Breakage of fascial closure device during laparoscopic surgery

• Main Authors: Katara A, Bhandarkar Deepraj, Shah R, Udwadia T
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2005-01-01
• Series: Journal of Minimal Access Surgery
• Subjects: Laparoscopic surgery; instrument; breakage
• Online Access: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2005;volume=1;issue=2;spage=79;epage=81;aulast=Katara

Breakage of instruments during laparoscopic surgery is rare. However, when it does occur, locating and retrieving the broken part of the instrument can be cumbersome. Moreover, inability to do so may carry serious medicolegal implications. We report a patient in whom the tip of a fascial closure device broke during laparoscopic surgery. This was located by intraoperative fluoroscopy and retrieved from the extraperitoneal plane via a small incision. The paper discusses the probable factors responsible for breakage of the fascial closure device in our patient and reviews the previously reported cases of the rare complication of breakage of instruments during laparoscopic surgery.