Background
Intrathoracic gossypiboma is a consequence of retained sponge/swap, gauzoma, muslinoma, textiloma, or cottonoid in the thoracic cavity during surgery. The thoracic cavity is of the rarest place for gossypiboma as these entities most occur after abdominal surgery.
Case presentation
We report a case of intrathoracic gossypiboma that was missed for an extended period of time with no symptoms and was successfully treated with surgical intervention.
Conclusions
The rarity of gossypiboma necessitates a high index of suspicion for correct diagnosis. Gossypiboma is often difficult to diagnose, leading to misdiagnosis and unnecessary interventions. It is important to consider this entity as a diagnosis in any case with an unexplained or unusual presentation during the postoperative period.
Inguinal hernia has high prevalence in the worldwide. Two current methods of surgery are Read-Rives and Lichtenstein. The Read-rives method which is Perry peritoneal makes less weak points. Lichtenstein method is easier and also is sub-Apo neuroses. Studying two mentioned methods due to the duration of surgery and inpatient, recurrent hernia and pain is the aim of this study. 86 patients of inguinal indirect and primary hernia were divided into two equal groups of Read-Rives and Lichtenstein randomly. Duration of surgery and inpatient, recurrent hernia and pain were evaluated 48 hours, one month and three months after intervention according to the VAS scale and recurrent of Hernia between 6 and 12 months. The mean of operative time obtained 51.5 and 45.5 minutes (p<0.001), mean of the hospitalization time obtained 1.29 and 1.28 days (p<0.05) for RR and LS groups respectively. Pain decreased in the duration of study but reduction of RR group was more significant than the reduction of LS group (p<0.001). Recurrence of RR group was less than LS group (1.3 against the 4.7%) but there wasn't significant difference (p>0.05). In this minimal study RR method had better performance than LS method in the duration of surgery and pain of patients in three months. Also both methods didn't have significant differences in the time of hospitalization and recurrence of one year for indirect inguinal Hernia.
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