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

Alış, Halil; Soylu, Ali Rıza; Dolay, Kemal; Kalaycı, Mustafa; Çiltaş, Aydın

doi:10.3748/wjg.v13.i48.6605

Cited by 24 publications

(12 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Laparoscopy is rarely successful, since the RSS is usually large, hard, and has caused extensive adhesions or intensive granuloma formation [58]. Following complete transmural migration of the RSS, expectant conservative management may be followed, provided the patient is asymptomatic [31]; spontaneous cure after expulsion of the RSS per rectum may be possible in this case, albeit rare (see above).…”

Section: Managementmentioning

confidence: 98%

“…For example, a RSS after appendectomy may lead to an external opening and formation of a discharging sinus in the right lower abdominal quadrant. Internal fistulation may also occur into an adjacent adherent hollow organ, such as the stomach, intestine, bladder, sigmoid colon, rectum, or vagina [3,5,6,9,12,13,19,20,[30][31][32][33][34][35][36]. Transmural migration of a RSS may rarely be observed, without any apparent opening on the intestinal wall [34].…”

Section: Clinical Presentationmentioning

confidence: 99%

See 1 more Smart Citation

Retained surgical sponges: what the practicing clinician should know

Sakorafas

Sampanis

Lappas

et al. 2010

Langenbecks Arch Surg

View full text Add to dashboard Cite

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.

show abstract

Section: Managementmentioning

confidence: 98%

Section: Clinical Presentationmentioning

confidence: 99%

Retained surgical sponges: what the practicing clinician should know

Sakorafas

Sampanis

Lappas

et al. 2010

Langenbecks Arch Surg

View full text Add to dashboard Cite

show abstract

“…Regarding surgical procedures, it occurs mainly in emergency operations. It is also seen in surgeries of paraspinal muscles, intrathoracic regions, legs, shoulder and pericardial space 3,4 . Obesity of the patients, change in the surgical team in between procedures, improper and hurried counting of surgical goods at the end of procedures, long operations, inexperienced and inadequate staff numbers also contribute to the issue 5 .…”

Section: Discussionmentioning

confidence: 99%

Gossypiboma can remain asym ptomatic for a long time

et al. 2019

View full text Add to dashboard Cite

Gossypiboma, a retained foreign body after surgery, is a rare complication. It appears years after surgery, has nonspecific symptoms, and is usually identified on imaging sequences. We present here an asymptomatic case of a 32 years old lady with a history of laparotomy done two years earlier. She was initially misdiagnosed clinically and radiologically as hydatid cyst of pelvis. During re-surgery, foreign body was detected. Postoperative period was uneventful. To prevent these types of complications, we have to follow the main principle of surgery in all procedures i.e. ensuring a proper count of surgical materials before and after surgery.

show abstract

“…7,8 The incidence of an RSS is difficult to estimate, but it has been reported to be 1 in 100 to 3,000 for all surgical procedures and 1 in 1,000 to 1,500 for abdominal surgery. 2,3,8-13 RSS is frequently located in the abdominopelvic cavities, but it can also follow thoracic, orthopedic, urological, and neurosurgical procedures.…”

Section: Discussionmentioning

confidence: 99%

“…7,15,26,[29][30][31] However, a few cases have been reported in the literature in which the RSS spontaneously discharged during defecation. 8,16,17,32,33 Prognosis is excellent if the RSS is removed immediately after diagnosis. 17 However, a mortality rate of 10% to 17.6% has been reported in the older medical literature and is associated with delayed diagnosis and treatment.…”

Section: Discussionmentioning

confidence: 99%