Question:
Fact or Urban Legend about Brigham & Women's Hospital????

Hi everyone- A friend told me tonight that she heard that Brigham & Women's Hospital in Boston had an unfortunate accident while a surgeon was performing WLS. My friend heard that a stapling instrument malfunctioned, shot off staples, and killed a woman during surgery. Also, that all WLS at B & W has been suspended for now. I feel foolish for even posting this question because it sounds so absurd, but my friend was insisting that she'd heard it on the news. Is there any truth to any of this or is it some type of Halloween prank? Thanks, Mea    — Mea A. (posted on November 6, 2003)


November 5, 2003
Yes, it is true. The "staple gun" malfunctioned -- but I believe she died three days after the surgery. The hospital is suspending surgery until they complete their investigation.
   — mary G.

November 5, 2003
Here is a link to the article. I hope this helps. http://www.boston.com/yourlife/health/diseases/articles/2003/11/06/death_points_to_risk_of_obesity_surgery/
   — Natalie J.

November 5, 2003
Its true, the hospital is suspending lap gastric bypass surgery until further notice, they will continue to do open GBS though. BIg investigation is underway, Brigham & Womens is reputed to be one of the best hospitals in the country. THe story is in all the major newspapers, check out the Boston GLobe and the Boston Herald. hope this answers some questions
   — goldroses

November 5, 2003
There is a link to that exact story through this site's main page, where the latest news is outlined. Leads to a direct link on MSNBC. Sometimes we forget how much 'other' info. is on this site, other than the MB and the Q&A, check it out!
   — track

November 5, 2003
Some one I was corresponding with had a stapler malfunction, tear up her intestines and had a long horrible recovery. So glad I had an open.
   — **willow**

November 6, 2003
When I read it, it made me awfully glad I had an open because at least if it happened when they were in there during an open they could try and fix the problem quick. The article said just LAP WLS had been cancelled. Didn't say open type.
   — zoedogcbr

November 6, 2003
Actually, they did convert to an open: <p> "Lautz, as is routine, began firing staples, said Dr. Andy Whittemore, Brigham's chief medical officer. The gun fires six rows of parallel staples. An attached knife automatically cuts the tissue down the middle, separating the stomach into a large pouch and a tiny pouch. The large pouch will no longer function. After the surgery, patients can eat enough food to fill only the small pouch." <p> During Simonelli's surgery, Lautz noticed that staples in one row had popped out, so he converted the operation to a traditional open surgery, Whittemore said. Lautz closed that portion of her stomach with traditional hand sutures, Whittemore said. <p> This is the one danger of having the pouch transected (cut away) from the main part of the stomach-if you get a leak from a transected pouch, it will leak into the abdominal cavity. If a non-transected stomach leaks, it will just leak into the lower part of the stomach...JR
   — John Rushton

November 6, 2003
Here's the link to the article on Cnn.com: http://www.cnn.com/2003/HEALTH/11/06/stomach.staple.death.ap/index.html
   — LMCLILLY

November 6, 2003
I read the article on CNN.com. It said "laparoscopic surgeries" would be suspended - I would think that means all lap procedures - whether it's gastric bypass, gallbladder, hysterectomy or appendectomy, etc., where this instrument would be used. Also, the woman died 3 days after surgery, so it is unclear at this time whether or not the misfiring stapler was actually what lead to her death. ("The surgery was a success, but the patient died".)The investigation has not been completed. There are hundreds of thousands of people everywhere who have had lap surgeries of one sort or another with no problems, and a staple gun has been used. I think a lot of the media sensationalism here is because it just happened to have happened to a woman who was having gastric bypass surgery. ("See? We told you this surgery was dangerous and deadly!") Would it have been big news if it was a lap appendectomy or lap cholecystectomy? Doubtful. This doesn't mean that lap gastric bypass surgery is suddenly "more dangerous" than open surgery! Staplers are used during open surgeries, too. (My lap surgeon only transects, however.)
   — koogy

November 6, 2003
Mea, I had my Open RNY at Brigham & Women's Hospital on March 3, 2002 with Dr. Malcolm Robinson. I am not familiar with Dr. Lautz, except that I have seen his business card next to that of my surgeon's. I cannot comment on his surgical technique or experience, I can only comment on my personal experience. I am extremely happy with Dr. Robinson and with BWH. I would not change unless Dr. Robinson stopped practicing there altogether. I am hoping that his tragic episode does not keep people from seeking out the surgery at BWH in the future. And I hope that the media does not turn this into yet another tirade on the "evils" of weight loss surgery. It is always a terrible tragedy when someone loses their battle (whether it be waiting for surgery, during surgery or from complications), but it would be a shame for this to turn someone away from such a lifesaving procedure. Lisa in MA
   — sssuzie1

November 6, 2003
This is apparently true. Its in New York local papers today, a small article. The women, 38 died during the surgery they think as a result of a misfire, but there arent much details. The FDA was notified and the hospital has stopped surgeries for now. This happened last month
   — gary viscio

November 6, 2003
Original poster here- Thanks for the info, everyone. I live in the sticks here in Western Mass so don't always hear what goes on at the other end of the state. If any family or friends of the woman who died happen to be reading this, please accept my condolences on your loss. How tragic! Thanks, Mea
   — Mea A.

November 6, 2003
Hello, This is a Fact. I am from Boston and it was a pretty big deal here on the news, but let me assure you that this is one of those "Getting Strike By Lightning" accidents. Very rarely and will probably never ever happen again. Brigham & Women's has put a hold on all further surgeries of this type pending a thorough investigation. Please do not be concerned about your own procedures. I am living proof that this does work. 2 years later and I couldn't be happier.
   — Kelly T.

November 7, 2003
The hospital has suspended doing laproscopic surgery because of the incident. The women I believe died two days later from complications. The hospital probably will resume the surgeries after the FDA checks out why the staple gun misfired. The hospital is legally required to have the FDA investigate.
   — Nunzia12




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