Retained Surgical Items and Minimally Invasive Surgery

Gibbs, Verna C.

doi:10.1007/s00268-011-1060-4

Cited by 49 publications

(44 citation statements)

References 46 publications

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“…To this regard, the problem of retained surgical items affects both open and minimally invasive surgery [7,14].…”

Section: Discussionmentioning

confidence: 99%

Pelvic Gossypiboma Diagnosed at the Time of Radical Prostatectomy 30 Years after Inguinal Hernioplasty

Campi¹,

Sessa²,

Carini³

et al. 2017

J Clin Case Rep

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Study Background: The term "Gossypiboma" is used to define a mass inside the body consisting of cotton matrix with surrounding foreign body reaction. Gossypibomas may be clinically silent or present in the postoperative period with a broad range of symptoms, mimicking a mass or abscess both clinically and radiologically. Although extremely rare, their precise incidence is unknown and probably underestimated. Methods:Herein we describe the case of a 71-year-old man with a large pelvic Gossypiboma diagnosed at the time of radical prostatectomy (RP) 30 years after inguinal hernioplasty.Results: Clinical stage of prostate cancer was cT2N1M0. Preoperative CT scan showed a 3.0 cm × 5.0 cm mass of unknown nature with inhomogeneous uptake of contrast medium close to the right iliac vessels suspected for lymph node metastasis. For this reason, an open approach was chosen for RP and extended lymph node dissection. A solid mass, firmly adherent to the surrounding tissues, was carefully dissected from the iliac vessels and removed en-block. The intraoperative examination revealed a left-behind surgical sponge. No surgical complications were recorded. At definitive histopathological analysis, a Gleason 4+4 pT3b N0 (n=28) prostatic acinar adenocarcinoma was found and a retained surgical sponge with a peripheral fibrous pseudocapsule, resulting from an inflammatory foreign-body reaction, were found. Surgical margins were negative for malignancy. Conclusion:Although more infrequent with the advent of standardized surgical counting, gossypibomas can still occur in surgical practice, being either asymptomatic occasional findings or, if not promptly diagnosed, lifethreatening causes of acute abdomen. In our case, the radiological appearance of the pelvic gossypiboma simulated a malignant lymphadenopathy and changed our surgical strategy from the robotic to the open approach. Overall, our case highlights how prevention represents the key aspect to ensure the maximal safety of surgical patients.

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“…To this regard, the problem of retained surgical items affects both open and minimally invasive surgery [7,14].…”

Section: Discussionmentioning

confidence: 99%

Pelvic Gossypiboma Diagnosed at the Time of Radical Prostatectomy 30 Years after Inguinal Hernioplasty

Campi¹,

Sessa²,

Carini³

et al. 2017

J Clin Case Rep

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show abstract

“…Consequently, a double counting protocol for swabs and instruments has now been instigated at the authors’ centre. Other methods of swab counting have been described; Gibbs (2011) advocates the use of hanging swab holders to aid visual identification of missing swabs at the time of surgery.…”

Section: Discussionmentioning

confidence: 99%

Thoracoscopic‐assisted removal of a retained surgical swab following open pericardiectomy in a dog

Howes

Nelissen

Demetriou

2016

Vet Record Case Reports

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A nine-year-old labrador retriever presented for routine postoperative thoracic radiographs following open pericardiectomy via median sternotomy. The surgery was performed six weeks previously to treat restrictive pericarditis. The dog had made a good recovery and on presentation had normal vital parameters; however, radiographic examination of the thoracic cavity revealed a retained surgical swab. Thoracoscopic-assisted removal of the retained surgical swab was performed successfully without complication. Thoracoscopy offers a minimally invasive option for exploration of the thoracic cavity and facilitates removal of foreign material with reduced morbidity.

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“….1 X-rays showing retained surgical objects of (a) a clamp(Wang et al, 2009) and (b) a laparotomy pad (a type of sponge)(Gibbs, 2011).…”

mentioning

confidence: 99%

Sources of Harm

James

2016

The Health of Populations

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Retained Surgical Items and Minimally Invasive Surgery

Cited by 49 publications

References 46 publications

Pelvic Gossypiboma Diagnosed at the Time of Radical Prostatectomy 30 Years after Inguinal Hernioplasty

Pelvic Gossypiboma Diagnosed at the Time of Radical Prostatectomy 30 Years after Inguinal Hernioplasty

Thoracoscopic‐assisted removal of a retained surgical swab following open pericardiectomy in a dog

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