Retained surgical sponge (gossypiboma) after intraabdominal or retroperitoneal surgery: 14 cases treated at a single center

Yıldırım, Sedat; Tarım, Akın; Nursal, Tarık Zafer; Yıldırım, Tülin; Çalışkan, Kenan; Törer, Nurkan; Karagülle, Erdal; Noyan, Turgut; Moray, Gökhan; Haberal, Mehmet

doi:10.1007/s00423-005-0581-4

Cited by 96 publications

(101 citation statements)

References 15 publications

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“…Gossypiboma is the term used to describe a retained nonabsorbable surgical material that is composed of cotton matrix which leads to serious surgical complications for both patient and surgeon [1,2]. Its incidence is not precisely known probably due to medico-legal importance of this potential complication.…”

Section: Introductionmentioning

confidence: 99%

“…Its incidence is not precisely known probably due to medico-legal importance of this potential complication. Gossypiboma induces two types of tissue reaction which consisted of aseptic fibrinous response and exudative response [1][2][3]. Clinical presentation is strongly associated with the type of foreign body reaction which may manifest itself in various clinical presentations ranging from mild abdominal pain to major surgical complications including bowel or visceral perforation, obstruction, fistula formation, or sepsis, although it may remain asymptomatic for many years [1][2][3][4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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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: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

et al. 2015

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“…possible mortality [5,12] . It can present itself as an intraabdominal mass and might lead to erroneous biopsy attempts and unnecessary manipulations [13] .…”

Section: Introductionmentioning

confidence: 99%

“…It can present itself as an intraabdominal mass and might lead to erroneous biopsy attempts and unnecessary manipulations [13] . It commonly leads to misdiagnosis and unnecessary surgery [12] . Clinical presentation may be acute or subacute, and may follow months or even years after surgery [14] .…”

Section: Introductionmentioning

confidence: 99%

“…Three patients were diagnosed with intestinal obstruction and two with pseudotumoral syndrome [16] . If the patients do not recover in the postoperative period and are readmitted with extraordinary problems, gossypiboma should definitely be considered as the differential diagnosis in such cases [12] . During the period that gossypiboma remains in the body, extrusion of the gauze can occur externally through a fistulous tract or internally into the rectum, vagina, bladder or intestinal lumen [17] .…”

Section: Introductionmentioning

confidence: 99%

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Surgical intervention may not always be required in gossypiboma with intraluminal migration

Alis¹,

Soylu²,

Dolay³

et al. 2007

WJG

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Gossypiboma is the technical term for a retained surgical sponge. Because of legal-ethical concerns, there have not been many publications on this topic. Delays in diagnosis and treatment might increase mortality and morbidity. Radiological imaging is used in diagnosis. We present a case of gossypiboma that had fistulized to bulbous following hydatic cyst surgery. We established the diagnosis with endoscopy and followed its migration endoscopically.

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The sucked surgical sponge: Rare case of Gossypiboma after vaginal hysterectomy

Oehme¹,

Rühle

Stickel

et al. 2019

Clinical Case Reports

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Retained surgical sponge (gossypiboma) after intraabdominal or retroperitoneal surgery: 14 cases treated at a single center

Abstract: RSS can lead to significant medical and legal problems between the patient and the doctor. RSS may be incorrectly diagnosed preoperatively, which can lead to unnecessary invasive diagnostic procedures and operations. Strict measures must be taken to prevent this complication.

Cited by 96 publications

References 15 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

Surgical intervention may not always be required in gossypiboma with intraluminal migration

The sucked surgical sponge: Rare case of Gossypiboma after vaginal hysterectomy

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