In Pursuit of the Broken Prong-Instrument Malfunction during Percutaneous Nephrolithotomy PD04-PD05
Dr. Prabhjot Singh,
Department of Urology, Teaching Block, 5th Floor, AIIMS, New Delhi, India.
Endourological techniques are the mainstay treatment in the contemporary management of urological stone diseases. Instruments malfunction during endourological procedures, however, it appears that such incidences are underreported. Wear and tear caused by improper handling or factory defects may lead to instrument malfunction, resulting in serious accidents. Herein, a case of unexpected broken alligator forceps encountered during Percutaneous Nephrolithotomy (PCNL) is presented. Additional toilsome were done while retrieving the broken fragment, apart from complete stone clearance. To the best of author’s knowledge, this is the first report on instrument malfunction during PCNL, successfully managed by various endourological armamentarium. The present case emphasises meticulous screening, proper handling of endourological instruments to avoid unexpected intraoperative malfunction.