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Anterior pushing technique for broken scalpel blade in lumbar discectomy [Elektronski vir] : a case reportČeleš, Dejan ; Gasparini, Mladen ; Mohar, Janez, 1979-The presence of broken surgical blades or other surgically uncontrolled sharp and pointed objects in the disc space is a rare but potentially severe complication of posterior lumbar spine procedures. ... Herein, we report the case of a 59-year-old female patient with a history of lumbar decompression and interspinous process device implantation who underwent an instrumented revision of the lumbosacral junction. During L5-S1 discectomy, the scalpel blade split, and the broken portion could not be reached from the posterior approach. Regarding the vascular anatomy, we partially pushed the fragment through the anterior annulus into the retroperitoneal space and locked pedicle screws, making the construct stable. The fractured blade segment was eventually removed by laparoscopy 1 week after the initial procedure. This experience suggests that the anterior pushing technique with fluoroscopy is an option in the rare event of a posteriorly unreachable broken scalpel blade. In such cases, computed tomography angiography is recommended.Source: Frontiers in surgery. - ISSN 2296-875X (Vol. 10, art. 1266102, 2023, str. 1-4)Type of material - e-article ; adult, seriousPublish date - 2023Language - englishCOBISS.SI-ID - 163323651
Author
Čeleš, Dejan |
Gasparini, Mladen |
Mohar, Janez, 1979-
Topics
skalpel |
discektomija |
retroperitonej |
scalpel blade |
discectomy |
Retroperitoneal Space
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Database name | Field | Year |
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Links to authors' personal bibliographies | Links to information on researchers in the SICRIS system |
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Čeleš, Dejan | ![]() |
Gasparini, Mladen | 55075 |
Mohar, Janez, 1979- | 26204 |
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and: SICRIS
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