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Iatrogenic burn caused by an operating microscope: case report.

Imran K Choudhry¹, James Kyriakedes, Mohab B Foad

¹Department of Orthopaedics, University of Cincinnati, Cincinnati, OH 45267-0212, USA. imranchoudhry2003@yahoo.com

The Journal of Hand Surgery

|January 23, 2013

Summary

A patient sustained a burn from an operating microscope during brachial plexus birth palsy surgery. This case highlights the need for safety protocols to prevent surgical thermal injuries.

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Area of Science:

Neurosurgery
Pediatric Surgery
Ophthalmology

Background:

Brachial plexus birth palsy is a complex condition requiring specialized surgical intervention.
Operating microscopes are essential tools in microsurgery, including procedures for brachial plexus injuries.
Thermal injuries from surgical equipment pose a potential risk in delicate procedures.

Observation:

A patient undergoing surgery for brachial plexus birth palsy sustained a thermal burn injury.
The injury was attributed to the operating microscope used during the procedure.
This incident prompted a review of existing safety measures.

Findings:

The literature review identified a paucity of documented cases of operating microscope-induced burns during brachial plexus surgery.
Analysis suggests potential contributing factors include prolonged operative times and specific microscope settings.
Recommendations focus on equipment checks and intraoperative vigilance.

Implications:

Enhanced safety protocols are crucial to mitigate thermal injury risks associated with operating microscopes.
Surgeons and staff require updated training on preventing equipment-related burns.
Minimizing such preventable injuries improves patient outcomes in pediatric neurosurgery.