Retained needles in laparoscopic surgery: open or observe?
Conn Med
; 78(4): 197-202, 2014 Apr.
Article
em En
| MEDLINE
| ID: mdl-24830114
ABSTRACT
BACKGROUND:
Currently, there is no standard of care on how to manage a retained needle or foreign body (RFB) during laparoscopic surgery.METHODS:
A survey presented a relevant case and 18 multiple-choice and open-response questions about personal experience with and attitudes toward RFBs, clinical practices, and management.RESULTS:
From 10/2009-2/2010 we received 255 survey responses. When faced with a patient with a RFB, 45.8% would convert to open, 26.5% would leave needle intraperitoneally, and 27.7% would seek the patient's or family's wishes. When the latter option was eliminated, 54.5% would convert to open, 45.5% would leave the needle intraperitoneally. There were 92.6% who felt that a RFB puts the patient at some degree of future risk, and 89.4% who felt that escalating to laparotomy was of higher risk than the RFB itself.CONCLUSION:
No current best practice exists regarding approach to RFBs of uncertain injury potential in laparoscopic surgery and similarly in this survey, opinions were split regarding how to proceed.
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Base de dados:
MEDLINE
Assunto principal:
Atitude do Pessoal de Saúde
/
Laparoscopia
/
Corpos Estranhos
/
Agulhas
Tipo de estudo:
Etiology_studies
/
Guideline
Limite:
Humans
Idioma:
En
Revista:
Conn Med
Ano de publicação:
2014
Tipo de documento:
Article