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Equipment failures in laparoscopic surgery: Causes and consequences.
- Source :
- Journal of Visceral Surgery; Dec2021, Vol. 158 Issue 6, p476-480, 5p
- Publication Year :
- 2021
-
Abstract
- The aim of this study was to assess incidence, causes and consequences of equipment failures in a high volume, advanced endoscopic surgery department. This is a prospectical observational single centre study between April and July of 2019 in the Gynecological surgery department of the Estaing University Hospital of Clermont-Ferrand, France. During the study period, 171 laparoscopies were observed. Data were collected real time by three supernumerary observers. In total, 66 (38.6%) laparoscopies were complicated by equipment failures. The bipolar cable and forceps accounted for 31% of the total amount of malfunctions in laparoscopy. Causes of malfunctions were in 45% due to the instrument per se and in 43% due to the incorrect combination of elements. Less commonly, the equipment was not available or a mismatched was reported. The total length of the surgery increased by 1.35% due to the malfunctions. Human error was identified in 50% of cases. No morbility, neither mortality was reported in this series; however we observed 34 malfunctions that could have led to serious consequences for the patients and 3 incidents induced a real consequence on the operation workflow. Equipment failure is a common event in endoscopy. On the opposite, time wasted for the malfunctions is low in laparoscopy, as it only accounts for 1.35% of the overall surgical time. Human decisions contributed to malfunctions in almost half of cases. This alarming finding may advise for intensification in training on instruments of the whole surgical team. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 18787886
- Volume :
- 158
- Issue :
- 6
- Database :
- Supplemental Index
- Journal :
- Journal of Visceral Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 153958238
- Full Text :
- https://doi.org/10.1016/j.jviscsurg.2020.10.018