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Indian Journal of Ophthalmology Oct 2019Trabeculectomy is the commonest surgical intervention performed worldwide for the treatment of open-angle glaucoma. However, the use of antimetabolites during...
Trabeculectomy is the commonest surgical intervention performed worldwide for the treatment of open-angle glaucoma. However, the use of antimetabolites during trabeculectomy has been associated with various bleb related complications. We report this interesting case to highlight unique clinical presentation and management of a leftover mitomycin-C sponge causing blebitis.
Topics: Endophthalmitis; Humans; Male; Mitomycin; Nucleic Acid Synthesis Inhibitors; Postoperative Complications; Surgical Sponges; Tomography, Optical Coherence; Trabeculectomy; Visual Acuity; Young Adult
PubMed: 31546554
DOI: 10.4103/ijo.IJO_1946_18 -
Journal of Vascular and Interventional... Sep 2015
Topics: Device Removal; Endovascular Procedures; Foreign Bodies; Humans; Male; Middle Aged; Pulmonary Artery; Radiography; Surgical Sponges
PubMed: 26314648
DOI: 10.1016/j.jvir.2015.04.020 -
Technology and Health Care : Official... 2012The postoperatively retained foreign body (PORFB) can induce complications leading to the need for follow-up surgery to ensure its removal, to treat or prevent the...
The postoperatively retained foreign body (PORFB) can induce complications leading to the need for follow-up surgery to ensure its removal, to treat or prevent the formation of an abscess, and to minimize the risk of death for the patient and liability for the surgeon and hospital. The most common cause of PORFB complications is the surgical sponge. Previously, PORFB prevention was focused on improved efficiency in RFB counting; however, because of the inability to entirely eliminate human error, cost, and the potentially unproven patient outcome improvement, new approaches have been sought. We examined the use of a novel bioengineered, biodegradable sponge (BSS) to reduce the risk of complications due to PORFBs, thus potentially improving patient outcomes.
Topics: Animals; Biomedical Engineering; Cost-Benefit Analysis; Disease Models, Animal; Foreign Bodies; Humans; Postoperative Complications; Surgical Sponges; Swine; Time Factors
PubMed: 23079944
DOI: 10.3233/THC-2012-00700 -
Surgical Innovation Jun 2017A retained surgical item in patients (gossypiboma) is a persisting problem, despite consistent improvements and existing guidelines in counting instruments and sponges....
BACKGROUND
A retained surgical item in patients (gossypiboma) is a persisting problem, despite consistent improvements and existing guidelines in counting instruments and sponges. Previous experiences with radiofrequency identification technology (RFID) tracking sponges show that it could represent an innovation, in order to reduce the criticism and increase the effectiveness during surgical procedures. We present an automated system that allows reduction of errors and improves safety in the operating room.
METHODS
The system consists of 3 antennas, surgical sponges containing RFID tags, and dedicated software applications, with Wi-Fi real-time communication between devices. The first antenna provides the initial count of gauzes; the second a real-time counting during surgery, including the sponges thrown into the kick-bucket; and the third can be used in the event of uneven sponge count. The software allows management at all stages of the process.
RESULTS
In vitro and in vivo tests were performed: the system provided excellent results in detecting sponges in patients' body. Hundred percent retained sponges were detected correctly, even when they were overlapped. No false positive or false negative was recorded. The counting procedure turned out to be more streamlined and efficient and it could save time in a standard procedure.
CONCLUSIONS
The RFID system for sponge tracking was shown to be experimentally a reliable and feasible method to track sponges with a full detection accuracy in the operating room. The results indicate the system to be safe and effective with acceptable cost-effective parameters.
Topics: Animals; Biomedical Engineering; Computer Simulation; Equipment Design; Foreign Bodies; Humans; Internet; Phantoms, Imaging; Radio Frequency Identification Device; Software; Surgery, Computer-Assisted; Surgical Sponges; Swine
PubMed: 28178883
DOI: 10.1177/1553350617690608 -
Compendium (Yardley, PA) Jun 2011Sponges are commonly used in veterinary practice. Uses for sponges in the operative arena include hemostasis, retraction, protection, dissection, and general wound... (Review)
Review
Sponges are commonly used in veterinary practice. Uses for sponges in the operative arena include hemostasis, retraction, protection, dissection, and general wound management. Blood loss can be quantitated by counting blood-soaked sponges. Complications may arise when sponges are retained in the patient. Sponge retention is a risk whenever sponges are used during surgery, regardless of surgical procedure. This article reviews physical characteristics and proper uses of sponges, complications of sponge retention, and techniques to avoid retained sponges.
Topics: Animals; Foreign Bodies; Postoperative Complications; Reoperation; Risk Factors; Surgical Sponges
PubMed: 21870350
DOI: No ID Found -
AORN Journal Mar 2016Retained surgical items (RSIs) pose serious consequences for patients and are a significant threat to patient safety. Perioperative team members are morally and...
Retained surgical items (RSIs) pose serious consequences for patients and are a significant threat to patient safety. Perioperative team members are morally and ethically responsible for the prevention of RSIs and should understand how to reduce the risk of occurrence. The prevention of RSIs does not rest in the hands of one individual. It is a multidisciplinary endeavor that aims to reduce the risk of RSIs, and team members should hold each other accountable. This Back to Basics article focuses on the process of counting soft surgical goods, which are the most common RSIs.
