Robot-Assisted Removal of a Broken Scalpel Blade following Discectomy
The risk of a broken scalpel blade during discectomy is considered extremely rare, while no guidelines exist regarding this complication. We report a case of a robotic broken blade removal following lumbar discectomy. A 52-year-old female was subjected to L4-L5 discectomy. During the annulus resecti...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2019/8609246 |
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| _version_ | 1832563783967440896 |
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| author | Christos Koutserimpas Argyrios Ioannidis Michael Konstantinidis Panagiotis Athanasopoulos Fotios Antonakopoulos Konstantinos Konstantinidis |
| author_facet | Christos Koutserimpas Argyrios Ioannidis Michael Konstantinidis Panagiotis Athanasopoulos Fotios Antonakopoulos Konstantinos Konstantinidis |
| author_sort | Christos Koutserimpas |
| collection | DOAJ |
| description | The risk of a broken scalpel blade during discectomy is considered extremely rare, while no guidelines exist regarding this complication. We report a case of a robotic broken blade removal following lumbar discectomy. A 52-year-old female was subjected to L4-L5 discectomy. During the annulus resection, the scalpel blade broke and was retained within the disc space. The broken blade migrated towards the abdominal cavity and viscera. Emergency CT angiography scan revealed that the main vessels were intact, while the broken surgical knife was located anterior to the lumbar spine at the L4/L5 level, to the left of the aorta and superiorly of the left common iliac artery. At that point, robot-assisted laparoscopy was performed. The broken instrument was located and carefully removed. It seems more proper that such foreign bodies should be removed, while robotic surgery may play a significant role in cases that the foreign body is near major vessels. |
| format | Article |
| id | doaj-art-798b80442b934c7493efa9eff4b16475 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-798b80442b934c7493efa9eff4b164752025-02-03T01:12:30ZengWileyCase Reports in Surgery2090-69002090-69192019-01-01201910.1155/2019/86092468609246Robot-Assisted Removal of a Broken Scalpel Blade following DiscectomyChristos Koutserimpas0Argyrios Ioannidis1Michael Konstantinidis2Panagiotis Athanasopoulos3Fotios Antonakopoulos4Konstantinos Konstantinidis5Department of Orthopaedics and Traumatology, “251” Hellenic Air Force General Hospital of Athens, GreeceDepartment of General, Bariatric, Laparoscopic and Robotic Surgery, Athens Medical Center, Athens, GreeceDepartment of General, Bariatric, Laparoscopic and Robotic Surgery, Athens Medical Center, Athens, GreeceDepartment of General, Bariatric, Laparoscopic and Robotic Surgery, Athens Medical Center, Athens, GreeceDepartment of General, Bariatric, Laparoscopic and Robotic Surgery, Athens Medical Center, Athens, GreeceDepartment of General, Bariatric, Laparoscopic and Robotic Surgery, Athens Medical Center, Athens, GreeceThe risk of a broken scalpel blade during discectomy is considered extremely rare, while no guidelines exist regarding this complication. We report a case of a robotic broken blade removal following lumbar discectomy. A 52-year-old female was subjected to L4-L5 discectomy. During the annulus resection, the scalpel blade broke and was retained within the disc space. The broken blade migrated towards the abdominal cavity and viscera. Emergency CT angiography scan revealed that the main vessels were intact, while the broken surgical knife was located anterior to the lumbar spine at the L4/L5 level, to the left of the aorta and superiorly of the left common iliac artery. At that point, robot-assisted laparoscopy was performed. The broken instrument was located and carefully removed. It seems more proper that such foreign bodies should be removed, while robotic surgery may play a significant role in cases that the foreign body is near major vessels.http://dx.doi.org/10.1155/2019/8609246 |
| spellingShingle | Christos Koutserimpas Argyrios Ioannidis Michael Konstantinidis Panagiotis Athanasopoulos Fotios Antonakopoulos Konstantinos Konstantinidis Robot-Assisted Removal of a Broken Scalpel Blade following Discectomy Case Reports in Surgery |
| title | Robot-Assisted Removal of a Broken Scalpel Blade following Discectomy |
| title_full | Robot-Assisted Removal of a Broken Scalpel Blade following Discectomy |
| title_fullStr | Robot-Assisted Removal of a Broken Scalpel Blade following Discectomy |
| title_full_unstemmed | Robot-Assisted Removal of a Broken Scalpel Blade following Discectomy |
| title_short | Robot-Assisted Removal of a Broken Scalpel Blade following Discectomy |
| title_sort | robot assisted removal of a broken scalpel blade following discectomy |
| url | http://dx.doi.org/10.1155/2019/8609246 |
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