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Jornal Brasileiro de Pneumologia :... Aug 2021
Topics: Foreign Bodies; Humans; Postoperative Complications; Surgical Sponges
PubMed: 34406227
DOI: 10.36416/1806-3756/e20210083 -
Polish Journal of Radiology 2017Gossypiboma or textiloma is the result of a foreign-body reaction to extraneous material, usually a surgical sponge that was accidentally retained within the body. The... (Review)
Review
Gossypiboma or textiloma is the result of a foreign-body reaction to extraneous material, usually a surgical sponge that was accidentally retained within the body. The diagnosis of a retained surgical sponge is often delayed due to its infrequent occurrence and protean appearances. The purpose of this pictorial review is to define the common sonographic and CT features of gossypiboma. A retrospective review of sonographic and CT images of 6 surgically proven cases of retained surgical sponges was undertaken.
PubMed: 28819464
DOI: 10.12659/PJR.900745 -
Biomedical Materials (Bristol, England) Dec 2020In this paper, a facile and efficient preparation strategy for a porous and hydrophilic chitosan sponge is demonstrated, combining a surfactant and a pore-foaming agent....
In this paper, a facile and efficient preparation strategy for a porous and hydrophilic chitosan sponge is demonstrated, combining a surfactant and a pore-foaming agent. The resulting chitosan sponge possesses an interconnected pore structure and soft texture, exhibits fast water absorption rate and capacity, and the compressed sponge can achieve full shape recovery 5 s after absorbing water. Moreover, our process removes the residual acid commonly found in chitosan sponges prepared by the acid method. In addition, the results demonstrate the useful characteristics of our chitosan sponge, in terms of its contribution to improved blood coagulation, together with its compression strength and biocompatibility. It also demonstrates effective antibacterial properties in relation to both Escherichia coli and Staphylococcus aureus. Further testing via animal experimentation reveals that rapid hemostasis can be achieved within 50 s using our chitosan sponge.
Topics: Animals; Anti-Bacterial Agents; Bandages; Biocompatible Materials; Blood Coagulation; Chitosan; Escherichia coli; Hemostasis; Hemostatics; Humans; In Vitro Techniques; Materials Testing; Mice; Porosity; Rats; Staphylococcus aureus; Surgical Sponges; Wounds and Injuries
PubMed: 32698163
DOI: 10.1088/1748-605X/aba878 -
Critical Care (London, England) Jul 2020Chlorhexidine-gluconate (CHG) impregnated dressings may prevent catheter-related bloodstream infections (CRBSI). Chlorhexidine-impregnated sponge dressings...
BACKGROUND
Chlorhexidine-gluconate (CHG) impregnated dressings may prevent catheter-related bloodstream infections (CRBSI). Chlorhexidine-impregnated sponge dressings (sponge-dress) and gel dressings (gel-dress) have never been directly compared. We used the data collected for two randomized-controlled trials to perform a comparison between sponge-dress and gel-dress.
METHODS
Adult critically ill patients who required short-term central venous or arterial catheter insertion were recruited. Our main analysis included only patients with CHG-impregnated dressings. The effect of gel-dress (versus sponge-dress) on major catheter-related infections (MCRI) and CRBSI was estimated using multivariate marginal Cox models. The comparative risks of dressing disruption and contact dermatitis were evaluated using logistic mix models for clustered data. An explanatory analysis compared gel-dress with standard dressings using either CHG skin disinfection or povidone iodine skin disinfection.
RESULTS
A total of 3483 patients and 7941 catheters were observed in 16 intensive care units. Sponge-dress and gel-dress were utilized for 1953 and 2108 catheters, respectively. After adjustment for confounders, gel-dress showed similar risk for MCRI compared to sponge-dress (HR 0.80, 95% CI 0.28-2.31, p = 0.68) and CRBSI (HR 1.13, 95% CI 0.34-3.70, p = 0.85), less dressing disruptions (OR 0.72, 95% CI 0.60-0.86, p < 0.001), and more contact dermatitis (OR 3.60, 95% CI 2.51-5.15, p < 0.01). However, gel-dress increased the risk of contact dermatitis only if CHG was used for skin antisepsis (OR 1.94, 95% CI 1.38-2.71, p < 0.01).
