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Related Experiment Videos

Needle in a haystack: lost in transition.

Aditya Prakash Sharma1, Uttam Kumar Mete2, Durgaprasad Bendapuddi2

  • 1Department of Urology, Post Graduate Institute of Medical Education and Research, Chandigarh, India. aditya.p.sharma@gmail.com.

Journal of Robotic Surgery
|April 7, 2017
PubMed
Summary

A lost surgical needle during robot-assisted nephron sparing surgery caused significant anxiety and surgical delay. The needle was eventually located in an unusual position after converting to laparoscopy.

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Technology
  • Urologic Oncology

Background:

  • Lost surgical needles during procedures are rare but stressful events.
  • Such incidents, termed 'never events,' necessitate meticulous surgical team vigilance.
  • Robot-assisted surgery introduces unique challenges in instrument tracking.

Observation:

  • A needle was inadvertently lost during a robot-assisted nephron sparing surgery.
  • The surgical procedure required robot de-docking and conversion to conventional laparoscopy for needle retrieval.
  • The lost needle was discovered in an atypical location within the surgical field.

Findings:

  • The case highlights the potential for retained surgical instruments in complex robotic procedures.
  • Conversion to laparoscopy was necessary to safely locate and retrieve the misplaced needle.
Keywords:
C-armLostNeedlePort valveRobotic

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  • This event underscores the importance of heightened awareness and instrument counts in minimally invasive surgery.

    • Implications:

    • Enhanced protocols for needle and instrument tracking are crucial in robot-assisted surgery.
    • Surgeons and teams must remain vigilant for retained foreign objects, even with advanced technology.
    • Further investigation into strategies for preventing and managing lost surgical items is warranted.