Endoscopic removal of retained large surgical gauze: a case report

Abstract

In this paper, a 63-year-old woman was reported with recurrent abdominal pain after cholecystectomy. A retained surgical towel was seen by CT-scan in the peritoneal cavity, where it migrated across duodenum wall toward pre-pyloric region of the stomach. Endoscopic removal of the large retained gauze in size of 40 cm x 40 cm was successfully performed without laparotomy and with no complication. In the last years, the main method for removal of retained foreign objects has been open laparotomy or laparoscopy. We claimed that removal of large retained surgical long gauze is actually possible using upper GI endoscopy by expert endoscopists, and, therefore, there is no need for anesthesia or surgery as well as no occurrence of complication and laceration.

Endoscopic Removal of a Transgastric Migrated Textiloma: A Case Report

“…As far as treatment is concerned, open surgery has been the mainstay method for textiloma removal [ 15 ]. Few cases have been reported in relation with removal of retained gauze by upper gastrointestinal endoscopy.…”

“…In our patient, textiloma was successfully removed by upper endoscopy in several fragments. The most used tool for endoscopic removal is endoscopic forceps with sometimes the need of a saw-tooth forceps [ 15 , 16 ].…”

Retained Barium in the Appendix Is Difficult to Distinguish from Surgical Remnants following Laparoscopic Surgery

“…During the operation, we used gauze, forceps, needles, and a morcellator. Of these materials, gauze was believed to be the most likely to have been left behind from the radiographic appearance [ 8 , 9 ]. We used gauze for attaching hyaluronate and carboxymethylcellulose (H-CMC; Seprafilm®) to the myomectomy site.…”