Oclusión intestinal secundaria a oblito quirúrgico

Balcázar-Rincón, Luis Ernesto; Gómez, Enrique Alejandro Gordillo; Ramírez-Alcántara, Yunis Lourdes

doi:10.1016/j.circir.2015.06.035

Cited by 3 publications

(9 citation statements)

References 14 publications

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“…There is a growing awareness of the negative effect physicians experience from adverse surgical events, which has been termed the "second victim syndrome" [6,64,65].Because RSIs are considered never events according to the National Quality Forum, physicians can face significant professional reputation damage and even the risk of indefensible litigation [2,36,66]. This poses a psychological and emotional burden on the surgeon and contributes to reluctance to disclose RSI events [30].…”

Section: The Physicianmentioning

confidence: 99%

Risk factors and preventive strategies for unintentionally retained surgical sharps: a systematic review

et al. 2021

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Background A retained surgical item (RSI) is defined as a never-event and can have drastic consequences on patient, provider, and hospital. However, despite increased efforts, RSI events remain the number one sentinel event each year. Hard foreign bodies (e.g. surgical sharps) have experienced a relative increase in total RSI events over the past decade. Despite this, there is a lack of literature directed towards this category of RSI event. Here we provide a systematic review that focuses on hard RSIs and their unique challenges, impact, and strategies for prevention and management. Methods Multiple systematic reviews on hard RSI events were performed and reported using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) and AMSTAR (Assessing the methodological quality of systematic reviews) guidelines. Database searches were limited to the last 10 years and included surgical “sharps,” a term encompassing needles, blades, instruments, wires, and fragments. Separate systematic review was performed for each subset of “sharps”. Reviewers applied reciprocal synthesis and refutational synthesis to summarize the evidence and create a qualitative overview. Results Increased vigilance and improved counting are not enough to eliminate hard RSI events. The accurate reporting of all RSI events and near miss events is a critical step in determining ways to prevent RSI events. The implementation of new technologies, such as barcode or RFID labelling, has been shown to improve patient safety, patient outcomes, and to reduce costs associated with retained soft items, while magnetic retrieval devices, sharp detectors and computer-assisted detection systems appear to be promising tools for increasing the success of metallic RSI recovery. Conclusion The entire healthcare system is negatively impacted by a RSI event. A proactive multimodal approach that focuses on improving team communication and institutional support system, standardizing reports and implementing new technologies is the most effective way to improve the management and prevention of RSI events.

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Section: The Physicianmentioning

confidence: 99%

Risk factors and preventive strategies for unintentionally retained surgical sharps: a systematic review

et al. 2021

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“…Estos cuerpos olvidados se acompañan de una elevada morbimortalidad [3]. Aproximadamente el 80% de estos cuerpos extraños corresponden a compresas, gasas y campos quirúrgicos, los mismos que en su composición contienen fibras no asimilables por el cuerpo humano.…”

Section: Introductionunclassified

“…Aproximadamente el 80% de estos cuerpos extraños corresponden a compresas, gasas y campos quirúrgicos, los mismos que en su composición contienen fibras no asimilables por el cuerpo humano. El tipo de cirugía en el que más casos de oblitos se reporta son la cirugía abdominal y ginecológica, cada una de ellas representa el 40% del total de casos reportados [3]. Los procedimientos más frecuentes para extraer y tratar las complicaciones provocadas por objetos extraños retenidos incluyen la laparoscopia o laparotomía [4].…”

Section: Introductionunclassified

Reporte de Caso Clínico: Oclusión intestinal producto de compresoma fistulizado desde cavidad peritoneal hacia colon

