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Related Experiment Video

Updated: Feb 16, 2026

Investigation of the Electrophysiological and Thermographic Safety Parameters of Surgical Energy Devices During Thyroid and Parathyroid Surgery in a Porcine Model
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Risk management for surgical energy-driven devices used in the operating room.

F Borie1, M Mathonnet1, A Deleuze1

  • 1Fédération de chirurgie viscérale et digestive (FCVD), 6, rue Pétrarque, 31000 Toulouse, France.

Journal of Visceral Surgery
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Operating room energy sources caused 876 adverse events, including burns and visceral injuries. Misuse and training gaps were primary causes, leading to repeat surgeries.

Keywords:
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Area of Science:

  • Surgical Safety
  • Medical Device Technology
  • Healthcare Risk Management

Background:

  • Complications from operating room energy sources are underreported.
  • These events can have severe consequences for patients and surgeons.

Purpose of the Study:

  • To evaluate the risks and consequences of using energy sources in the operating room.
  • To analyze root causes and outcomes of adverse events.

Main Methods:

  • Descriptive analysis of 876 adverse events related to health care (AERHC) linked to energy sources.
  • Data collected from the French "REX" database between 2009 and 2015.
  • Analysis of root causes and indications for repeat operations for each energy source.

Main Results:

  • Monopolar electrocoagulation accounted for 70% of AERHC.
  • Common adverse events included visceral burns/perforation (30%) and skin burns (27.5%).
  • Root causes were primarily misuse, inadequate training, and equipment-related issues, necessitating 17% of AERHC to undergo repeat procedures.

Conclusions:

  • Energy source use in the OR presents significant risks.
  • Inadequate understanding of usage and administrative factors contribute to complications.
  • Improved training and equipment management are crucial for enhancing patient safety.