Spontaneous Transmural Migration of Surgical Sponges

Godara, Rajesh; Marwah, Sanjay; Karwasra, R K; Goel, Rohit; Sen, Jyotsana; Singh, Rohit

doi:10.1016/s1015-9584(09)60294-3

Cited by 37 publications

(39 citation statements)

References 2 publications

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“…Often, the human body "attempts" to extrude the foreign material either externally or into a hollow viscus, creating various internal or external fistulae, as a result of local inflammation and local pressure exerted by the RSS (see below) [3,6,7,13,20,22,23].…”

Section: Pathophysiological Changes Induced By Rssmentioning

confidence: 99%

Retained surgical sponges: what the practicing clinician should know

Sakorafas

Sampanis

Lappas

et al. 2010

Langenbecks Arch Surg

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Retained surgical sponges (RSS) are an avoidable complication following surgical operations. RSS can elicit either an early exudative-type reaction or a late aseptic fibrous tissue reaction. They may remain asymptomatic for long time; when present, symptomatology varies substantially and includes septic complications (abscess formation, peritonitis) or fibrous reaction resulting in adhesion formation or fistulation into adjacent hollow organs or externally. Plain radiograph may be useful for the diagnosis; however, computed tomography is the method of choice to establish correct diagnosis preoperatively. Removal of RSS is always indicated to prevent further complications. This is usually accomplished by open surgery; rarely, endoscopic or laparoscopic removal may be successful. Prevention is of key importance to avoid not only morbidity and even mortality but also medicolegal consequences. Preventive measures include careful counting, use of sponges marked with a radiopaque marker, avoidance of use of small sponges during abdominal procedures, careful examination of the abdomen by the operating surgeon before closure, radiograph in the operating theater (either routinely or selectively), and recently, usage of barcode and radiofrequency identification technology.

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Section: Pathophysiological Changes Induced By Rssmentioning

confidence: 99%

Retained surgical sponges: what the practicing clinician should know

Sakorafas

Sampanis

Lappas

et al. 2010

Langenbecks Arch Surg

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“…Retained surgical sponge or gossypiboma in the abdominal cavity is an infrequent but serious surgical complication that may lead to medicolegal problems. The condition has not been very frequently reported due to possible medicolegal concerns [1,[3][4][5] .…”

Section: Introductionmentioning

confidence: 99%

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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“…Migration to the intestines can cause partial or complete obstruction and bleeding through erosion of the mucosa, and migration to bladder may result in urinary problems. After migration through the intestines, the sponge can be expelled per rectum spontaneously as a result of the peristaltic movement (1,11,12) In the present case, the object was observed to have migrated to rectum in 1 year after the operation.…”

Section: Discussionmentioning

confidence: 46%