2010
DOI: 10.1007/s00423-010-0684-4
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Retained surgical sponges: what the practicing clinician should know

Abstract: Retained surgical sponges (RSS) are an avoidable complication following surgical operations. RSS can elicit either an early exudative-type reaction or a late aseptic fibrous tissue reaction. They may remain asymptomatic for long time; when present, symptomatology varies substantially and includes septic complications (abscess formation, peritonitis) or fibrous reaction resulting in adhesion formation or fistulation into adjacent hollow organs or externally. Plain radiograph may be useful for the diagnosis; how… Show more

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Cited by 28 publications
(40 citation statements)
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“…The suprapubic incision, firstly transversal, is frequently used during these procedures and does not expose the entire abdominal cavity, thereby increasing the risk of gossypiboma. Emergent surgeries appear to be the most common cause of gossypibomas[7] [8], as was the case in six out of 15 cases in this study.Imaging technique is typically selected based on clinical signs. During the immediate post-surgical period, a simple unprepared abdominal x-ray is adequate when the compresses used during surgery are marked.…”
supporting
confidence: 66%
See 1 more Smart Citation
“…The suprapubic incision, firstly transversal, is frequently used during these procedures and does not expose the entire abdominal cavity, thereby increasing the risk of gossypiboma. Emergent surgeries appear to be the most common cause of gossypibomas[7] [8], as was the case in six out of 15 cases in this study.Imaging technique is typically selected based on clinical signs. During the immediate post-surgical period, a simple unprepared abdominal x-ray is adequate when the compresses used during surgery are marked.…”
supporting
confidence: 66%
“…[6] [7] [8]. During abdominal surgeries, their frequency is estimated between 1 in 1000 and 1 in 5000[8].…”
mentioning
confidence: 99%
“…There are different responses in the early and late periods, depending on the forgotten material. In the early period, problems such as abscesses and infections occur, but in the late period, problems such as obstruction and chronic pain due to adhesions are encountered (Sakorafas et al, 2010). Gomes et al (2017) described gossypiboma as a lifethreatening surgical site infection and stated that this might be a cause of sepsis.…”
Section: Discussionmentioning
confidence: 99%
“…The incidence of gossypiboma for abdominal surgeries ranges from 1 in 1,000 to 1 in 10,000 interventions. [1] Surgical sponge is one of the most frequently used entity in an open surgical procedure and also the most common inadvertently left-out items inside the abdominal cavity. Factors such as its small size, soft amorphous texture, pliable nature, and its ability to appear similar to that of peritoneal linings when soaked with hemorrhagic body fluids make the innocuous sponge the worst culprit.…”
Section: Letters To the Editormentioning
confidence: 99%