Thinking beyond Gauze Count at Surgery: A Reminder to Surgeons on Textilomas

Abstract

Introduction: Inadvertently leaving surgical sponges in operation site has been described by various terms, including textiloma and gossypiboma. In recognition of the morbidity and economic implications that are associated with this error, surgeons exercise utmost caution to avoid retention of surgical instruments in body cavities. Presentation of Case: A 29 year old Para1 presented at our facility with incapacitating abdominal pain and swelling of twelve months duration. She had an emergency Caesarean section at another hospital one month before the onset her symptoms. She had several hospital admissions, during which she was managed conservatively for adhesive intestinal obstruction without sustained relief. She was resuscitated, and she had exploratory laparotomy at our centre. A surgical linen that measured 110x150cm Case Study

Laparoscopic removal of a large abdominal foreign body granuloma using single incision laparoscopic surgery (SILS) and extraction bag in a cheetah (Acinonyx jubatus)

“…Iatrogenically induced FB such as textiloma or gossypiboma caused by retained surgical swabs (Deschamps and Roux 2009) is probably the most frequently reported coelomic cavity FB in dogs and is also of concern in human surgery (Yakasai and Abubakar 2011, Awowole and others 2014). In one case report, an abdominal swab migrated transmurally into the jejunum of a dog (Day and others 2012) and literature reports of retained surgical swabs or sponges resulting in abdominal fibrosarcoma exist (Haddad and others 2010; Rayner and others 2010).…”