Orthopedic surgery: Beware of 10 intra operative nightmare situations other than common medico-surgical complications
Abstract
Orthopedics is considered an art of jugglery and carpentry. There are so many technical and situational difficulties other than medico-surgical complication and still challengingly unique of surgeries pertaining to orthopedics. We have reviewed orthopedic literature to conclude 10 nightmare situations which are though less common but discussed even lesser. They include IITV (Image Intensifier), Suction, Cauterization, Lighting, Drilling, Implants, Cooling and ventilation, Patient positioning, Wrong side/site and Accidental prick or injuries related issues. Considering all this problems as a single issue, its prevalence is sometime comparable with the known complication like infection and other morbidity and mortality. The liability of non-biological issues on doctor or hospital and narrow margin between technical error and negligence has made reporting of such situation even in front of medical fraternity a rarity. Appropriate pre-operative planning and keeping the backups available can dramatically reduce the encounter with these preventable situations. These situations are definitely like a ‘nightmare’ for any orthopedic surgeon, now it is up to us when we are going to take the ‘wake-up call
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