: a laparoscopic dilemma. J Laparoendosc Surg. 1993;3(4):425–6.

    Article  CAS  Google Scholar 

  3. Katara AN, Bhandarkar DS, Shah RS, et al. Breakage of fascial closure-device during laparoscopic surgery. J Minim Access Surg. 2005;1(2):79–81.

    Article  CAS  Google Scholar 

  4. Medina M. Late complication of laparoscopic salpingoophorectomy: retained foreign body presenting as an acute abdomen. JSLS. 1997;1:79–81.

    CAS  PubMed  PubMed Central  Google Scholar 

  5. Macilquham MD, Riley RG, Grossberg P. Identifying lost surgical needles using radiographic techniques. AORN J. 2003;78(1):73–8.

    Article  Google Scholar 

  6. Lynch CM, Powers AK. Management of a broken needle at time of laparoscopic Burch. JSLS 2000;4:275–6.

    CAS  PubMed  PubMed Central  Google Scholar 

  7. Clarke MT, Arora A, Villar RN. Hip arthroscopy: complications in 1054 cases. Clin Orthop. 2003;406:84–8.

    Article  Google Scholar 

  8. Ostrezensky A. An intraoperative method of localizing a missing piece of broken laparoscopic instrument. Am J Obstet Gynecol. 1997;176(3):726–7.

    Article  Google Scholar 

  9. Kadioler- Eckersberger D, Niederle B, Herbst F, et al. A magnetic probe to retrieve broken metallic parts of instruments during laparoscopic procedure. Surg Endosc. 2002;16:208–9.

    Article  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Obstetrics & Gynecology, All India Institute of Medical Sciences, Room no 3076, Third floor, New Delhi, India

    Kusum Lata & Isha Kriplani

  2. Department of Minimally Invasive Gynaecology, Paras Hospitals, Gurugram, Haryana, India

    Akshita Panwar & Alka Kriplani

Authors
  1. Kusum Lata
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  2. Akshita Panwar
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  3. Isha Kriplani
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  4. Alka Kriplani
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Corresponding author

Correspondence to Kusum Lata.

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The authors declare that they have no conflict of interest.

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Informed consent was obtained from all individual participants included in the study.

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Kusum Lata is Assistant Professor, Department of Obstetrics & Gynecology, All India Institute of Medical Sciences New Delhi, India; Akshita Panwar, MD, DNB, MNAMS is Senior Resident, Department of Minimally Invasive Gynaecology, Paras Hospitals, Gurugram; Isha Kriplani is Senior Resident, Department of Obstetrics & Gynecology, All India Institute of Medical Sciences New Delhi, India; Alka Kriplani, MD, FRCOG, FICOG, FCLS, FAMS, FIMSA, FICMCH, Department of Minimally Invasive Gynaecology, Paras Hospitals, Gurugram.

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Lata, K., Panwar, A., Kriplani, I. et al. Intraoperative Dislodgment and Retrieval of Broken Parts of Laparoscopic Instruments: Arduous Exercise and Lessons Gleaned. J Obstet Gynecol India 71, 201–204 (2021). https://doi.org/10.1007/s13224-020-01379-5

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  • DOI: https://doi.org/10.1007/s13224-020-01379-5

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