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Prevention of wrong site surgery during upper tract endoscopy
Gareth J W Warren1, William W Roberts, John Hollingsworth
1Department of Urology, University of Michigan Medical School, Ann Arbor, Michigan 48109, USA.
Urology
|February 8, 2012
Summary
Radiopaque stickers, used before endoscopic surgery, effectively prevent wrong-side procedures. These markers are easily identifiable during fluoroscopy and well-received by patients.
Area of Science:
- Medical device safety
- Surgical error prevention
- Endoscopic surgery
Background:
- Wrong-side surgery remains a significant patient safety concern.
- Standard surgical verification protocols may not always prevent side errors in endoscopic procedures.
Purpose of the Study:
- To assess the efficacy of radiopaque stickers in preventing wrong-side endoscopic upper tract surgeries.
- To evaluate patient acceptance of radiopaque markers during preoperative verification.
Main Methods:
- Radiopaque markers, labeled "R" and "L", were applied before planned endoscopic surgeries.
- Marker visibility was confirmed using fluoroscopy to ensure correct surgical site identification.
Main Results:
- The radiopaque stickers proved to be a valuable tool in preventing wrong-side endoscopic upper tract procedures.
- Patients reported positive acceptance of the markers during their preoperative surgical verification process.
Conclusions:
- Radiopaque stickers are a practical and effective aid for preventing wrong-side surgery in upper tract endoscopic procedures.
- The use of these markers enhances patient safety and improves the preoperative verification process.
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