Surgical sponge forgotten for nine years in the abdomen: A case report

Susmallian, Sergio; Raskin, Benjamin; Barnea, Royi

doi:10.1016/j.ijscr.2016.10.026

Cited by 12 publications

(14 citation statements)

References 13 publications

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“…Several factors have been associated with gossypibomas, such as operations performed as emergencies; inaccurate recording of swab counts; unexpected intraoperative events, findings, or adjustments; and patient factors, such high body mass index (BMI) and female sex. 5 The clinical picture may include abdominal pain, abdominal mass, rectal bleeding, intestinal obstruction, fever, diarrhoea and weight loss 6 ; the time of presentation and duration can vary from 3 days to 40 years, 7 which makes early diagnosis difficult.…”

Section: Discussionmentioning

confidence: 99%

“…The presented patient was asymptomatic for 4 years, after that, she had sporadic abdominal pain, which intensified few days before her admission to the emergency department; there are few cases described in the literature with a time of presentation of these characteristics. Susmallian et al 7 describe a case of a woman, 9 years after a cesarean section, who presents abdominal pain and fever; the laparotomy finding was a retained surgical dressing.…”

Section: Case Reportmentioning

confidence: 99%

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Retained textile foreign body: A rare cause of acute abdomen

Caballero-Alvarado¹,

Ruiz-Urquiaga²,

Sánchez-Zavaleta³

et al. 2018

East. Cent. Afr. J. Surg.

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Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Retained textile foreign body: A rare cause of acute abdomen

Caballero-Alvarado¹,

Ruiz-Urquiaga²,

Sánchez-Zavaleta³

et al. 2018

East. Cent. Afr. J. Surg.

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“…Generally, they present within a few weeks or months with these symptoms. Asymptomatic presentations have been reported in the literature; however, intraoperative findings suggested loculated infections [ 5 ]. In our case, the patient had a retained foreign body for 15 years with no obvious symptoms or signs of infections or injuries.…”

Section: Discussionmentioning

confidence: 99%

Abdominal Drains Retrieved Laparoscopically 15 Years Post Laparotomy

Dinesh

Mani

Kalabin

et al. 2017

Cureus

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A retained intra-abdominal foreign body is a common occurrence that is frequently underreported due to its medicolegal implications. Sponges, gauzes, surgical instruments, abdominal drains, etc. have been reported in the literature. The most common presentation for a retained intra-abdominal foreign body is postoperative abdominal infections or bleeding, frequently seen in the immediate postoperative period. Most of these foreign bodies are removed by exploratory laparotomy owing to recent abdominal surgeries or presentation as complicated abdominal masses. Here, we report a case with retained intra-abdominal drains for 15 years with minimal symptoms presenting as an intermittent abdominal pain; the drains were removed using laparoscopic intervention.

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“…Surgical counting process is still the one way of minimizing the risks of retained surgical object. Therefore, Most of the times, 70% of unknown retained items were found in the abdominal opening due its big size and tiny dimensions of used objects (5). The international guidelines from World Health Organization, Association of periOperative Registered Nurses , American College of surgeons and The Joint Commission developed and recommended the use of standardized surgical counting protocol in order to decrease the hazard of retained surgical sponges or devices for surgical safety and saving patient's life (6).…”

Section: Introductionmentioning

confidence: 99%

A description of Surgical counting safety practices among operating room nurses and midwives in Rwanda

Mukantwari

Omondi

Ntakirutimana

et al. 2019

Preprint

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Background : The retained surgical item is a critical double burden to the patients and their families. One way of minimizing the risks of this critical burden is the surgical counting process which is costless, effective and preventive method. The present study aimed to determine the knowledge and practice towards surgical counting among operating room nurses and midwives at referral teaching hospitals in Rwanda. Methods: A descriptive cross-sectional study was conducted at four referral teaching hospitals on 160 randomly selected nurses and midwives working in the operating rooms. Nurses and midwives working in OR reported their knowledge and practices in surgical counting exercise using a self-administered questionnaire. A checklist was used by the researchers to observe the compliance with surgical count policy in the OR. Data were entered in Statistical Package for Social Sciences (SPSS version 21.0) for analysis. A correlation between knowledge and practices and association between demographic characteristics with knowledge and practices were tested in this study. The ethical principles were valued. Results: Out of 156 participants who responded to this study, the majority were females (62.8%), Married (70.5%), 30-39years old (53.8%), advanced diploma (82.1%) and with clinical experience below 6 years (52.5%). The majority (78.2%) had good knowledge of surgical count but the majority reported the poor practices (57.8%, n=89). Compared to self reported practices, the observation reports of 35 cases revealed very poor performance. Being female and 1-3 years experience in OR are factors for performing surgical counting practices (OR:3.030562;p≤0.027); and (OR; 9.215279;p ≤0.002) respectively). Conclusion : The surgical count practices were self-reported and observed at low level. The experience and female gender was associated with the practices towards surgical count safety. Others barriers that may hinder the practices were not explored in this study and recommended for further research. Increasing a number of specialized perioperative nurses in OR and in service training and policy implementation follow up may improve Surgical count safety practices. Key words: Surgical count, Operating room, Practice and Referral hospital

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Surgical sponge forgotten for nine years in the abdomen: A case report

Cited by 12 publications

References 13 publications

Retained textile foreign body: A rare cause of acute abdomen

Retained textile foreign body: A rare cause of acute abdomen

Abdominal Drains Retrieved Laparoscopically 15 Years Post Laparotomy

A description of Surgical counting safety practices among operating room nurses and midwives in Rwanda

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