Topics: Education, Continuing; Foreign Bodies; Humans; Medical Errors; Operating Rooms; Patient Safety; Societies, Nursing; Surgical Sponges; Workforce
PubMed: 26924368
DOI: 10.1016/j.aorn.2015.12.021 -
Saudi Journal of Gastroenterology :... 2010Surgical mop retained in the abdominal cavity following surgery is a serious but avoidable complication. The condition may manifest either as an exudative inflammatory...
Surgical mop retained in the abdominal cavity following surgery is a serious but avoidable complication. The condition may manifest either as an exudative inflammatory reaction with formation of abscess, or aseptically with a fibrotic reaction developing into a mass. Intraluminal migration is relatively rare. We report the case of a 23 year old woman who presented after a previous caesarean section with intestinal obstruction. Plain abdominal radiograph and computed tomography confirmed the presence of gossypiboma. The patient underwent laparatomy and sponge removal. This report discusses the approach to, and manifestations of, migratory surgical gossypiboma.
Topics: Cesarean Section; Female; Foreign Bodies; Foreign-Body Migration; Humans; Intestinal Obstruction; Surgical Sponges; Tomography, X-Ray Computed; Young Adult
PubMed: 20616421
DOI: 10.4103/1319-3767.65195 -
European Journal of Cardio-thoracic... May 2012
Topics: Coronary Artery Bypass; Foreign Bodies; Heart; Humans; Male; Middle Aged; Surgical Sponges; Tomography, X-Ray Computed
PubMed: 22378853
DOI: 10.1093/ejcts/ezs072 -
Veterinary Radiology & Ultrasound : the... 2000The radiographic and ultrasonographic signs in eight dogs with a surgical or pathologic diagnosis of retained surgical sponge were reviewed. The most frequent previous...
The radiographic and ultrasonographic signs in eight dogs with a surgical or pathologic diagnosis of retained surgical sponge were reviewed. The most frequent previous surgery was ovariohysterectomy, either as an elective procedure or to treat pyometra. The median elapsed time between surgery and diagnosis of retained surgical sponge was 9.5 months (range 4 days to 38 months). Five dogs had a draining sinus; four had a palpable abdominal mass. Radiologic signs included localized, speckled or whirl-like gas lucency, abdominal mass, and non-focal soft tissue swelling. Survey radiography and sinography were considered diagnostic for retained surgical sponge in 4/7 (57%) and 3/5 (60%) dogs, respectively. The combined use of survey radiography and sinography enabled detection of 6/7 (86%) sponges. In each dog that had ultrasonography, a hypoechoic mass was found that had an irregular hyperechoic centre. The possibility of retained surgical sponge should be considered in animals with a history of previous surgery and a sinus or abdominal mass.
Topics: Abdomen; Animals; Dog Diseases; Dogs; Female; Foreign Bodies; Male; Postoperative Complications; Radiography, Abdominal; Surgical Sponges; Ultrasonography
PubMed: 10850880
DOI: 10.1111/j.1740-8261.2000.tb01491.x -
Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months.Joint Commission Journal on Quality and... Feb 2011Retained surgical items (RSIs), most commonly sponges, are infrequent. Yet despite sponge-counting standards, failure to maintain an accurate count is a common error. To...
BACKGROUND
Retained surgical items (RSIs), most commonly sponges, are infrequent. Yet despite sponge-counting standards, failure to maintain an accurate count is a common error. To improve counting performance, technology solutions have been developed. A data-matrix-coded sponge (DMS) system was evaluated and implemented in a high-volume academic surgical practice at Mayo Clinic Rochester (MCR). The primary end point was prevention of sponge RSIs after 18 months.
METHODS
Two trials were conducted before implementation. A randomized-controlled trial assessed the system's function, efficiency, and ergonomics. The second, larger trial was conducted to validate the prior findings and test product improvements. After the trials, the system was implemented in all 128 operating/procedure rooms across the MCR campus on February 2, 2009. The institutionwide implementation was intended to avoid the possibility of having standard unmarked sponges and DMSs in the operating room suite concurrently.
RESULTS
Before implementation, a retained sponge occurred on average every 64 days. Between February 2009 and July 2010, 87,404 procedures were performed, and 1,862,373 DMSs were used without an RSI (p < .001). After four cases, the average time to count a DMS decreased from 11 to 4 seconds. Total sponge counting time/operation increased without any increase in overall operative time.
CONCLUSIONS
After 18 months, a DMS system eliminated sponge RSIs from a high-volume surgical practice. The DMS system caused no work-flow disruption or increases in case duration. Staff satisfaction was acceptable, with a high degree of trust in the system. The DMS system is a reliable and cost-effective technology that improves patient safety.
Topics: Cost-Benefit Analysis; Electronic Data Processing; Foreign Bodies; Humans; Medical Errors; Observer Variation; Pilot Projects; Quality Assurance, Health Care; Surgical Procedures, Operative; Surgical Sponges; Time Factors
PubMed: 21939132
DOI: 10.1016/s1553-7250(11)37007-9