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Video of Mistakes and Errors in Minimal Access Surgery: Recognizing Pitfalls to Improve Surgical Safety
For Surgeon / Apr 24th, 2025 3:48 am     A+ | a-
This video, titled "Mistakes and Errors in Minimal Access Surgery", is an eye-opening and educational session that delves into the most commonly encountered pitfalls in laparoscopic and robotic surgery, their underlying causes, and evidence-based strategies to prevent them. Led by experienced faculty at World Laparoscopy Hospital, the video emphasizes the importance of vigilance, technique refinement, and surgical judgment in ensuring patient safety during minimal access procedures.

The Hidden Dangers of Precision Surgery

While minimal access surgery offers unmatched advantages—such as less trauma, quicker recovery, and improved cosmetic outcomes—it also comes with a steep learning curve. Errors in this field can stem from improper port positioning, blind entry techniques, inadequate exposure, poor ergonomics, misuse of energy sources, and even overconfidence. These mistakes not only compromise surgical efficiency but may also lead to severe intraoperative or postoperative complications.

Key Topics Covered in the Video

Entry-Related Injuries

Blind insertion of the Veress needle or trocar without proper anatomical assessment can result in vascular or bowel injuries, one of the most feared complications in laparoscopic access.

Energy Source Errors

Improper use of monopolar or bipolar energy without insulation checks can lead to thermal damage to adjacent structures, especially ureters, bowel, or vessels.

Ergonomic Mistakes

Incorrect surgeon positioning, instrument length mismatch, or poorly aligned monitors can result in fatigue, tremors, or inaccurate hand-eye coordination—leading to compromised performance.

Poor Tissue Handling and Incomplete Hemostasis

Inadequate dissection, rough instrument use, or delayed recognition of bleeding sources can lead to postoperative complications like hematoma, infection, or re-intervention.

Technical Gaps in Suturing and Knotting

Failure to master intracorporeal suturing can lead to anastomotic leaks, loose ligatures, or tissue slippage—common errors during gynecological and gastrointestinal procedures.

The Importance of Training and Checklists

The video stresses the significance of structured hands-on training, use of surgical safety checklists, and continuous skills assessment through simulation and peer review. Real-case examples from World Laparoscopy Hospital demonstrate how these principles, when applied effectively, result in better outcomes and fewer complications.

Conclusion

"Mistakes and Errors in Minimal Access Surgery" serves as an essential guide for both novice and experienced surgeons, offering critical insights into what can go wrong and how to avoid it. This video reinforces the philosophy that awareness, preparedness, and precision are the pillars of safe and successful minimal access surgery.

Watch the full video to explore practical lessons and surgical wisdom that can elevate your practice and protect your patients.
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World Laparoscopy Hospital
Cyber City
Gurugram, NCR Delhi, 122002
India

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Tel: +91 124 2351555, +91 9811416838, +91 9811912768, +91 9999677788

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World Journal of Laparoscopic Surgery



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