Jaramillo Álvarez,

Quichimbo Sangurima

2023

Rev Med HJCA

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BACKGROUND: a retained surgical item is a foreign body that becomes lodged within a body cavity or surgical site unintentionally following surgery. The incidence rate of textilomas varies between 1 in 1 000 to 1 in 1 500 intra-abdominal operations. Up to 30% of patients with retained surgical items may be asymptomatic. Retained surgical items, when lodged in some free space of the abdominal cavity, can migrate as a response of the organism to try to get rid of it. The diagnosis of this entity represents a challenge due to the nonspecific nature of its clinical manifestations and the infrequent occurrence of this diagnostic possibility, which is frequently made incidentally. CASE REPORT: A 24-year-old male patient with a history of laparoscopic cholecystectomy converted to open surgery 3 years ago for acute calculous cholecystitis; he presented a 4-month history of colicky abdominal pain located in the right hypochondrium, in addition to semi-liquid diarrheal stools. He was prescribed different medical treatments for two occasions without improvement and exacerbation of the condition with weight loss, abdominal distension, constipation and irradiation of the pain to the left hemiabdomen. Complementary tests showed leukocytosis and neutrophilia. An abdominal CT scan, performed on suspicion of ureteral lithiasis, showed a mass that appeared to be a fecaloma. EVOLUTION: Rectosigmoidoscopy was performed, with the finding of a mass that totally occluded the intestinal lumen at the level of the sigmoid colon. The mass was removed, and turned out to be a surgical compress. Immediately after the rectosigmoidoscopy, the patient reported improvement and was discharged 12 hours after the procedure without complications and with complete resolution of the symptoms. CONCLUSION: retained surgical materials constitute a health problem that affects the safety of the surgical patient, causing serious consequences to the patient's health and increasing the risk of morbidity and mortality. Intra-abdominal retention of compresses and other types of surgical material may not be considered as a clinical suspicion in the first instance, due to the non-specific nature of the clinical picture; however, whenever there is a surgical history and confusing symptomatology, this diagnostic possibility should be taken into account, and can be confirmed by imaging studies.

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“…It is detrimental to the safety of a surgical patient [3][4][5][6]. The incidence of this type of error remains largely unknown because of the underreporting of cases by professionals to avoid the potential risk of lawsuits [7]; therefore, the actual number of cases is not reported, making it a problem di cult to pinpoint [2]. Avoiding this type of error becomes a major challenge for members of a surgical team, as they must not only ensure the success of the procedure but also avoid litigation because of the presence of RSIs among other types of medical errors [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

“…Globally, it is believed to range from 1 × 1,300 to 1 × 1,500 only for abdominal surgeries. Other sources reveal an occurrence that reaches 1 × 3000 among all surgical interventions [1,7,13,14]. Among the most frequent factors for the occurrence of an adverse event are prolonged surgeries, thoracic surgeries where the instruments used are small, staff fatigue, and the lacks of shift interruption and communication, among others [15,16].…”

Section: Introductionmentioning

confidence: 99%

Perceptions of a Surgical Team About the Ethical and Legal Responsibilities of Forgetting Foreign Bodies in Patient Bodies and Other Errors

Anderson

González

Toro

et al. 2021

Preprint

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Background: Retained surgical items (RSIs) represent a real and ongoing problem, but it is preventable. Its real incidence is unknown because of underreporting resulting from the fear of lawsuits for medical errors. This study aimed to describe the perception of the members of a surgical team about their ethical and legal responsibilities related to medical errors, specifically concerning the presence of RSIs. Methods: This qualitative, descriptive, and interpretative study focused on the perceptions of the members of a surgical team on the ethical and legal problems they may face because of the presence of RSIs. Continuous saturation sampling was performed by interviewing 17 professional members of the surgical team. Atlas Ti 8.0® program was used for analyzing the data obtained. It traced the categories by means of content analysis of the perceptions and practices during possible ethical and legal responsibilities because of medical errors. Results: The interviewees were conflicted between complicity and justice, as it is a duty to report events or actions that put the lives of surgical patients at risk.Conclusions: The lack of awareness about the rules and believing that human errors are inevitable lead to normalizing errors, which does not allow professionals to face the risk and, therefore, to avoid it.

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Oclusión intestinal secundaria a oblito quirúrgico

Cited by 3 publications

References 14 publications

Risk factors and preventive strategies for unintentionally retained surgical sharps: a systematic review

Risk factors and preventive strategies for unintentionally retained surgical sharps: a systematic review

Reporte de Caso Clínico: Oclusión intestinal producto de compresoma fistulizado desde cavidad peritoneal hacia colon

Perceptions of a Surgical Team About the Ethical and Legal Responsibilities of Forgetting Foreign Bodies in Patient Bodies and Other Errors

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