Intraperitoneal Gossypibomas: The Need to Count Sponges

Lauwers, Patrick; Hee, R H Van

doi:10.1007/s002689910084

Cited by 127 publications

(135 citation statements)

References 59 publications

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“…Unfortunately, delayed diagnosis is usually associated with high morbidity and mortality. The morbidity and mortality rate was reported at a high rate of 50 and 11-35 %, respectively, which is compatible with our study 50 and 7 % [24]. The most common reason of these high rates is sepsis related to intraabdominal abscess, as in our case.…”

Section: Discussionsupporting

confidence: 79%

Intra-abdominal Gossypiboma Revisited: Various Clinical Presentations and Treatments of this Potential Complication

et al. 2015

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Gossypiboma is the term used to describe a retained non-absorbable surgical material that is composed of cotton matrix which leads to serious surgical complications for both patient and surgeon. Its incidence is not precisely known probably due to medico-legal importance of this potential complication. The condition may manifest either as asymptomatic or severe gastrointestinal complications. The increasing number of recent reports in the literature implies that this issue still remains as an important problem to be solved after intraabdominal surgery. In this report, we aimed to emphasize this potential complication by presenting the clinical outcomes of our 14 patients who underwent different surgical interventions for gossypiboma. Between February 2009 and October 2014, a total of 14 patients who underwent surgery for gossypiboma were reviewed retrospectively. The patients were analyzed with regard to demographic characteristics, initial diagnosisprior surgery, clinical presentation, the interval period from the first operation to last definite operation, diagnostic methods, gossypiboma location, definite surgery, and postoperative outcomes. A total of 14 patients including 6 (42.9 %) male and 8 (57.1 %) female with a median age of 41.4± 12 years (22-61 years) enrolled in this study. The prior surgery of 10 (71.4 %) patients was performed by general surgeons, while 4 (28.6 %) patients were operated by gynecologists. The interval period from prior surgery to definite surgery ranged from 14 days to 113 months. Three (21.4 %) patients were asymptomatic, whereas the vast of the patients were complicated (fistula, ileus, wound infection). Gossypiboma was removed by open surgery, laparoscopic surgery, and endoscopic intervention in 10, 2, and 1 patient, respectively. Removal was performed from perineal wound side in one patient. Removal was enough for definitive treatment in 10 (71.4 %) patients whereas bowel resection and primary repair was performed in 4 (28.6 %) patients due to fistula or perforation. One patient died from intra-abdominal sepsis on postoperative 13th day. Gossypiboma should strongly be considered in differential diagnosis of any postoperative patient with mild gastrointestinal symptom or with persistent wound infection. Adequate surgical intervention should be planned as soon as possible either to prevent further complications or to overcome medico-legal problems, when gossypiboma is detected.

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Section: Discussionsupporting

confidence: 79%

Intra-abdominal Gossypiboma Revisited: Various Clinical Presentations and Treatments of this Potential Complication

et al. 2015

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“…10,11 Gawande et al 12 reported that the incidence of retained textilomas and surgical instruments had varied from 1/18 760 to 1/8 801 in surgical operations at non-speciality acute-care hospitals, corresponding to one case or more each year for a large hospital. It has been presumed that more than 1 500 cases of foreign bodies occur annually in the USA.…”

