Retained surgical items: Building on cumulative experience

Styskel, Brett; Wernick, Brian; Mubang, Ronnie; Falowski, Steven; Papadimos, Thomas J; Stawicki, Stanislaw P.

doi:10.4103/2455-5568.183316

Cited by 9 publications

(2 citation statements)

References 97 publications

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“…Furthermore, insurance and legal claims are subject to confidentiality requirements, which may additionally hinder the publication of data on RSIs. 7 Nevertheless, the topic has been widely publicized, and Styskel et al 8 identified a total of 281 reported cases of RSIs between 1909 and 2015.…”

Section: Discussionmentioning

confidence: 99%

Retained surgical needle and gauze after cesarean section and adnexectomy: a case report and literature review

et al. 2018

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Although the incidence of retained surgical items (RSIs) is low, it is nevertheless an important preventable cause of patient injury that can ultimately lead to the patient's death and to subsequent high medical and legal costs. Unintentional RSI is the cause of 70% of re-interventions, with a morbidity of 80% and mortality of 35%. The most common RSIs are sponges or gauze (gossypiboma or textiloma), while retained surgical instruments and needles are rare. Perioperative counting of equipment and materials is the most common method of screening for RSIs, while a diagnosis can later be confirmed by the clinical appearance and by imaging studies. We present a rare case of a 43-year-old patient who was admitted to our hospital because of two retained needles following a cesarean section, despite several subsequent laparotomies. One needle had been removed previously, but in addition to the remaining needle, we also removed a retained gauze. The diagnosis of RSIs is extremely important, and safe surgical practices including the addition of new imaging technologies should be encouraged to detect RSIs.

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Section: Discussionmentioning

confidence: 99%

Retained surgical needle and gauze after cesarean section and adnexectomy: a case report and literature review

et al. 2018

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“…Even though many patients are asymptomatic after RSFB events, some have been found to report pain, nausea, vomiting, abscesses, wound complications and masses requiring further workup. Responsible medical parties face issues involving a damaged reputation along with estimated medicolegal expenses ranging from $37 000 to $2 350 000 per incidence [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Use of a pacemaker magnet to remove a broken suture needle during a laparoscopic cholecystectomy

Titus

Rifenbery

2021

Journal of Surgical Case Reports

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Prompt removal of unintended surgical foreign bodies is essential for prevention of adverse consequences of retained surgical foreign bodies postop. Current practices utilizing radiographic images in combination with visual inspection and palpation to remove foreign bodies can lead to increased surgical times and tissue damage. A suture needle fragment broke off during a laparoscopic cholecystectomy performed on a morbidly obese adult female. After being unable to retrieve the fragment by increasing the midline incision by ~7 cm and undergoing an additional ~1 of intraoperative time, a pacemaker magnet wrapped in sterilized plastic was able to instantaneously remove the shard. Techniques utilizing magnetism could be researched and developed for the removal of surgical foreign bodies both intraoperatively and postop.

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