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Equipment failures in laparoscopic surgery: Causes and consequences.

S Paracchini1, B Bustos2, R Aviles3

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Journal of Visceral Surgery
|November 23, 2020
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Summary

Equipment failures are common in advanced endoscopic surgery, impacting 38.6% of procedures. Human error contributed to half of these failures, highlighting the need for enhanced surgical team training on endoscopic instruments.

Keywords:
Endoscopic instrumentsEquipment failureHuman errorImprovement

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Area of Science:

  • Medical Engineering
  • Surgical Technology
  • Patient Safety

Background:

  • Advanced endoscopic surgery departments handle high patient volumes.
  • Equipment failures can potentially disrupt surgical procedures and patient outcomes.

Purpose of the Study:

  • To assess the incidence, causes, and consequences of equipment failures during advanced endoscopic surgery.
  • To identify the most common equipment malfunctions and their impact on surgical workflow.

Main Methods:

  • A prospective observational study was conducted in a gynecological surgery department.
  • 171 laparoscopic procedures were observed over a four-month period.
  • Data on equipment failures were collected in real-time by dedicated observers.

Main Results:

  • Equipment failures occurred in 38.6% of observed laparoscopies.
  • Bipolar cables and forceps were the most frequent sources of malfunction (31%).
  • Instrument defects (45%) and incorrect component combinations (43%) were primary causes, with human error implicated in 50% of cases.

Conclusions:

  • Equipment failure is a frequent occurrence in endoscopic procedures.
  • While time loss is minimal (1.35% of surgical time), the high rate of human error necessitates improved training for surgical teams on instrument usage.
  • Despite no reported mortality or morbidity, potential for serious patient harm exists, underscoring the importance of addressing equipment-related issues.