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Intraoperative loss of a surgical needle: a laparoscopic dilemma.

Zaman, Shafquat and Clarke, Robert and Schofield, Andrew (2015) Intraoperative loss of a surgical needle: a laparoscopic dilemma. JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons, 19 (2). ISSN 1938-3797.

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Abstract

BACKGROUND

Increasing awareness around patient safety and efforts to reduce medical errors has become a priority in the modern health care system. Losing needles during laparoscopic procedures is an uncommon occurrence; however, it poses a significant dilemma for the operating surgeon because retrieval can be a major challenge even for highly skilled and experienced operators.

OBJECTIVE

The objective of this paper was to review the current literature and highlight this potentially serious issue and suggest a method of dealing with this uncommon occurrence.

METHODS

A comprehensive literature search was conducted using several Internet search engines including PubMed, Google Scholar, and ScienceDirect.

CONCLUSIONS

The risks associated with retained small foreign bodies remains unknown, and there are few reports and little consensus on how surgeons should manage retained needles or other small foreign bodies during laparoscopic surgery. We propose an algorithm that may be implemented as a standard operating procedure in surgical theatres when a surgeon is faced with such a dilemma.

Item Type: Article
Subjects: QZ Pathology. Oncology
WO Surgery
Divisions: Clinical Support > Pathology
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Depositing User: Mr Philip O'Reilly
Date Deposited: 06 Apr 2016 09:02
Last Modified: 06 Apr 2016 09:02
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1067

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