No CrossRef data available.
Article contents
Lost needle in the oral cavity: can the nightmare be just a bad dream?
Published online by Cambridge University Press: 05 February 2024
Abstract
Objective
The loss of a scalpel or a needle during surgery can threaten the health of the patient and lead to additional costs, and radiographical assistance during surgery has been the only recovery method. This study evaluates the efficacy of a metal detector compared with conventional radiology for recovering a needle lost in the oropharynx during surgery.
Method
Different fragment sizes of needles normally used in pharyngoplasty were embedded at different locations and depths in a lamb's head. Three experienced and three junior otolaryngologists searched for the needle fragments using a metal detector and conventional radiology.
Results
All fragments were found with each method, but the mean searching time was 90 per cent shorter with the metal detector.
Conclusion
A metal detector can be a useful tool for locating needles that break during ENT surgery, as it requires less time than conventional radiology and avoids exposing patients to radiation.
Keywords
- Type
- Clinical Records
- Information
- Copyright
- Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED
Footnotes
Carlos O'Connor-Reina takes responsibility for the integrity of the content of the paper
References
Macilquham, MD, Riley, RG, Grossberg, P. Identifying lost surgical needles using radiographic techniques. AORN J 2003;78:73–810.1016/S0001-2092(06)61347-1CrossRefGoogle ScholarPubMed
Jayadevan, R, Stensland, K, Small, A, Hall, S, Palese, M. A protocol to recover needles lost during minimally invasive surgery. JSLS 2014;18:e2014.0016510.4293/JSLS.2014.00165CrossRefGoogle ScholarPubMed
Barto, W, Yazbek, C, Bell, S. Finding a lost needle in laparoscopic surgery. Surg Laparosc Endosc Percutaneous Tech 2011;21:163–510.1097/SLE.0b013e3182203b49CrossRefGoogle ScholarPubMed
Medina, LG, Martin, O, Cacciamani, GE, Ahmadi, N, Castro, JC, Sotelo, R. Needle lost in minimally invasive surgery: management proposal and literature review. J Robot Surg 2018;12:391–510.1007/s11701-018-0802-9CrossRefGoogle ScholarPubMed
Zaman, S, Clarke, R, Schofield, A. Intraoperative loss of a surgical needle: a laparoscopic dilemma. JSLS 2015;19:e2013.0040110.4293/JSLS.2013.00401CrossRefGoogle Scholar
Sharma, AP, Mete, UK, Bendapuddi, D, Bora, GS, Mavuduru, RS. Needle in a haystack: lost in transition. J Robot Surg 2018;12:177–910.1007/s11701-017-0695-zCrossRefGoogle Scholar
Möhrenschlager, M, Ring, J, Henkel, V, Jessberger, B. Lost needle: a simple search device for the operating room's floor. Langenbecks Arch Surg 2007;393:1009–1110.1007/s00423-007-0252-8CrossRefGoogle Scholar
Ponrartana, S, Coakley, FV, Yeh, BM, Breiman, RS, Qayyum, A, Joe, BN et al. Accuracy of plain abdominal radiographs in the detection of retained surgical needles in the peritoneal cavity. Ann Surg 2008;247:8–1210.1097/SLA.0b013e31812eeca5CrossRefGoogle ScholarPubMed
Small, AC, Gainsburg, DM, Mercado, MA, Link, RE, Hedican, SP, Palese, MA. Laparoscopic needle-retrieval device for improving quality of care in minimally invasive surgery. J Am Coll Surg 2013;217:400–510.1016/j.jamcollsurg.2013.02.035CrossRefGoogle ScholarPubMed
Rodríguez-Alcalá et al. supplementary material
Rodríguez-Alcalá et al. supplementary material
File
15.1 MB