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Radiation Medicine 2003We report a retained surgical sponge (gossypiboma) in the thigh, which mimicked a neoplasm. A 25-year-old man, who had a past history of external fixation for femoral...
We report a retained surgical sponge (gossypiboma) in the thigh, which mimicked a neoplasm. A 25-year-old man, who had a past history of external fixation for femoral shaft fracture, complained of swelling in the left thigh with pain. A radiograph of the thigh showed periosteal reaction. T1-weighted magnetic resonance (MR) images showed a well-defined mass with heterogenous signal intensity, and T2-weighted images showed tortuous lines of low signal intensity within the mass. Surgical excision revealed a retained gauze sponge within the mass. Histopathological examination revealed foreign body reaction related to the retained gauze sponge. Our case, the third to our knowledge of gossypiboma in a limb, demonstrated characteristic MR imaging findings.
Topics: Adult; Diagnosis, Differential; Femoral Fractures; Foreign Bodies; Foreign-Body Reaction; Humans; Magnetic Resonance Imaging; Male; Soft Tissue Neoplasms; Surgical Sponges; Thigh
PubMed: 14632298
DOI: No ID Found -
The Journal of Small Animal Practice Sep 2018To evaluate factors that could be associated with retained surgical sponges in veterinary patients.
OBJECTIVES
To evaluate factors that could be associated with retained surgical sponges in veterinary patients.
MATERIALS AND METHODS
A survey was distributed to 322 veterinarians attending a national veterinary conference in the UK. The survey included questions about the staff, scheduling, type of surgical procedure, surgical sponges, methods to track surgical sponges and details of clinical cases with retained surgical sponges.
RESULTS
The response rate was 64 of 322 (19%). Lack of designated scheduled time for surgical procedures was reported by 30% of respondents and was variable for 31%. More than half of respondents (66%) had two people involved in each surgical procedure. The majority of respondents sterilised their own surgical sponges (91%) and used non-radiopaque surgical sponges (56%). Sponges were not counted by 27% of respondents and only occasionally by 20%. Sponge count was not recorded by 70% of respondents. The majority (66%) did not use or have a surgical checklist. Lack of awareness of gossypibomas was reported by 11% of respondents. In all, 27% of respondents were aware of at least one case of retained surgical sponge. Of the 17 cases reported, 14 were small animals. The abdomen was the most common anatomical location for retained surgical sponges and followed elective neutering.
CLINICAL SIGNIFICANCE
Despite the low-response rate, our results suggest that methods of surveillance might reduce the incidence of retained surgical sponges. Lack of specifically scheduled time for surgery, few theatre staff and lack of sponge counting and documentation may have contributed to the 17 retained surgical sponge cases reported.
Topics: Animals; Checklist; Foreign Bodies; Postoperative Complications; Risk Factors; Surgical Procedures, Operative; Surgical Sponges; Surveys and Questionnaires; United Kingdom; Veterinarians
PubMed: 29971789
DOI: 10.1111/jsap.12873 -
Journal of the College of Physicians... Nov 2003To study the cause and clinical presentation along with clinical course (cooperative and postoperative) of retained abdominal sponge.
OBJECTIVE
To study the cause and clinical presentation along with clinical course (cooperative and postoperative) of retained abdominal sponge.
DESIGN
Observational case series.
PLACE AND DURATION OF STUDY
Surgical Department, Bahawal Victoria Hospital, Bahawalpur, from April 1, 2000 to August 31, 2002.
MATERIALS AND METHODS
The study included 12 patients. All the patients, who presented to surgical department during the stated period with retained abdominal sponge postoperatively, were included in the study. Retained abdominal foreign bodies, other than the surgical sponge, were excluded.
RESULTS
A total of 12 patients presented with retained abdominal sponge. Out of these, 33.33% were males and 66.66% females. Modes of presentation were intestinal obstruction, 58.33%, discharging sinus, 41.67%, intraabdominal abscess, 16.67%, peritonitis, 16.67% and mass abdomen, 8.33%. One death followed despite provision of due care.
CONCLUSION
Retained surgical sponge is a potentially lethal condition and all preventive measures should be taken to avoid this condition.
Topics: Adult; Digestive System Surgical Procedures; Female; Follow-Up Studies; Foreign-Body Reaction; Humans; Laparotomy; Male; Middle Aged; Postoperative Complications; Reoperation; Risk Assessment; Sampling Studies; Severity of Illness Index; Surgical Sponges; Survival Rate; Treatment Outcome
PubMed: 14700491
DOI: No ID Found -
Annual International Conference of the... 2015A retained surgical instrument is a frequent incident in medical surgery rooms all around the world, despite being considered an avoidable mistake. Hence, an automatic...
A retained surgical instrument is a frequent incident in medical surgery rooms all around the world, despite being considered an avoidable mistake. Hence, an automatic detection solution of the retained surgical instrument is desirable. In this paper, the use of millimeter waves at the 60 GHz band for surgical material RFID purposes is evaluated. An experimental procedure to assess the suitability of this frequency range for short distance communications with multiple obstacles was performed. Furthermore, an antenna suitable to be incorporated in surgical materials, such as sponges, is presented. The antenna's operation characteristics are evaluated as to determine if it is adequate for the studied application over the given frequency range, and under different operating conditions, such as varying sponge water content.
Topics: Automation; Communication; Computer Simulation; Equipment Design; Humans; Medical Errors; Radio Frequency Identification Device; Surgical Instruments; Surgical Sponges; Wireless Technology
PubMed: 26736960
DOI: 10.1109/EMBC.2015.7319060 -
Singapore Medical Journal Jun 2007Retained surgical sponge or glossypiboma is a relatively common occurrence; however, surgeons may not report these events for fear of litigation and adverse publicity....
