Problems with technical equipment during laparoscopic surgery : An observational study
This study was designed to investigate the incidence of technical equipment problems during laparoscopic procedures. A video-capturing system was used, consisting of an analog video recorder with three camera image inputs and a microphone. Problems with all technical equipment used by the surgical t...
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| Veröffentlicht in: | Surgical endoscopy 2007-02, Vol.21 (2), p.275-279 |
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| creator | VERDAASDONK, E. G. G STASSEN, L. P. S VAN DER ELST, M KARSTEN, T. M DANKELMAN, J |
| description | This study was designed to investigate the incidence of technical equipment problems during laparoscopic procedures.
A video-capturing system was used, consisting of an analog video recorder with three camera image inputs and a microphone. Problems with all technical equipment used by the surgical team, such as the insufflator, diathermy apparatus, monitors, light source, camera and camera unit, endoscope, suction devices, and instruments, were registered.
In total, 30 procedures were randomly videotaped. In 87% (26/30) of the procedures, one or more incidents with technical equipment (49 incidents) or instruments (9 incidents) occurred. In 22 of those incidents (45%) the technical equipment was not correctly positioned or not present at all; in the other 27 (55%), the equipment malfunctioned as a result of a faulty connection (9), a defect (5), or the wrong setting of the equipment (3). In 10 (20%) cases the exact cause of equipment malfunctioning was unclear.
The incidence of problems with laparoscopic technical equipment is high. To prevent such problems, improvement and standardization of equipment is needed, combined with the incorporation of checklist use before the start of a surgical procedure. Future research should be aimed at development, implementation, and evaluation of these measures into the operating room. |
| doi_str_mv | 10.1007/s00464-006-0019-2 |
| format | Article |
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A video-capturing system was used, consisting of an analog video recorder with three camera image inputs and a microphone. Problems with all technical equipment used by the surgical team, such as the insufflator, diathermy apparatus, monitors, light source, camera and camera unit, endoscope, suction devices, and instruments, were registered.
In total, 30 procedures were randomly videotaped. In 87% (26/30) of the procedures, one or more incidents with technical equipment (49 incidents) or instruments (9 incidents) occurred. In 22 of those incidents (45%) the technical equipment was not correctly positioned or not present at all; in the other 27 (55%), the equipment malfunctioned as a result of a faulty connection (9), a defect (5), or the wrong setting of the equipment (3). In 10 (20%) cases the exact cause of equipment malfunctioning was unclear.
The incidence of problems with laparoscopic technical equipment is high. To prevent such problems, improvement and standardization of equipment is needed, combined with the incorporation of checklist use before the start of a surgical procedure. Future research should be aimed at development, implementation, and evaluation of these measures into the operating room.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-006-0019-2</identifier><identifier>PMID: 17122973</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York, NY: Springer</publisher><subject>Adult ; Biological and medical sciences ; Cameras ; Cholecystectomy ; Cholecystectomy, Laparoscopic - adverse effects ; Cholecystectomy, Laparoscopic - instrumentation ; Clinical Competence ; Cohort Studies ; Defense mechanisms ; Digestive system. Abdomen ; Endoscopy ; Equipment Failure ; Equipment Safety ; Evaluation Studies as Topic ; Female ; Follow-Up Studies ; Hospitals ; Humans ; Intraoperative Complications - diagnosis ; Intraoperative Complications - epidemiology ; Investigative techniques, diagnostic techniques (general aspects) ; Laparoscopes - adverse effects ; Laparoscopy ; Liver, biliary tract, pancreas, portal circulation, spleen ; Male ; Medical errors ; Medical sciences ; Middle Aged ; Observational studies ; Postoperative Complications - epidemiology ; Risk Assessment ; Surgeons ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Treatment Outcome ; Video recorders</subject><ispartof>Surgical endoscopy, 2007-02, Vol.21 (2), p.275-279</ispartof><rights>2007 INIST-CNRS</rights><rights>Springer Science+Business Media, Inc. 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c308t-80ebc29b37b724a12eebe58b38248ec905248f141c2c776e71d28e52b11aa7a53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18490875$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17122973$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>VERDAASDONK, E. G. G</creatorcontrib><creatorcontrib>STASSEN, L. P. S</creatorcontrib><creatorcontrib>VAN DER ELST, M</creatorcontrib><creatorcontrib>KARSTEN, T. M</creatorcontrib><creatorcontrib>DANKELMAN, J</creatorcontrib><title>Problems with technical equipment during laparoscopic surgery : An observational study</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><description>This study was designed to investigate the incidence of technical equipment problems during laparoscopic procedures.
