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JBR-BTR : Organe de La Societe Royale... 2011
Topics: Adult; Foreign-Body Migration; Humans; Intussusception; Male; Postoperative Complications; Surgical Sponges
PubMed: 21874803
DOI: 10.5334/jbr-btr.531 -
Surgical Innovation Dec 2020Retention of surgical sponges in patients is a relatively frequent medical malpractice. To prevent it, the surgical sites are scanned using X-ray. However, using...
Retention of surgical sponges in patients is a relatively frequent medical malpractice. To prevent it, the surgical sites are scanned using X-ray. However, using radiography in the operation room induces X-ray exposure for both patients and staff. To prevent such issues, a novel sponge counting system was developed. Each surgical sponge used in common hospitals is composed of single radiopaque fibers. The proposed system scans surgical sponges to estimate their fiber length (EFL) and returns the number of it. In this study, an optimal image acquisition protocol was determined that allows an accurate count of sponges. X-ray doses and multi-angle image procedures were tested. Measurement trials were performed and compared for both dry and blood-soaked sponges. As a result, the X-ray dose of 50 kV and 600 μA and the acquisition of 180 images per sample yielded an accurate EFL. The 180-image protocol achieved good performance in this study and allowed counting of one package of 10 sponges in 226 seconds. For these settings, a significant correlation was found between the actual number of sponges and the estimated fiber lengths. Additionally, the performance of the system was similar for either dry or blood-soaked items. The proposed system could accurately count surgical sponges and is a promising option in preventing the accidental retention of surgical sponges.
Topics: Foreign Bodies; Humans; Surgical Sponges
PubMed: 32723214
DOI: 10.1177/1553350620943349 -
Journal of the American Academy of... Jan 2020
Topics: Bandages; Ear Auricle; Humans; Netherlands; Otologic Surgical Procedures; Postoperative Care; Surgical Sponges; Wound Healing
PubMed: 30590073
DOI: 10.1016/j.jaad.2018.12.034 -
Journal of the Chinese Medical... Nov 2007Intra-abdominal retained surgical sponge is an uncommon surgical error. Herein, we report a 92-year-old woman who was brought to the emergency room for acute urinary...
Intra-abdominal retained surgical sponge is an uncommon surgical error. Herein, we report a 92-year-old woman who was brought to the emergency room for acute urinary retention. She had a history of vaginal hysterectomy for uterine prolapse 18 years previously, performed at our hospital. Retained surgical sponge in the pelvic cavity was suspected by abdominal computed tomography. The surgical gauze was removed by laparotomy excision and the final diagnosis was gossypiboma.
Topics: Aged; Aged, 80 and over; Female; Foreign Bodies; Humans; Medical Errors; Surgical Sponges
PubMed: 18063507
DOI: 10.1016/S1726-4901(08)70051-0 -
The Veterinary Record Sep 2011
Topics: Animals; Dog Diseases; Female; Foreign Bodies; Male; Postoperative Complications; Surgical Sponges
PubMed: 21949204
DOI: 10.1136/vr.d6006 -
Surgical Endoscopy Jun 1995Surgical foreign bodies are retained more commonly than is suspected. About 50% will become symptomatic in the form of erosion into the bowel or vessels, fistulae,...
Surgical foreign bodies are retained more commonly than is suspected. About 50% will become symptomatic in the form of erosion into the bowel or vessels, fistulae, abscesses, obstruction, bleeding, or chronic pain. Expeditious removal is recommended. Laparoscopic retrieval is feasible especially if discovered early.
Topics: Abdomen; Female; Foreign-Body Reaction; Humans; Hysterectomy; Laparoscopy; Middle Aged; Surgical Sponges; Tomography, X-Ray Computed
PubMed: 7482170
DOI: 10.1007/BF00187946 -
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 -
Annals of Surgery Jul 1996A review was performed to investigate the frequency of occurrence and outcome of patients who have retained surgical sponges.
OBJECTIVE
A review was performed to investigate the frequency of occurrence and outcome of patients who have retained surgical sponges.
METHODS
Closed case records from the files of the Medical Professional Mutual Insurance Company (ProMutual, Boston, MA) involving a claim of retained surgical sponges were reviewed for a 7-year period.
RESULTS
Retained sponges occurred in 40 patients, comprising 48% of all closed claims for retained foreign bodies. A falsely correct sponge count after an abdominal procedure was documented in 76% of these claims. Ten percent of claims involved vaginal deliveries and minor non-body cavity procedures, for which no sponge count was performed. Total indemnity payments were $2,072,319, and defense costs were $572,079. In three cases, the surgeon was deemed responsible by the court despite the nursing staff's admitting liability and evidence presented that the surgeon complied completely with the standard of care. A wide range of indemnity payments was made despite a remarkable similarity of outcome in the patients studied.
CONCLUSIONS
Despite the rarity of the reporting of a retained surgical sponge, this occurrence appears to be encountered more commonly than generally is appreciated. Operating teams should ensure that sponges be counted for all vaginal and any incisional procedures at risk for retaining a sponge. In addition, the surgeon should not unquestioningly accept correct count reports, but should develop the habit of performing a brief but thorough routine postprocedure wound/body cavity exploration before wound closure. The strikingly similar outcome for most patients would argue for a standardized indemnity payment being made without the need for adversarial legal procedures.
Topics: Abdomen; Costs and Cost Analysis; Female; Foreign Bodies; Humans; Insurance, Liability; Male; Malpractice; Massachusetts; Postoperative Complications; Surgical Sponges
PubMed: 8678622
DOI: 10.1097/00000658-199607000-00012 -
Journal of Medical Engineering &... Aug 2018One method to clear intraoperative blood from the surgical field is to remove blood with surgical sponges. Currently, absorbed blood cannot be retrieved effectively and...
One method to clear intraoperative blood from the surgical field is to remove blood with surgical sponges. Currently, absorbed blood cannot be retrieved effectively and is lost. A spinning device was created to salvage red blood cells from the sponges. With this device the sponges are gently washed with saline and the resultant bloody fluid can be delivered to a cell saver to prepare it for autologous blood transfusion. In this article, we demonstrate how a novel sponge extractor can be used to extract blood from sponges. Several tests were conducted with porcine blood to optimise viable blood salvage by varying spin speed, and spin time of the device. At spin speeds greater than 1000 RPM, the blood salvaged from the device was similar to blood volumes obtained by hand wringing sponges. Cell viability testing yielded no significant differences in haemolysis for device trials compared to gently hand wringing. Spin time testing showed no significant differences in the blood salvaged at times greater than one minute. Optimal parameters for the device were determined to be a one-minute spin time at 1500 RPM.
Topics: Animals; Blood Loss, Surgical; Blood Transfusion, Autologous; Cell Survival; Equipment Design; Erythrocytes; Humans; Surgical Sponges; Swine
PubMed: 30657356
DOI: 10.1080/03091902.2018.1543465 -
Annals of Surgery Apr 1997
Topics: Humans; Intraoperative Care; Postoperative Complications; Surgical Sponges
PubMed: 9114804
DOI: 10.1097/00000658-199704000-00018