Three years evaluation of retained foreign bodies after surgery in Iran

Zarenezhad, Mohammad; Gholamzadeh, Sakineh; Hedjazi, Arya; Kamran, Soltani Arabshahi; Gharehdaghi, Jaber; Ghadipasha, Masoud; Hosseini, Seyyed Mohammad Vahid; Ahmad, Zubair

doi:10.1016/j.amsu.2017.01.019

Cited by 11 publications

(12 citation statements)

References 27 publications

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“…Yildirim et al investigated the diagnosis and management of retained surgical foreign bodies and recommended removal of the foreign body when identified in a symptomatic patient. However, for asymptomatic and selected cases, he supported follow-up of the patient as the treatment of choice, particularly if exploring and removing the foreign body will bring more harm to the patient [ 6 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

Dislodged Bonded Molar Tube into Wound during Orthognathic Surgery

Shaeran

Samsudin

2018

Case Reports in Dentistry

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Introduction Dislodgement of orthodontic appliance into operation wounds may occur while performing orthognathic surgery. Its occurrence is commonly associated with bonded upper molar tube. Case Report A 25-year-old gentleman presented with recurrent upper right vestibular abscess three months following a bimaxillary orthognathic surgery. A bonded molar orthodontic tube had dislodged into the wound during the operation. The clinical presentation initially mimics an odontogenic infection until our investigations revealed that it originated from the dislodged appliance. The abscess was drained, the wound site was explored, and the molar tube and neighbouring rigid fixation plates and screws were removed. The patient recovered well following the procedure. Conclusion Dislodged metal orthodontic appliance in oral wound acts as a foreign body that may exert allergic reactions, infection, or inflammation. Pre- and postoperative intraoral examination of fixed orthodontic appliances including its count should be recorded in orthognathic surgery protocol.

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Section: Discussionmentioning

confidence: 99%

Dislodged Bonded Molar Tube into Wound during Orthognathic Surgery

Shaeran

Samsudin

2018

Case Reports in Dentistry

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“…Sometimes they remain altogether asymptomatic. The clinical manifestation ranges from no symptoms at all to pain, sepsis, abscess, nonhealing wounds, fistulas and intestinal obstruction [ 1 , 3 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…The incidence might be even higher during emergency surgeries [ 6 ]. A surgical sponge is the most commonly reported retained item following surgery, whereas reports of retained needles and instruments are extremely rare [ 3 ]. There are cases of retained appendices epiploicae after surgery resembling a ‘boiled egg’ [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Intra-abdominal foreign body as unexpected discovery mimicking suspicious malignancy

Kastiunig¹,

Sortino

Vines

et al. 2021

Journal of Surgical Case Reports

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Although rare, postoperatively retained foreign bodies in the abdominal cavity still represent a serious issue for the surgical team as for the patients. Its clinical manifestation is often unspecific and the cases are therefore only irregularly registered. There are several known factors that increase the risk of retention of a foreign body, for example emergency surgeries, unplanned changes in procedure or a high body mass index. In this article, we would like to report the case of a male patient with a foreign body in the right lower quadrant after open appendectomy mimicking a tumor.

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“…Although World Health organization(WHO) and the Association of periOperative Registered Nurses (AORN) recommended that counting of surgical items would be performed for every surgical procedure (3) (11), similarly to the study(4), the respondents affirmed that surgical item count was performed in certain procedures such the abdomen surgeries as the abdominal size can lead to surgical objects cases' retention (4). Therefore, the observation that was done in different types of surgical procedures as the study done in the Iran on "Three years evaluation of retained foreign bodies after surgery" showed that unknown items retained in everybody hollows were included peritoneal hollow, thoracic cavity, gastrointestinal zone, urogenital tract, facial region, abdominalpelvic area with the majority of abdominal and peritoneal cavities(55,26%) and chest cavities(18.42%) (12). Surgical count must be done before each procedure to establish the baseline as the responsibility of Circulating and scrub nurses/midwives(14).…”

Section: Discussionmentioning

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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Three years evaluation of retained foreign bodies after surgery in Iran

Cited by 11 publications

References 27 publications

Dislodged Bonded Molar Tube into Wound during Orthognathic Surgery

Dislodged Bonded Molar Tube into Wound during Orthognathic Surgery

Intra-abdominal foreign body as unexpected discovery mimicking suspicious malignancy

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

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