CONCLUSIONS
We described a similar infection risk for gel-dress and sponge-dress. Gel-dress showed fewer dressing disruptions. Concomitant use of CHG for skin disinfection and CHG-impregnated dressing may significantly increase contact dermatitis.
TRIALS REGISTRATION
These studies were registered within ClinicalTrials.gov (numbers NCT01189682 and NCT00417235 ).
Topics: Adult; Animals; Bandages; Catheter-Related Infections; Catheterization, Central Venous; Catheterization, Peripheral; Chlorhexidine; Critical Illness; Disinfection; Female; Humans; Male; Middle Aged; Surgical Sponges; Time Factors
PubMed: 32703235
DOI: 10.1186/s13054-020-03174-0 -
Annals of Medicine and Surgery (2012) Nov 2023Retained surgical items are an uncommon complication for surgical operations, with an estimated incidence of 1 in 5500 to 1 in 18 000 operations. Retained surgical...
INTRODUCTION AND IMPORTANCE
Retained surgical items are an uncommon complication for surgical operations, with an estimated incidence of 1 in 5500 to 1 in 18 000 operations. Retained surgical sponges are the most common retained surgical items, accounting for nearly 70%. In 1884, Wilson reported the first retained foreign body after laparotomy.
CASE PRESENTATION
A 22-year-old woman was referred to our hospital complaining of a feeling of abdominal bloating and heaviness associated with pain, fever, fatigue, and severe stink vaginal discharges. Past surgical history included a cesarean section followed by laparotomy to remove a foreign body left behind; the obstetrician denied the presence of any foreign body. The diagnosis of retained surgical sponges was done in our hospital, according to the clinical history and radiographic study. The second laparotomy was performed, and the surgical sponge was removed.
CLINICAL DISCUSSION
Retained surgical items' symptoms vary according to the site and types of materials. The diagnosis may be difficult because it resembles benign or malignant soft-tissue tumors of the abdomen and pelvis. Ultrasound and computed tomography have been used for the diagnosis of retained surgical items. The minimally invasive surgical approach appears to be most successful if the object is located early in the postoperative course.
CONCLUSION
Retained surgical items are serious problems of surgical operations and should be among the differential diagnosis of any abdominal pain in patients with a history of prior surgery.
PubMed: 37915696
DOI: 10.1097/MS9.0000000000001275 -
Digestive and Liver Disease : Official... Mar 2015
Topics: Abdomen; Aged; Asymptomatic Diseases; Foreign Bodies; Humans; Incidental Findings; Male; Surgical Sponges; Ultrasonography
PubMed: 25454705
DOI: 10.1016/j.dld.2014.10.008 -
AORN Journal Jul 2019
Review
Topics: Evidence-Based Practice; Foreign Bodies; Humans; Root Cause Analysis; Surgical Sponges
PubMed: 31246305
DOI: 10.1002/aorn.12740 -
Shock (Augusta, Ga.) May 2024Introduction: Accurate and real-time monitoring of surgical blood loss is essential for ensuring intraoperative safety. However, there is currently no standard way to...
Introduction: Accurate and real-time monitoring of surgical blood loss is essential for ensuring intraoperative safety. However, there is currently no standard way to assess the amount of blood lost in patients during surgery. This study aims to evaluate the accuracy and precision of a new automatic intraoperative blood loss monitor, which can measure both free blood volume and blood content in sponges in real time. Methods: The monitor uses an integrated photoelectric probe to gauge hemoglobin levels in both free blood and blood taken from surgical sponges. These data, combined with initial hemoglobin levels, are processed using specific calculations to determine blood volume. We created 127 diverse free blood samples and 160 blood-containing sponge samples by using fresh pig blood and physiological saline. The monitor then measured these samples. We subsequently compared its measurements with actual values acquired through physical measurements, detecting both agreement and measurement errors. Repeated measurements were performed to calculate the coefficient of variation, thereby evaluating the monitor's precision. Results: The estimated blood loss percentage error of the monitor was 5.2% for free blood, -5.7% for small sponge, -6.3% for medium sponge, and -6.6% for large sponge. The coefficient of variation of free blood with different hemoglobin concentrations measured by the monitor was less than 10%. Bland-Altman analysis showed that the limits of agreement between the monitor and the reference method were all within the acceptable clinical range. Conclusion: The new automatic intraoperative blood loss monitor is an accurate and reliable device for monitoring both free blood and surgical sponge blood, and shows high performance under various clinical simulation conditions.
