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
Abstract:
We present a patient who experienced a burn from an operating microscope during surgery for a brachial plexus birth palsy, a literature review, and recommendations on how to avoid such injuries.
Insights
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.
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.
