Intraoperative breakage of 20-gauge Tano forceps

Karl U. Bartz-Schmidt; Ihab El-Araj; Faik Gelisken; Eva Reinthal; Focke Ziemssen; Nicole Eter; Frank G. Holz; Salvatore Grisanti

doi:10.1016/j.ajo.2005.08.017

Intraoperative breakage of 20-gauge Tano forceps

Karl U. Bartz-Schmidt^*, Ihab El-Araj, Faik Gelisken, Eva Reinthal, Focke Ziemssen, Nicole Eter, Frank G. Holz, Salvatore Grisanti

^*Corresponding author for this work

2 Citations (Scopus)

Abstract

PURPOSE: To report three cases with breakage of a 20-gauge kryptonite forceps during vitreoretinal surgery. DESIGN: Interventional case report. METHODS: Pars plana vitrectomy that included a membrane peeling was performed in three patients through standard ports with 20-gauge vitrectomy systems. The peeling procedure was attempted with the end-gripping kryptonite forceps. RESULTS: Intraoperatively, the branch/tip broke and dropped onto the posterior pole. Removal of the broken part was uncomplicated, and the subsequent clinical course was unremarkable. In one case, the handle and branch/tip part were exchanged inadvertently. In the other two cases, neither an exchange nor a maladaptation of the parts was noted. CONCLUSION: An exchange of the hand piece and gripping end may increase the risk of breakage and retinal damage. The delicate gripping tips, however, may break because of inadequate maintenance and/or aging of the material. Intraoperative visual and functional examination is recommended before intraocular use.

Translated title of the contribution	Intraoperativer Bruch einer 20-Gauge-Tano-Pinzette
Original language	English
Journal	American Journal of Ophthalmology
Volume	141
Issue number	1
Pages (from-to)	215-217
Number of pages	3
ISSN	0002-9394
DOIs	https://doi.org/10.1016/j.ajo.2005.08.017
Publication status	Published - 01.01.2006

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@article{860a4fb8d0ef4175a19bfec5a9002421,

title = "Intraoperative breakage of 20-gauge Tano forceps",

abstract = "PURPOSE: To report three cases with breakage of a 20-gauge kryptonite forceps during vitreoretinal surgery. DESIGN: Interventional case report. METHODS: Pars plana vitrectomy that included a membrane peeling was performed in three patients through standard ports with 20-gauge vitrectomy systems. The peeling procedure was attempted with the end-gripping kryptonite forceps. RESULTS: Intraoperatively, the branch/tip broke and dropped onto the posterior pole. Removal of the broken part was uncomplicated, and the subsequent clinical course was unremarkable. In one case, the handle and branch/tip part were exchanged inadvertently. In the other two cases, neither an exchange nor a maladaptation of the parts was noted. CONCLUSION: An exchange of the hand piece and gripping end may increase the risk of breakage and retinal damage. The delicate gripping tips, however, may break because of inadequate maintenance and/or aging of the material. Intraoperative visual and functional examination is recommended before intraocular use.",

author = "Bartz-Schmidt, {Karl U.} and Ihab El-Araj and Faik Gelisken and Eva Reinthal and Focke Ziemssen and Nicole Eter and Holz, {Frank G.} and Salvatore Grisanti",

year = "2006",

month = jan,

day = "1",

doi = "10.1016/j.ajo.2005.08.017",

language = "English",

volume = "141",

pages = "215--217",

journal = "American Journal of Ophthalmology",

issn = "0002-9394",

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TY - JOUR

T1 - Intraoperative breakage of 20-gauge Tano forceps

AU - Bartz-Schmidt, Karl U.

AU - El-Araj, Ihab

AU - Gelisken, Faik

AU - Reinthal, Eva

AU - Ziemssen, Focke

AU - Eter, Nicole

AU - Holz, Frank G.

AU - Grisanti, Salvatore

PY - 2006/1/1

Y1 - 2006/1/1

N2 - PURPOSE: To report three cases with breakage of a 20-gauge kryptonite forceps during vitreoretinal surgery. DESIGN: Interventional case report. METHODS: Pars plana vitrectomy that included a membrane peeling was performed in three patients through standard ports with 20-gauge vitrectomy systems. The peeling procedure was attempted with the end-gripping kryptonite forceps. RESULTS: Intraoperatively, the branch/tip broke and dropped onto the posterior pole. Removal of the broken part was uncomplicated, and the subsequent clinical course was unremarkable. In one case, the handle and branch/tip part were exchanged inadvertently. In the other two cases, neither an exchange nor a maladaptation of the parts was noted. CONCLUSION: An exchange of the hand piece and gripping end may increase the risk of breakage and retinal damage. The delicate gripping tips, however, may break because of inadequate maintenance and/or aging of the material. Intraoperative visual and functional examination is recommended before intraocular use.

AB - PURPOSE: To report three cases with breakage of a 20-gauge kryptonite forceps during vitreoretinal surgery. DESIGN: Interventional case report. METHODS: Pars plana vitrectomy that included a membrane peeling was performed in three patients through standard ports with 20-gauge vitrectomy systems. The peeling procedure was attempted with the end-gripping kryptonite forceps. RESULTS: Intraoperatively, the branch/tip broke and dropped onto the posterior pole. Removal of the broken part was uncomplicated, and the subsequent clinical course was unremarkable. In one case, the handle and branch/tip part were exchanged inadvertently. In the other two cases, neither an exchange nor a maladaptation of the parts was noted. CONCLUSION: An exchange of the hand piece and gripping end may increase the risk of breakage and retinal damage. The delicate gripping tips, however, may break because of inadequate maintenance and/or aging of the material. Intraoperative visual and functional examination is recommended before intraocular use.

UR - http://www.scopus.com/inward/record.url?scp=29544434374&partnerID=8YFLogxK

U2 - 10.1016/j.ajo.2005.08.017

DO - 10.1016/j.ajo.2005.08.017

M3 - Journal articles

C2 - 16387011

AN - SCOPUS:29544434374

SN - 0002-9394

VL - 141

SP - 215

EP - 217

JO - American Journal of Ophthalmology

JF - American Journal of Ophthalmology

IS - 1

ER -

Intraoperative breakage of 20-gauge Tano forceps

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