Section: Discussionmentioning

confidence: 99%

Retained Textile Foreign Bodies: Experience of 27 Years

Arıkan¹,

Kocakuşak

2015

Acta Med Port

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Acta Med Port 2015 Jul-Aug;28(4):494-500 RESUMOIntrodução e Objetivos: A retenção de materiais têxteis após a cirurgia é uma situação indesejada, tanto para o doente como para o cirurgião. Frequentemente são subnotificados por questões de natureza médico-legal. Apresentamos 14 casos de textilomas (compressoma) que foram tratados ou seguidos pessoalmente por dois cirurgiões gerais num período de 27 anos para descrever e definir as características clínicas e patológicas. Material e Métodos: Foram avaliados retrospectivamente os dados relativos a uma serie de casos, nomeadamente: características dos doentes (sexo e idade), localização anatómica do corpo estranho, intervalo de tempo até ao diagnóstico, apresentação clínica, queixas, abordagem diagnóstica, motivo de cirurgia, tipo de tratamento cirúrgico e complicações. Resultados: Foram identificados nove doentes do sexo feminino e cinco do sexo masculino, com uma média de idades de 43,07 ± 15,23 (mediano: 45) anos para o momento do diagnóstico. Em três doentes a cirurgia prévia foi cesariana, em quatro casos herniorrafia inguinal, um doente submetido a laparotomia exploradora por abdome agudo, um doente no qual foi realizado uma sigmoidectomia, uma doente submetida a apendicectomia e salpingooforectomia direita, uma doente na qual a cirurgia anterior tinha sido para corrigir uma hérnia incisional após laparotomia por neoplasia do ovário, um caso de tiroidectomia total, uma herniorrafia por hérnia epigástrica e uma doente submetida cirurgia conservadora bilateral da mama com pesquisa de gânglio sentinela. A localização mais frequente dos compressomas foi intra-abdominal em sete casos, em quatro doentes a localização foi inguinal, um caso localizado na incisão da correcção da hérnia epigástrica, um doente com textiloma na loca de tiroidectomia, e no caso da doente submetida a cirurgia conservadora da mama em ambas regiões axilares se encontraram corpos estranhos/compressomas. O intervalo de tempo foi em média 14,48 (mediano: 5,5) meses. Dıscussão: A identificação precoce de corpos estranhos pode assegurar um desfecho mais positivo. Conclusão: Os compressomas são uma forma de iatrogenia evitável com consequências graves. O cumprimento rigoroso das normas no bloco operatório é essencial para manter a ponta do iceberg fechado na caixa de Pandora. Palavras-chave: Corpos Estranhos; Granuloma de Corpo Estranho. ABSTRACT Introduction and Aim:Retained intracorporeal textile products (gossypiboma-textiloma) are undesired and accidental surgical results for both patients and surgeons, which are underreported because of medicolegal remifications. Fourteen textiloma cases, who had been treated or whose treatment procedures had been followed-up personally by two general surgeons in a period of 27 years almost during their whole professional lives were presented to describe and define the clinical and pathological characteristics. Material and Methods: Patient characteristics including gender and age, areas of location within the body, time intervals until diagnosis, clinical pres...

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“…This reaction usually causes related clinical symptoms and signs shortly after surgery. The second type of response is aseptic with extensive adhesions and encapsulations resulting in a foreign body granuloma [4]. The septic complications are likely to present early during the postoperative period, whereas the aseptic encapsulations can disappear over a period of years, as in the case described here.…”

Section: Discussionmentioning

confidence: 76%

A foreign body (gossypiboma) in pregnancy: first report of a case

2006

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The technical name for a surgical sponge left in the body of a patient is inadvertent "gossypiboma." The word is derived from the Latin word Gossypium for cotton and from the Kiswahili word boma for "place of concealment." These retained sponges were first seen as "textilomas," but were renamed "gossypiboma" in 1978.The first case was reported by Wilson in 1884. These are rarely are retrieved in the literature, because of legal complications. A higher incidence of retained laparotomy sponges has been reported in association with gynecological procedures. We report a case of gossypiboma in the 38th week of pregnancy that imitated an ovary neoplasm.

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Intraperitoneal Gossypibomas: The Need to Count Sponges

Cited by 127 publications

References 59 publications

Intra-abdominal Gossypiboma Revisited: Various Clinical Presentations and Treatments of this Potential Complication

Intra-abdominal Gossypiboma Revisited: Various Clinical Presentations and Treatments of this Potential Complication

Retained Textile Foreign Bodies: Experience of 27 Years

A foreign body (gossypiboma) in pregnancy: first report of a case

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