Broken tip of mono-polar surgery probe located in the abdominal wall after laparoscopically assisted myomectomy: A case report

Fukui, Atsushi; Taima, Ayako; Fuchinoue, Kohei; Kamoi, Mai; Funamizu, Ayano; Mizunuma, Hideki

doi:10.1016/j.gmit.2016.08.003

Cited by 4 publications

(6 citation statements)

References 3 publications

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“…[ 4 ] Furthermore, checking all items after the laparoscopic surgery is important to prevent the incidence of operative instrument breakage. [ 5 ] Specimen fragmentation during the retrieval process in laparoscopy may leave behind tissue particles that can survive, implant, and grow. As such, the incidence of iatrogenic metastatic leiomyoma has been increasingly reported due to the growing use of laparoscopic surgery.…”

Section: Introductionmentioning

confidence: 99%

Metastatic smooth muscle tumor of uncertain malignant potential after laparoscopic presuming myomectomy

Tossamartvorakul

Mendoza

Huang

et al. 2021

Gynecol Minim Invasive Ther

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A 38-year-old para-2 female underwent laparoscopic myomectomy with uncontained morcellation. Three years later, she complained of epigastric pain. An intraperitoneal 3 cm mass beneath the umbilicus was showed on computed tomography (CT) scan. With the impression of gastrointestinal stromal tumor, she underwent open laparotomy at the general surgery department. A tumor was excised. Pathological examination showed that the tumor was consistent with a smooth muscle tumor of uncertain malignant potential smooth muscle tumors of uncertain malignant (STUMP). Six years postlaparoscopic myomectomy, during a regular follow-up, three parauterine masses were found on ultrasonography and CT scan. She underwent laparoscopic surgery for hysterectomy, bilateral salpingectomy, and excision of the masses. The masses were again diagnosed as STUMP. This case presents a recurrence of a rare type of smooth muscle tumor after uncontained morcellation. If myomas are to be removed with morcellation, it should only be used appropriately with a compatible containment system, and the risk of occult malignancy should be counseled.

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Section: Introductionmentioning

confidence: 99%

Metastatic smooth muscle tumor of uncertain malignant potential after laparoscopic presuming myomectomy

Tossamartvorakul

Mendoza

Huang

et al. 2021

Gynecol Minim Invasive Ther

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show abstract

“…In this case, the foreign body, the monopolar electrode tip of about 30 mm, was retained subcutaneously rather than intraperitoneally [6]. A postoperative abdominal X-ray was not performed and, despite its relatively large size, the breakage of electrode tip was not detected perioperatively [6]. In our case, the detached foreign body was extremely small at approximately 3 mm and did not significantly affect needle holder function.…”

Section: Discussionmentioning

confidence: 64%

“…In the remaining case reported by Fukui et al, a retained foreign body was found incidentally on an abdominal X-ray taken 7 years after laparoscopic-assisted myomectomy [6]. In this case, the foreign body, the monopolar electrode tip of about 30 mm, was retained subcutaneously rather than intraperitoneally [6]. A postoperative abdominal X-ray was not performed and, despite its relatively large size, the breakage of electrode tip was not detected perioperatively [6].…”

Section: Discussionmentioning

confidence: 81%

“…In 12/13 cases, the instrument breakage was noticed during surgery as it was either obvious or impaired function [1][2][3][4][5][7][8][9]. In the remaining case reported by Fukui et al, a retained foreign body was found incidentally on an abdominal X-ray taken 7 years after laparoscopic-assisted myomectomy [6]. In this case, the foreign body, the monopolar electrode tip of about 30 mm, was retained subcutaneously rather than intraperitoneally [6].…”

Section: Discussionmentioning

confidence: 99%

“…The reported instrument breakage sites were jaws of needle holder or grasper in 5 cases [1][2][3][4], forceps tips in 2 cases [5], monopolar tips in 2 cases [5,6], and tips of other devices in 4 cases [7][8][9]. In 12/13 cases, the instrument breakage was noticed during surgery as it was either obvious or impaired function [1][2][3][4][5][7][8][9].…”

Section: Discussionmentioning

confidence: 99%

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Intraoperative breakage of a laparoscopic needle holder confirmed by postoperative abdominal X-ray: A case report and literature review

Hirose

Nagase

Kurahashi

et al. 2023

J Case Rep Images Obstet Gynecol

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Introduction: Intraperitoneal retention of surgical instrument fragments may lead to severe complications. Therefore, such foreign bodies must be detected before surgery completion. We present a case with intraoperative breakage of a laparoscopic needle holder confirmed by a routine postoperative abdominal X-ray and review the literature regarding intraoperative laparoscopic instrument breakage. Case Report: A 58-year-old woman with stage IB1 cervical adenocarcinoma underwent a laparoscopic radical hysterectomy. Surgery was completed without major complications; however, an abdominal X-ray as a routine postoperative examination revealed a radiopaque shadow of approximately 3 mm corresponding to a broken part of the tissue-pad of the laparoscopic needle holder tip. It was successfully removed using laparoscopy with fluoroscopic guidance without further complications. According to the literature review, most of the instrument breakage were noticed during surgery as they were either obvious or impaired function. In our case, since the detached foreign body was extremely small and did not significantly affect needle holder function, it remained unnoticed until the postoperative X-ray was taken. Conclusion: Postoperative abdominal X-rays identify instrumental fragments infrequently; however, they may help detect intraperitoneal retention of foreign bodies and avoid serious complications following laparoscopic surgery.

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Laparoscopic Retrieval of a Retained Foreign Body Embedded in the Retroperitoneum

Yoshiki¹,

Kato²,

Sasaki³

2023

Journal of Minimally Invasive Gynecology

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Broken tip of mono-polar surgery probe located in the abdominal wall after laparoscopically assisted myomectomy: A case report

Cited by 4 publications

References 3 publications

Metastatic smooth muscle tumor of uncertain malignant potential after laparoscopic presuming myomectomy

Metastatic smooth muscle tumor of uncertain malignant potential after laparoscopic presuming myomectomy

Intraoperative breakage of a laparoscopic needle holder confirmed by postoperative abdominal X-ray: A case report and literature review

Laparoscopic Retrieval of a Retained Foreign Body Embedded in the Retroperitoneum

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