spracticeХирургическая практикаSurgical practice (Russia)2223-2427АНО "Консорциум "Медицинская техника"10.38181/2223-2427-2022-3-5-11spractice-327Research ArticleСтатьиИНТРАОПЕРАЦИОННЫЕ ПОЛОМКИ СШИВАЮЩИХ АППАРАТОВ. СОВРЕМЕННОЕ СОСТОЯНИЕ ПРОБЛЕМЫ И СЕРИЯ КЛИНИЧЕСКИХ НАБЛЮДЕНИЙINTRAOPERATIVE MALFUNCTIONS OF STAPLER DEVICES. THE CURRENT STATE OF THE PROBLEM AND A SERIES OF CLINICAL CASEShttps://orcid.org/0000-0002-6569-7078АгаповМ. А.AgapovM. A.

Агапов Михаил Андреевич – д.м.н., профессор кафедры хирургии ФФМ МГУ им. М.В. Ломоносова; отделение хирургии № 1 МНОЦ МГУ

119192, Москва, Ломоносовский проспект, д. 27, корп. 10

Тел.: 8-495-003-13-82

Mikhail A. Agapov – PhD, Professor of the Department of Surgery, Lomonosov Moscow State University;  Department of Surgery № 1 of the Medical Research Educational Center, Lomonosov Moscow State University

Lomonosovsky Prospect, 27/10, Moscow, 119192

Phone: +7-495-003-13-82

getinfo911@mail.ruhttps://orcid.org/0000-0003-0352-2317КакоткинВ. В.KakotkinV. V.

Какоткин Виктор Викторович – врач-хирург, отделение хирургии № 1 медицинского научно-образовательного центра

ул. Ленинские Горы, д. 1, 119991, Москва

Viktor V. Kakotkin – Surgeon of the Department of Surgery № 1 of the Medical Research Educational Center

Leninskie Gory St., 1, 119991, Moscow

axtroz4894@gmail.comhttps://orcid.org/0000-0003-2711-2400МаркарьянД. Р.MarkaryanD. R.

Маркарьян Даниил Рафаэлевич – к.м.н., доцент кафедры хирургии

ул. Ленинские Горы, д. 1, 119991, Москва

Daniil R. Markaryan – PhD, docent of the Department of Surgery

Leninskie Gory St., 1, 119991, Moscow

dmarkaryan@gmail.comhttps://orcid.org/0000-0003-2330-4229ГармановаТ. Н.GarmanovaT. N.

Гарманова Татьяна Николаевна – к.м.н., доцент  кафедры хирургии

ул. Ленинские Горы, д. 1, 119991, Москва

Tatyana N. Garmanova – PhD, docent of the Department of Surgery

Leninskie Gory St., 1, 119991, Moscow

tatianagarmanova@gmail.comМосковский государственный университет имени М. В. Ломоносова, факультет фундаментальной медицины (МГУ имени М. В. Ломоносова)РоссияFederal State Budget Educational Institution of Higher Education M. V. Lomonosov Moscow State University (Lomonosov MSU)Russian Federation20222209202203511Copyright © Агапов М.А., Какоткин В.В., Маркарьян Д.Р., Гарманова Т.Н., 20222022Агапов М.А., Какоткин В.В., Маркарьян Д.Р., Гарманова Т.Н.Agapov M.A., Kakotkin V.V., Markaryan D.R., Garmanova T.N.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.spractice.ru/jour/article/view/327

В работе представлены несколько зафиксированных в нашем центре технических проблем, возникших при работе со сшивающими аппаратами разных производителей. Выявленные нарушения не привели к послеоперационным осложнениям, однако повлияли на продолжительность операции и стоимость лечения. Поломка сшивающих аппаратов во время операции при отсутствии должного внимания к линии шва может приводить к увеличению частоты послеоперационных осложнений. Остается нерешенной проблема «малых» нарушений в работе сшивающих аппаратов, которые могут остаться незамеченными во время операции, однако влиять на исходы лечения пациентов. С целью выявления возможного влияния интраоперационных поломок на частоту послеоперационных осложнений необходимо формирование государственного реестра событий, ассоциированных с использованием сшивающих аппаратов.

The paper presents several medical device reports from our center identified during application of surgical staplers from different manufacturers. The revealed malfunction did not lead to postoperative complications, however, they affected the duration of the operation and the cost of treatment. Failure of the stapler devices during surgery in the absence of proper attention to the staple line can lead to an increase in the frequency of postoperative complications. It remains unclear the problem of «small» malfunctions of stapler devices, which may go unnoticed during surgery, but affect the outcomes of treatment of patients. In order to identify a possible association between these adverse events and postoperative complications, it is necessary to form a state register of events associated with the use of stapler devices.

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The authors declare that there are no conflicts of interest present.