INSERT, COBRA GRASPER

Description of Event or Problem

PATIENT HAVING DIAGNOSTIC LAPAROSCOPY AND FULGURATION OF ENDOMETRIOSIS. DURING PROCEDURE, LAPAROSCOPIC GRASPER WAS USED TO HOLD TISSUE. GRASPER BECAME LOCKED ONTO PERITONEAL TISSUE, NEAR POSTERIOR CUL-DE-SAC, AND SURGICAL TEAM WAS UNABLE TO OPEN OR RELEASE INSTRUMENT DESPITE MULTIPLE ATTEMPTS BY DIFFERENT TEAM MEMBERS. TISSUE AROUND GRASPER WAS EXCISED AND CAUTERIZED BY SURGEON AND INSTRUMENT EXTRACTED. PER DOCTOR'S OPERATIVE REPORT, THE PROCEDURE PERFORMED WAS "DIAGNOSTIC LAPAROSCOPY; WITH FULGURATION OF ENDOMETRIOSIS." THE PROCEDURE DESCRIPTION INCLUDES THAT THERE WAS "DIFFICULTY WITH THE GRASPER, WE COULD NOT OPEN THIS GRASPER" THEREFORE "PORT SCISSORS WERE USED TO EXCISE THE PORTION OF PERITONEUM." THE GRASPER WAS THEN REMOVED FROM THE ABDOMEN WITH THE SMALL PIECE OF TISSUE. MILD BLEEDING WAS CONTROLLED WITH CAUTERY. THE PROCEDURE CONTINUED WITH NO FURTHER INCIDENT.