Topics: Animals; Swine; Blood Loss, Surgical; Monitoring, Intraoperative; Hemoglobins; Humans; Surgical Sponges; Blood Volume
PubMed: 38010043
DOI: 10.1097/SHK.0000000000002251 -
Malawi Medical Journal : the Journal of... Mar 2021Gossypiboma refers to foreign bodies left inside the body during surgery, such as sponges and gauze. These foreign bodies represent a significant cause of morbidity and...
Gossypiboma refers to foreign bodies left inside the body during surgery, such as sponges and gauze. These foreign bodies represent a significant cause of morbidity and mortality. A 57-year-old female presented to us with right upper abdominal pain. Her past history was non-contributory except for an open cholecystectomy 20 years previously. A physical examination revealed tenderness to palpation on the right of the abdomen, while the remaining examination was normal. An abdominal computed tomography (CT) and magnetic resonance imaging (MRI) scan revealed a well-defined calcified mass of 5 cm that was compatible with a mesenteric cyst. During surgery, the mass was found to be adherent to the mesocolon and to have invaded the colon wall. A right hemicolectomy and ileotransverse anastomosis was performed. The pathological mass was considered to be a gossypiboma that had been left behind during the earlier cholecystectomy. The body's reaction to the foreign body was seen to extend beyond the lamina propria and muscularis propria. Gossypiboma is an undesired and life-threatening but preventable surgical complication. This condition may present with non-specific findings and a clinical scenario that mimics various disorders, even after many years. A diagnosis of gossypiboma should be kept in mind for patients with a history of previous operations and undergoing surgery due to the suspicion of a mesenteric cyst.
Topics: Abdomen; Abdominal Pain; Anastomosis, Surgical; Cholecystectomy; Colectomy; Female; Foreign Bodies; Humans; Magnetic Resonance Imaging; Middle Aged; Postoperative Complications; Surgical Sponges; Tomography, X-Ray Computed; Treatment Outcome
PubMed: 34422237
DOI: 10.4314/mmj.v33i1.11 -
International Journal of Surgery Case... Nov 2021A surgical sponge, left accidentally inside a patient's body remains an infrequent but serious surgical complication. The retained sponges can lead to significant...
INTRODUCTION AND IMPORTANCE
A surgical sponge, left accidentally inside a patient's body remains an infrequent but serious surgical complication. The retained sponges can lead to significant morbidity and mortality.
CASE PRESENTATION
A 40 year old female patient presented with recurrent pain in epigastric region associated with postprandial vomiting. The patient had underwent a difficult laproscopic conversion to open cholecystectomy 2.5 months ago in another hospital. Physical examination revealed previous surgical scar with tenderness over right hypochondrium. CECT abdomen showed thickening of gastric antropyloric region with possibility of neoplasia. An Upper GI endoscopy showed a large gossypiboma in antral region. With failed endoscopic retrieval, patient underwent an Exploratory Laparotomy with removal of the surgical compress via a duodenotomy and thus the final diagnosis of gossypiboma was made.
CLINICAL DISCUSSION
Gossypiboma or textilomas are infrequent complications of surgery leading to significant morbidity and mortality, medicolegal consequences and lawsuits against the surgeon and hospital.
CONCLUSION
Gossypiboma eroding into duodenum presenting as gastric outlet obstruction, usually diagnosed and retrieved endoscopically but surgical removal is required for failed endoscopic management.
PubMed: 34710774
DOI: 10.1016/j.ijscr.2021.106458