A retained resectoscope beak: are we missing the point of surgical checklists?. (January 2017)

• Record Type: Journal Article
• Authors: Smith, Stephanie F; Miakhil, Sayed I; Johnston, Thomas J; Lockett, Chris
• Is Part Of: Journal of clinical urology. Volume 10:Number 1(2017)
• Page Start: 56
• Page End: 57
• Publication Date: 2017-01
• Subjects: Cystoscopy -- patient safety -- resectoscope -- retained surgical instrument -- surgical checklists; Genitourinary organs -- Surgery -- Periodicals; Genitourinary organs -- Diseases -- Periodicals; Urology -- Periodicals; 616.6005
• DOI: 10.1177/2051415816670817
• Languages: English
• ISSNs: 2051-4158

Abstract

We present an unusual case of a retained resectoscope beak detected 10 months following transurethral resection of a bladder tumour. We describe this rare complication after transurethral surgery and present a safe method for removing a resectoscope beak from the urethra. This case prompted several improvements in our local surgical checklists to prevent such an event from recurring. It is important to check the integrity of surgical equipment in addition to counting equipment in and out during theatre; without checking, as exemplified by the resectoscope in this case, we risk missing the point.