A video-capturing system was used, consisting of an analog video recorder with three camera image inputs and a microphone. Problems with all technical equipment used by the surgical team, such as the insufflator, diathermy apparatus, monitors, light source, camera and camera unit, endoscope, suction devices, and instruments, were registered.
In total, 30 procedures were randomly videotaped. In 87% (26/30) of the procedures, one or more incidents with technical equipment (49 incidents) or instruments (9 incidents) occurred. In 22 of those incidents (45%) the technical equipment was not correctly positioned or not present at all; in the other 27 (55%), the equipment malfunctioned as a result of a faulty connection (9), a defect (5), or the wrong setting of the equipment (3). In 10 (20%) cases the exact cause of equipment malfunctioning was unclear.
The incidence of problems with laparoscopic technical equipment is high. To prevent such problems, improvement and standardization of equipment is needed, combined with the incorporation of checklist use before the start of a surgical procedure. Future research should be aimed at development, implementation, and evaluation of these measures into the operating room.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cameras</subject><subject>Cholecystectomy</subject><subject>Cholecystectomy, Laparoscopic - adverse effects</subject><subject>Cholecystectomy, Laparoscopic - instrumentation</subject><subject>Clinical Competence</subject><subject>Cohort Studies</subject><subject>Defense mechanisms</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Equipment Failure</subject><subject>Equipment Safety</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Intraoperative Complications - diagnosis</subject><subject>Intraoperative Complications - epidemiology</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laparoscopes - adverse effects</subject><subject>Laparoscopy</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Male</subject><subject>Medical errors</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Observational studies</subject><subject>Postoperative Complications - epidemiology</subject><subject>Risk Assessment</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Treatment Outcome</subject><subject>Video recorders</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkE1rVTEQhoMo9lr9AW4kCLo7mpnknCTuSvGjUGgX6jYkuXPblPPV5JyW--9NuRcKLobZPO_LzMPYexBfQAj9tQihOtUI0dUB2-ALtgElsUEE85JthJWiQW3VCXtTyp2ouIX2NTsBDYhWyw37e52n0NNQ-GNabvlC8XZM0fec7tc0DzQufLvmNN7w3s8-TyVOc4q8rPmG8p5_42cjn0Kh_OCXNI01WJZ1u3_LXu18X-jdcZ-yPz--_z7_1Vxe_bw4P7tsohRmaYygENEGqYNG5QGJArUmSIPKULSirXsHCiJGrTvSsEVDLQYA77Vv5Sn7fOid83S_UlnckEqkvvcjTWtxnVFgtJEV_PgfeDetud5bHIKtzlB0FYIDFOujJdPOzTkNPu8dCPdk3B2Mu2rcPRl3WDMfjsVrGGj7nDgqrsCnI-BLFbvLfoypPHNGWWF0K_8BvgmIrQ</recordid><startdate>20070201</startdate><enddate>20070201</enddate><creator>VERDAASDONK, E. G. G</creator><creator>STASSEN, L. P. S</creator><creator>VAN DER ELST, M</creator><creator>KARSTEN, T. M</creator><creator>DANKELMAN, J</creator><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20070201</creationdate><title>Problems with technical equipment during laparoscopic surgery : An observational study</title><author>VERDAASDONK, E. G. G ; STASSEN, L. P. S ; VAN DER ELST, M ; KARSTEN, T. M ; DANKELMAN, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c308t-80ebc29b37b724a12eebe58b38248ec905248f141c2c776e71d28e52b11aa7a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cameras</topic><topic>Cholecystectomy</topic><topic>Cholecystectomy, Laparoscopic - adverse effects</topic><topic>Cholecystectomy, Laparoscopic - instrumentation</topic><topic>Clinical Competence</topic><topic>Cohort Studies</topic><topic>Defense mechanisms</topic><topic>Digestive system. Abdomen</topic><topic>Endoscopy</topic><topic>Equipment Failure</topic><topic>Equipment Safety</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Intraoperative Complications - diagnosis</topic><topic>Intraoperative Complications - epidemiology</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laparoscopes - adverse effects</topic><topic>Laparoscopy</topic><topic>Liver, biliary tract, pancreas, portal circulation, spleen</topic><topic>Male</topic><topic>Medical errors</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Observational studies</topic><topic>Postoperative Complications - epidemiology</topic><topic>Risk Assessment</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Treatment Outcome</topic><topic>Video recorders</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>VERDAASDONK, E. G. G</creatorcontrib><creatorcontrib>STASSEN, L. P. S</creatorcontrib><creatorcontrib>VAN DER ELST, M</creatorcontrib><creatorcontrib>KARSTEN, T. 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G. G</au><au>STASSEN, L. P. S</au><au>VAN DER ELST, M</au><au>KARSTEN, T. M</au><au>DANKELMAN, J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Problems with technical equipment during laparoscopic surgery : An observational study</atitle><jtitle>Surgical endoscopy</jtitle><addtitle>Surg Endosc</addtitle><date>2007-02-01</date><risdate>2007</risdate><volume>21</volume><issue>2</issue><spage>275</spage><epage>279</epage><pages>275-279</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>This study was designed to investigate the incidence of technical equipment problems during laparoscopic procedures.
A video-capturing system was used, consisting of an analog video recorder with three camera image inputs and a microphone. Problems with all technical equipment used by the surgical team, such as the insufflator, diathermy apparatus, monitors, light source, camera and camera unit, endoscope, suction devices, and instruments, were registered.
In total, 30 procedures were randomly videotaped. In 87% (26/30) of the procedures, one or more incidents with technical equipment (49 incidents) or instruments (9 incidents) occurred. In 22 of those incidents (45%) the technical equipment was not correctly positioned or not present at all; in the other 27 (55%), the equipment malfunctioned as a result of a faulty connection (9), a defect (5), or the wrong setting of the equipment (3). In 10 (20%) cases the exact cause of equipment malfunctioning was unclear.
The incidence of problems with laparoscopic technical equipment is high. To prevent such problems, improvement and standardization of equipment is needed, combined with the incorporation of checklist use before the start of a surgical procedure. Future research should be aimed at development, implementation, and evaluation of these measures into the operating room.</abstract><cop>New York, NY</cop><pub>Springer</pub><pmid>17122973</pmid><doi>10.1007/s00464-006-0019-2</doi><tpages>5</tpages></addata></record> |
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| ispartof | Surgical endoscopy, 2007-02, Vol.21 (2), p.275-279 |
| issn | 0930-2794 1432-2218 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Adult Biological and medical sciences Cameras Cholecystectomy Cholecystectomy, Laparoscopic - adverse effects Cholecystectomy, Laparoscopic - instrumentation Clinical Competence Cohort Studies Defense mechanisms Digestive system. Abdomen Endoscopy Equipment Failure Equipment Safety Evaluation Studies as Topic Female Follow-Up Studies Hospitals Humans Intraoperative Complications - diagnosis Intraoperative Complications - epidemiology Investigative techniques, diagnostic techniques (general aspects) Laparoscopes - adverse effects Laparoscopy Liver, biliary tract, pancreas, portal circulation, spleen Male Medical errors Medical sciences Middle Aged Observational studies Postoperative Complications - epidemiology Risk Assessment Surgeons Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Treatment Outcome Video recorders |
| title | Problems with technical equipment during laparoscopic surgery : An observational study |
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