Beyond a Gossypiboma

Quraishi, Abdul Haque M.

doi:10.1155/2012/263841

Cited by 8 publications

(6 citation statements)

References 11 publications

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“…The most frequent possible complications described secondary to the presence of gossypiboma were represented by fistulas (19.29%) [ 10 , 13 , 19 , 20 , 23 , 27 , 32 , 33 , 37 , 50 ], perforations (12.28%) [ 1 , 26 , 29 , 44 , 45 , 51 , 53 ], obstructions (5.26%) [ 11 , 32 , 37 ], and bladder injuries [ 34 ] ( Table 3 ).…”

Section: Discussionmentioning

confidence: 99%

Gossypiboma, the Hidden Enemy of an Emergency Cesarean Hysterectomy—Case Report and Review of the Literature

Varlas,

Bors,

Mastalier

et al. 2023

JCM

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Gossypiboma or textiloma is a rare medical situation that can complicate the favorable evolution of a surgical case, with repercussions for the patient’s prognosis. The diagnosis can be difficult due to various clinical symptoms, the time elapsed since the surgical intervention, and the imaging often not being precise in detecting textilomas. Due to the medicolegal implications, the reporting of this event is inconsistent. We present a rare case of a 28-year-old woman who presented with vague pain in the left iliac fossa 11 months after an emergency cesarean hysterectomy was performed. The preoperative imaging examination identified the presence of a subhepatic mass with dimensions of 10 × 8 cm2 and another formation in the right iliac fossa with dimensions of 11 × 9 cm2. Exploratory laparotomy found the presence of a large subhepatic gossypiboma, intimately adherent to the hepatic angle of the colon and omentum and a second one adherent to the sigmoid colon, small intestine, and parietal peritoneum. The particularity of this case is given by the simultaneous presence of two textilomas with inconclusive evolution, which can make the differential diagnosis difficult to achieve. For a better assessment of the risk of occurrence of this pathology and the identification of a correct prevention strategy, we performed an extensive search and a review of all the articles published in the PubMed database, identifying 57 articles. In conclusion, emergency surgery increases the risk of this complication, and, as a result, prevention can be achieved by following existing protocols in the operating room.

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Section: Discussionmentioning

confidence: 99%

Gossypiboma, the Hidden Enemy of an Emergency Cesarean Hysterectomy—Case Report and Review of the Literature

Varlas,

Bors,

Mastalier

et al. 2023

JCM

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“…The first response that is an exudative inflammatory reaction with pus formation leads to early discovery and surgical intervention and the second response is usually an aseptic reaction to the cotton material, which leads to fibrosis and development of mass. [6] Nearly, one-third of the patients remains asymptomatic and diagnosed incidentally. This complication can occur in any surgery, but it is found that incidence is more after hysterectomy, appendectomy, and cholecystectomy.…”

Section: Discussionmentioning

confidence: 99%

“…It has been recommended that four separate counts be done. First, count when the set and sponges are unpacked, second just before the start of surgery, third as the closure begins, and the final count during skin closure [6] Newer technologies like the electronic article surveillance system and the radiofrequency chip identification by barcode scanner will help in decreasing the incidence of retained foreign bodies. [8]…”

Section: Discussionmentioning

confidence: 99%

Gossypiboma – A nightmare for surgeon: A rare case with review of literature

et al. 2019

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Gossypiboma is an uncommon but avoidable condition, which is mostly asymptomatic initially and difficult to diagnose but can cause serious postoperative complications. It is a mass lesion due to surgical sponge or swab if retained in the body after the surgery. Gossypiboma has a vague presentation, and it is difficult to diagnose. In patients with a prior history of surgery having soft-tissue masses or localized pain abdomen, gossypiboma should be included in the differential diagnosis. We are reporting a case of a 33-year-old woman referred to our center with a complaint of vague abdominal pain, mild distension for the past 7 days, and discharge from the stitch line for the past 1 day. After investigation, diagnosis of gossypiboma was made and an exploratory laparotomy was performed to remove the retained surgical mop.

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“…Ultrasonography, computed tomography (CT) scan, and magnetic resonance imaging are the diagnostic tools available for identifying surgical objects not detected through visual inspection of the operative field and are not usable routinely [21] , [22] . Body cavity location and the type of missing surgical object should both be considered when choosing an appropriate diagnostic tool.…”

Section: Discussionmentioning

confidence: 99%

Three years evaluation of retained foreign bodies after surgery in Iran

Zarenezhad

Gholamzadeh

Hedjazi

et al. 2017

Annals of Medicine &Amp; Surgery

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BackgroundMedical errors such as retained foreign bodies (RFB) during surgery are not well studied. To define risk factors associated with this type of error, we performed retrospective study.MethodsWe reviewed medical records for unintentional foreign object remaining in the body during surgery such as gender, age, surgery ward, and incident reports referred to several forensic medicine administrations as well as adverse effects of retained foreign bodies and methods for detection of them over a 3-years period from January 2008 through May 2011.ResultsThirty eight patients were involved in the study to have retained foreign bodies (73% sponges and 27% other instruments including 7 (18.42%) cases of other bandages, 2 cases (5.26%) of scissor and 1 case (2.63%) of forceps). The general surgery ward was most commonly involved (47%) followed by the gynecology surgery ward (34%). Men (58%) were more involved with RFB than women (42%).ConclusionConsidering the most frequent type of retained foreign bodies and also more frequent involved surgery wards besides detection methods for RFB, a mixed of preventing protocols such as regular counting of devices, post-operative X-ray with radiopaque markers and exact evaluation of surgery site should be employed to reduce the occurrence of retained foreign bodies and its complications.

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Beyond a Gossypiboma

Cited by 8 publications

References 11 publications

Gossypiboma, the Hidden Enemy of an Emergency Cesarean Hysterectomy—Case Report and Review of the Literature

Gossypiboma, the Hidden Enemy of an Emergency Cesarean Hysterectomy—Case Report and Review of the Literature

Gossypiboma – A nightmare for surgeon: A rare case with review of literature

Three years evaluation of retained foreign bodies after surgery in Iran

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