Menger Richard P, Lazzari Zachary, Nanda Anil
Neurosurgery and Political Science, University of South Alabama, Mobile, USA.
Medicine, University of South Alabama College of Medicine, Mobile, USA.
Cureus. 2020 Jun 11;12(6):e8561. doi: 10.7759/cureus.8561.
We report a case of a patient undergoing open microdiscectomy at L5-S1, wherein the distal tip of a pituitary rongeur became dislodged within the disc space. Complication management and avoidance of anterior advancement are paramount. A stepwise plan to retrieve the foreign body was entertained in a methodical fashion. Such device failure places the patient at greater risk of injury, extends operation time, and adds undue burden on the surgical team. This situation warrants discussing the complications from retained foreign bodies and measures taken for their removal.
我们报告了一例在L5-S1节段接受开放性显微椎间盘切除术的患者,其中垂体咬骨钳的远端尖端在椎间盘间隙内移位。并发症的处理和避免向前推进至关重要。我们有条不紊地考虑了一个逐步取出异物的计划。这种器械故障使患者面临更大的受伤风险,延长了手术时间,并给手术团队增加了不必要的负担。这种情况值得讨论异物残留的并发症以及为取出异物所采取的措施。