{"knowledge_schema": {"broad_category": "Medical Procedures \u2192 Surgical Techniques \u2192 Laparoscopic Surgery", "refinement": "This scenario involves troubleshooting a malfunctioning surgical stapler during a laparoscopic appendectomy, focusing on the management of surgical instruments and patient safety.", "specific_scope": "The context is a laparoscopic appendectomy where the stapler has malfunctioned and is stuck, requiring a decision on how to proceed safely and effectively.", "goal": "Determine the safest and most effective next step to resolve the stapler issue while ensuring patient safety and completing the appendectomy."}, "summary": "In this surgical scenario, a malfunctioning stapler during a laparoscopic appendectomy presents a challenge. The focus is on troubleshooting the stapler while ensuring patient safety. The options range from attempting to pry open the stapler with instruments to converting to an open appendectomy. The goal is to choose the best course of action that resolves the issue effectively while minimizing risk to the patient."}