An Interesting Case of Broken Needle

Aims: Breakage of the needle while suturing intra-operatively is an uncommon event. The present report concerns a case presented with intra abdominal foreign body (broken curved surgical needle during tubal ligation) which was removed successfully within two hours. Sharing information like this would help to improve the prompt response to such untoward situations.

Presentation of Case: 26 years old female presented with history of Retained Foreign Body (broken needle) when she was undergoing tubal ligation in a primary health centre. The broken needle was found retrieved from the anterior rectus sheath under C-arm guidance within 2 hours with no injuries noted.

Discussion: Surgical sponge is the most common type of retained foreign body followed by other types of gauze, various plastic items/tubing, surgical instrument/retractor, needle, surgical suture material, or surgical specimen unintentionally left in place. Detailed knowledge of risk factors associated with these incidences is critical to effective preventive efforts. In addition to aggressive preventive measures, early detection and retrieval of Retained Foreign Bodies may be associated with better clinical outcomes.

Conclusion: Meticulous counting of instruments including needles and mops (as per guidelines) will help in preventing such accidents. As surgery is a team work, preventing Retained Foreign Bodies is also a team work.