Oh, My Gauze !!!- A rare case report of laparoscopic removal of an incidentally discovered gossypiboma during laparoscopic cholecystectomy

Sankpal, Jitendra; Tayade, Mukund B; Rathore, Jai; Parikh, Atish K.; Gadekar, Deepak; S, Shaba Fathima; Sankpal, Sushrut

doi:10.1016/j.ijscr.2020.04.058

Cited by 15 publications

(12 citation statements)

References 17 publications

(19 reference statements)

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“…A surgical sponge is the most frequently retained surgical foreign body (69%), while other retained items include forceps, electrodes, needles, and retractors [5,9,11]. Gossypiboma has been reported after all types of surgeries, including gastrointestinal [2,12], gynecological [1,3,6], urological, vascular, orthopaedic, and spinal surgeries [13]. Gawande et al identified emergency procedures, unplanned changes in the surgical procedure, and obesity as the risk factors for the occurrence of retained sponges [14].…”

Section: Discussionmentioning

confidence: 99%

“…The foreign-body reaction makes the surgical removal of gossypiboma difficult, especially by minimally invasive technique. There are very limited reports on laparoscopic removal of the gossypiboma [1][2][3]. However, if feasible, laparoscopy offers the advantages of decreased postoperative pain, wound-related complications, and faster recovery.…”

Section: Discussionmentioning

confidence: 99%

“…The term gossypiboma is used to describe surgical sponges or gauze retained inside a patient's body after a surgical procedure [1][2][3][4]. The body reacts to the retained foreign body by an exudative inflammatory or aseptic fibrotic reaction to encapsulate the cotton material, which results in the formation of an intraabdominal mass [1,4]. This unintentional but avoidable surgical complication causes serious damage to the patient's health.…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic Removal of Retained Surgical Sponge After Caesarean Section: A Case Report

Khanduri¹,

Gupta²,

Ammar³

et al. 2022

Cureus

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Gossypiboma or textiloma denotes the formation of a mass lesion due to the development of foreign body reactions around the retained surgical item in the body. Most of the cases are asymptomatic in the initial postoperative period. Due to the dense adhesions, most of the cases of intra-abdominal gossypiboma are treated by an open approach. Here we present a case of a 38-year-old lady with left iliac fossa pain one month after caesarean section. Contrast-enhanced computed tomography of the abdomen revealed gossypiboma. The patient was successfully treated with laparoscopic removal of the gossypiboma.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic Removal of Retained Surgical Sponge After Caesarean Section: A Case Report

Khanduri¹,

Gupta²,

Ammar³

et al. 2022

Cureus

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“…However, laparoscopy can prove to be beneficial with its advantages of early ambulation, reduced post-op pain, cosmetically improved results and shorter length of hospital stay. There are limited case reports of laparoscopic removal of gossypiboma and therefore this approach should be encouraged to minimize morbidity to the patient [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Gossypiboma - Successful retrieval through laparoscopy: A case report

Saxena

Kardam

Chauhan

et al. 2021

International Journal of Surgery Case Reports

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Introduction Numerous complications can occur after a surgery, but gossypiboma is undoubtedly the most unwanted and undesirable complication of a procedure for any surgeon with legal implications. Once suspected, the minimally invasive surgical approach should be considered for its management. Presentation of case An adult P 1 L 1 E 1 female presented to the surgery OPD with a painless abdominal mass which progressively increased in size in the past 4 months. She underwent emergency surgery for a ruptured ectopic pregnancy 6 months back at some other health centre. On computed tomography scan of the abdomen, a well-defined heterogenous cystic lesion of size 9.8 cm × 9.2 cm × 7 cm was noted intraperitoneally. Few air foci with a hyperdense tubular structure within the lesion were seen, suggestive of a retained surgical sponge with its radio-opaque marker also visualised. The retained sponge was successfully retrieved by the laparoscopic approach. Discussion Traditionally, the open approach for the removal of the sponge was more accepted compared to the laparoscopic approach. This was due to the belief that intense foreign body reaction and dense adhesions around the sponge may make the laparoscopic approach difficult. However, laparoscopy can prove to be beneficial with its advantages of early ambulation, reduced post-op pain, cosmetically improved results and shorter length of hospital stay. Conclusion All precautions must be taken to avoid retention of surgical sponge post-surgery. Case reports in which laparoscopy is used to retrieve gossypiboma are rare. The authors recommend the use of laparoscopy as a therapeutic option in the event of such mishaps.

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“…4 These cases are frequently diagnosed as abdominal neoplasms on sonology, or even diagnosed accidentally during another surgery. [5][6][7]…”

Section: Introductionmentioning

confidence: 99%

An unusual presentation of Gossypiboma associated with secondary infertility: a case report

Kaur¹,

Saravagi²

2021

Int J Reprod Contracept Obstet Gynecol

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Gossypibomas are a rare cause of surgical morbidity and mortality. When unrecognised in the perioperative period, they can present later with a myriad of abdominal complications. We present an unusual case of gossypiboma that was discovered as a cause of secondary infertility, misdiagnosed as a complex adnexal mass. After a definitive diagnosis was made, the removal of gossypiboma restored fertility in the patient successfully.

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Oh, My Gauze !!!- A rare case report of laparoscopic removal of an incidentally discovered gossypiboma during laparoscopic cholecystectomy

Abstract: Highlights Gossypiboma, textiloma and cottonoid foreign bodies are discussed. Measures to avoid retaining surgical items are reviewed.

Cited by 15 publications

References 17 publications

Laparoscopic Removal of Retained Surgical Sponge After Caesarean Section: A Case Report

Laparoscopic Removal of Retained Surgical Sponge After Caesarean Section: A Case Report

Gossypiboma - Successful retrieval through laparoscopy: A case report

An unusual presentation of Gossypiboma associated with secondary infertility: a case report

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