An intraoperative method of localizing a missing piece of a broken laparoscopic instrument - 10/09/11
Abstract |
Missing a laparoscopic needle or a dislodged broken piece of a laparoscopic instrument presents a challenge in localizing it. A fragment of a broken instrument is often confined in an area remote from the primary operative side and entrapped in the bowel loop or in the omentum. An abdominal x-ray film identifies a missing part of the instrument intraabdominally; however, it is extremely difficult to find it with a laparoscope. A precise small area and a reference point are needed to establish where the dislodged missing fragment part is. The radiopaque threads from x-ray–detectable sponges were removed and placed on the abdominal skin, creating a net. With the target square determined by radiopaque threads, finding and removing the dislodged missing piece were achieved very expeditiously. This technique to localize a missing piece of a broken laparoscopic instrument intraabdominally is simple, inexpensive, and noninvasive, allowing expeditious removal and saving substantial operative time. (Am J Obstet Gynecol 1997;176:726-7.)
Le texte complet de cet article est disponible en PDF.Keywords : Laparoscopic surgery, adverse outcome
Plan
From the Division of Operative Gynecology, Endoscopy, and Laser Surgery, Department of Gynecology and Obstetrics, Howard University College of Medicine and Howard University Hospital. |
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Reprint requests: Adam Ostrzenski, MD, PhD, Division of Operative Gynecology, Endoscopy, and Laser Surgery, Department of Gynecology and Obstetrics, Howard University College of Medicine and Howard University Hospital, 2041 Georgia Ave., N.W., Washington, DC 20060. |
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0002-9378/97 $5.00 + 0 6/1/78206 |
Vol 176 - N° 3
P. 726-727 - mars 1997 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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