Laparoscopic Removal of Retained Surgical Sponge After Caesarean Section: A Case Report

Khanduri, Archana; Gupta, Jyoti; Ammar, Houssem; Gupta, Rahul

doi:10.7759/cureus.21375

Cited by 2 publications

(4 citation statements)

References 14 publications

(37 reference statements)

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“…An RFB can lie dormant in the body for long periods, and the body deals with it in two ways: first, through an exudative, infectious response that leads to abscesses and fistulas, and second, an aseptic fibrinous response that leads to encapsulation and subsequent mass effect [ 5 , 6 ]. A patient with gossypiboma can present with fever, vomiting, obstruction, intra-abdominal sepsis, fistula formation, and gastrointestinal bleeding.…”

Section: Discussionmentioning

confidence: 99%

“…The two available options for dealing with a gossypiboma are exploratory laparotomy and diagnostic laparoscopy, both followed by the removal of the RFB and needful surgery. While an open method can be quicker and easier and provide better exposure, laparoscopy has advantages, including a less painful postoperative course, smaller scars, early ambulation, early oral intake, lesser risk of hernia, and overall quicker recovery and return to daily life activities [ 5 , 7 ]. However, laparoscopy may involve a longer operating time because of adhesiolysis and the surgical technique and poses a risk of bowel injury during entry to the abdomen.…”

Section: Discussionmentioning

confidence: 99%

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A Retained Foreign Body as a Rare Cause of Small Bowel Obstruction (Gossypiboma): A Case Report

Ahmed¹,

Lohiya²

2023

Cureus

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A retained foreign body (RFB) is a rare but possible complication of surgery. Among the most common retained foreign bodies are sponges, which may include lap pads and gauze pieces. Surgical never events are errors in medical care that are identifiable and preventable but have serious consequences for the patient, making it an important problem in terms of the safety and credibility of a healthcare facility. They also pose a major medicolegal threat to healthcare organizations and a diagnostic challenge for surgeons. Herein, we present the case of a 35-year-old woman who presented with signs and symptoms of acute intestinal obstruction. She revealed a history of Caesarean section 11 months prior. She had a stormy postoperative course then and had to undergo a diagnostic laparoscopy for pus aspiration three months after surgery, where no finding other than pus was reported. Upon presentation at our tertiary care center, she was examined and found to have an RFB for 11 months. She was managed surgically with successful laparoscopic removal of the gossypiboma and consequent resolution of all her symptoms. Though rare, the possibility of an RFB, especially after open surgery, should be kept in mind when diagnosing patients who present with pain, mass in the abdomen, or symptoms of an infection. Laparotomy is the mainstay of treatment for gossypiboma, but successful laparoscopic removal of the RFB provides a definite treatment with the super-added benefits of laparoscopy. Laparoscopic removal of gossypiboma has been reported in the literature and demonstrated in our tertiary care center.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Retained Foreign Body as a Rare Cause of Small Bowel Obstruction (Gossypiboma): A Case Report

Ahmed¹,

Lohiya²

2023

Cureus

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“…RSI of surgical sponges or gauze are referred to as gossypiboma. This unintentional surgical event is considered a rare occurrence, but the exact incidence is unknown as it is under-reported due to the fear of legal consequences [2]. The operating room is a complex environment with high levels of stress and pressure that accompany technically difficult procedures.…”

Section: Introductionmentioning

confidence: 99%

“…Joint Commission reviews identified RSI as the most frequent sentinel event, surpassing other errors such as wrong patient, wrong site, and/or wrong procedure [3]. RSI should always be removed upon diagnosis given the risk that they represent [2]. Most RSI are detected after clinical discharge when symptoms and signs arise, usually in the weeks after the intervention.…”

Section: Introductionmentioning

confidence: 99%

Iatrogenic Abdominal Pain: A Case Report of a Retained Surgical Item Detected 20 Years After Surgery

Nabais¹,

Magalhães²,

Correia³

et al. 2022

Cureus

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A retained surgical item (RSI) refers to a surgical object (surgical sponges, needles, instruments, device fragments, irrigation sets, guidewires, clips, and rubber materials) accidentally left inside the patient at the end of a surgery or any other procedure. It is considered a never event that can have severe consequences for the patient, and that may lead to death. The use of checklists and the implementation of clinical and procedure protocols have attempted to reduce their incidence, but they continue to occur. Most RSI are discovered within three months, with a rare number of cases being diagnosed 3.5 years after the original procedure.In this report, we discuss the case of a 65-year-old woman who presented with weight loss and B symptoms for a month, a condition resulting from a 20-year RSI, a unique case given the time period between the previous surgery and its diagnosis.

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Laparoscopic Removal of Retained Surgical Sponge After Caesarean Section: A Case Report

Cited by 2 publications

References 14 publications

A Retained Foreign Body as a Rare Cause of Small Bowel Obstruction (Gossypiboma): A Case Report

A Retained Foreign Body as a Rare Cause of Small Bowel Obstruction (Gossypiboma): A Case Report

Iatrogenic Abdominal Pain: A Case Report of a Retained Surgical Item Detected 20 Years After Surgery

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