Journal of Postgraduate Medicine
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Year : 2014  |  Volume : 60  |  Issue : 3  |  Page : 324-326  

Needle in a haystack: Intraoperative breakage of pediatric minimal access surgery instruments

SV Parelkar, BV Sanghvi, SR Shetty, H Athawale, SN Oak 
 Department of Pediatric Surgery, King Edward Memorial Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Dr. S V Parelkar
Department of Pediatric Surgery, King Edward Memorial Hospital, Mumbai, Maharashtra
India

The search for tiny bits of broken pediatric minimal access surgery (MAS) instruments in an operative field is akin to the search for a needle in a haystack. With the extension of MAS to the pediatric age group, instruments are becoming smaller and equitably more prone to breakage. When breakages occur, retrieval, especially in the pediatric abdominal cavity, can be challenging. Inability to do so would affect patient safety and also lead to a web of medico legal and ethical issues. We present two cases of intraoperative breakage: An eyeless 3-0 polyamide suture needle and a 2-mm grasper blade both of which were successfully retrieved and fortuitously escaped becoming retained surgical items.


How to cite this article:
Parelkar S V, Sanghvi B V, Shetty S R, Athawale H, Oak S N. Needle in a haystack: Intraoperative breakage of pediatric minimal access surgery instruments.J Postgrad Med 2014;60:324-326


How to cite this URL:
Parelkar S V, Sanghvi B V, Shetty S R, Athawale H, Oak S N. Needle in a haystack: Intraoperative breakage of pediatric minimal access surgery instruments. J Postgrad Med [serial online] 2014 [cited 2022 May 20 ];60:324-326
Available from: https://www.jpgmonline.com/article.asp?issn=0022-3859;year=2014;volume=60;issue=3;spage=324;epage=326;aulast=Parelkar;type=0


 
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