Retained surgical sponge or glossypiboma is a relatively common occurrence; however, surgeons may not report these events for fear of litigation and adverse publicity. We report postoperative complications in three cases due to retained surgical sponges. The first case, a 26-year-old woman, presented with gastric outlet obstruction due to the sponge obstructing the pyloric canal three weeks following cholecystectomy, which was completely relieved following endoscopical removal of the sponge. The second case, a 32-year-old woman, presented with repeated attacks of intestinal obstruction following cholecystectomy and tubal ligation and was treated with surgical removal of the sponge. The third patient, a 40-year-old woman, presented with features of colonic obstruction following hysterectomy. Colonoscopy revealed a partial migration of the sponge through the colonic wall and on laparotomy, she was found to have multiple internal fistulae between the small and large intestines, all occurring around the inflammation caused by the retained sponge.
Topics: Adult; Cholecystectomy; Colonic Diseases; Female; Foreign-Body Migration; Gastric Outlet Obstruction; Humans; Hysterectomy; Intestinal Obstruction; Medical Errors; Postoperative Complications; Surgical Sponges; Ultrasonography
PubMed: 17538737
DOI: No ID Found -
The Journal of Small Animal Practice Jul 2001
Topics: Abdomen; Animals; Diagnosis, Differential; Dog Diseases; Dogs; Female; Foreign-Body Reaction; Hysterectomy; Radiography; Surgical Sponges
PubMed: 11480896
DOI: No ID Found -
American Journal of Surgery Feb 2011A retained surgical sponge is a serious medical error that results in negative patient outcomes. Radiofrequency (RF) technology has recently been introduced to evaluate...
BACKGROUND
A retained surgical sponge is a serious medical error that results in negative patient outcomes. Radiofrequency (RF) technology has recently been introduced to evaluate for the presence of a retained sponge. The aim of this study was to evaluate the sensitivity and specificity of the detection of surgical sponges embedded with an RF chip through the torsos of subjects of varying body habitus, including the morbidly obese.
METHODS
A prospective, crossover, and observer blinded study design was used. Subjects served as their own controls. With the subject supine, 4 surgical sponges were sequentially placed behind the subject's torso in locations approximating abdominal quadrants.
RESULTS
Two hundred ten subjects were enrolled in the study. Nearly half (n = 101) were morbidly obese. Eight hundred forty readings were taken. There were no false-positive or false-negative readings. The sensitivity and specificity of detection of the RF sponges through the torsos of subjects of varying body habitus were 100%.
CONCLUSIONS
The sensitivity and specificity of RF sponge technology are much higher than published reports of surgical counts or published findings of intraoperative radiographs for retained sponges.
Topics: Adult; Aged; Cross-Over Studies; Female; Foreign Bodies; Humans; Male; Middle Aged; Obesity, Morbid; Prospective Studies; Radio Waves; Radiography; Sensitivity and Specificity; Single-Blind Method; Surgical Procedures, Operative; Surgical Sponges
PubMed: 21266216
DOI: 10.1016/j.amjsurg.2010.05.001 -
Annals of the Royal College of Surgeons... Mar 2014
Topics: Foreign Bodies; Humans; Medical Errors; Needles; Surgical Instruments; Surgical Sponges
PubMed: 24780693
DOI: 10.1308/rcsann.2014.174 -
Journal of the American College of... Dec 2021Retained surgical items are a serious human error. Surgical sponges account for 70% of retained surgical items. To prevent retained surgical sponges, it is important to...
BACKGROUND
Retained surgical items are a serious human error. Surgical sponges account for 70% of retained surgical items. To prevent retained surgical sponges, it is important to establish a system that can identify errors and avoid the occurrence of adverse events. To date, no computer-aided diagnosis software specialized for detecting retained surgical sponges has been reported. We developed a software program that enables easy and effective computer-aided diagnosis of retained surgical sponges with high sensitivity and specificity using the technique of deep learning, a subfield of artificial intelligence.
STUDY DESIGN
In this study, we developed the software by training it through deep learning using a dataset and then validating the software. The dataset consisted of a training set and validation set. We created composite x-rays consisting of normal postoperative x-rays and surgical sponge x-rays for a training set (n = 4,554) and a validation set (n = 470). Phantom x-rays (n = 12) were prepared for software validation. X-rays obtained with surgical sponges inserted into cadavers were used for validation purposes (formalin: Thiel's method = 252:117). In addition, postoperative x-rays without retained surgical sponges were used for the validation of software performance to determine false-positive rates. Sensitivity, specificity, and false positives per image were calculated.
RESULTS
In the phantom x-rays, both the sensitivity and specificity in software image interpretation were 100%. The software achieved 97.7% sensitivity and 83.8% specificity in the composite x-rays. In the normal postoperative x-rays, 86.6% specificity was achieved. In reading the cadaveric x-rays, the software attained both sensitivity and specificity of >90%.
CONCLUSIONS
Software with high sensitivity for diagnosis of retained surgical sponges was developed successfully.
Topics: Cadaver; Deep Learning; Diagnosis, Computer-Assisted; Foreign Bodies; Humans; Phantoms, Imaging; Postoperative Period; Radiography; Sensitivity and Specificity; Software; Surgical Sponges; Torso
PubMed: 34592404
DOI: 10.1016/j.jamcollsurg.2021.08.689 -
Minerva Gastroenterologica E Dietologica Sep 2016
Topics: Anastomotic Leak; Animals; Humans; Surgical Sponges
PubMed: 27404262
DOI: No ID Found