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Journal of the American Veterinary... Nov 2011
Topics: Animals; Dog Diseases; Dogs; Female; Foreign Bodies; Surgical Sponges
PubMed: 22044323
DOI: 10.2460/javma.239.10.1291 -
ANZ Journal of Surgery Jul 2020
Topics: Abdominal Cavity; Foreign Bodies; Humans; Surgical Sponges
PubMed: 31701619
DOI: 10.1111/ans.15556 -
European Journal of Cardio-thoracic... Mar 2011Intrathoracic textiloma or gossypiboma, a retained surgical sponge in the thoracic cavity, is an exceptional but serious complication following thoracic or abdominal...
OBJECTIVE
Intrathoracic textiloma or gossypiboma, a retained surgical sponge in the thoracic cavity, is an exceptional but serious complication following thoracic or abdominal surgery. The purpose of this work is to highlight the topographic features of thoracic textiloma and to describe imaging aspects, and, particularly, computed tomography (CT) features.
METHODS
Eight patients have been operated in our thoracic surgery department for thoracic gossypiboma. In the past, three patients had undergone hepatic surgery and the five others had a history of thoracic surgery. All the patients had a chest radiograph, five of them had a thoracic ultrasonography, all had a chest CT, and one patient had a chest magnetic resonance imaging (MRI).
RESULTS
In patients with a history of abdominal surgery, the foreign body was located in the parenchyma of the right lower lobe. In the other patients, the foreign body was either intrapleural or mediastinal. Ultrasonography suggested the diagnosis of textiloma in three of the five patients by demonstrating a non-calcified hyperechoic mass with acoustic shadow. At CT, the gossypiboma was a low-attenuating mass containing trapped gas lucencies in six patients and it was a high-attenuating mass in two patients. MRI showed a diaphragmatic defect in one patient with an intrapulmonary gossypiboma that migrated from the abdomen.
CONCLUSIONS
The CT aspect of thoracic gossypiboma may be different according to pleural or parenchymal location. The spongiform appearance, characteristic in abdominal gossypiboma, is not the only CT presentation of thoracic gossypiboma. The confrontation of the surgical history with the CT signs helps to have a preoperative diagnosis.
Topics: Adolescent; Adult; Aged; Female; Foreign Bodies; Humans; Magnetic Resonance Imaging; Male; Middle Aged; Surgical Sponges; Thoracic Surgical Procedures; Thorax; Tomography, X-Ray Computed
PubMed: 21112797
DOI: 10.1016/j.ejcts.2010.10.011 -
Nederlands Tijdschrift Voor Geneeskunde Feb 2002The retained surgical sponge seems to be an ongoing problem. Despite the fact that reports of retained surgical sponges are comparatively rare, this problem seems to be...
The retained surgical sponge seems to be an ongoing problem. Despite the fact that reports of retained surgical sponges are comparatively rare, this problem seems to be more prevalent than is generally appreciated. Even though counting sponges is a tedious task, it should nonetheless be performed with the utmost attention. Although the presence of radiopaque wires in the sponges is helpful in locating these, it does not prevent surgical sponges from being forgotten. These retained sponges can result in serious conditions such as septic complications or pseudo-tumour formation, which in turn might lead to extensive diagnostic and secondary surgical procedures.
Topics: Foreign Bodies; Humans; Medical Errors; Postoperative Complications; Surgical Procedures, Operative; Surgical Sponges
PubMed: 11865651
DOI: No ID Found -
Veterinary Clinical Pathology Jun 2010An 8-year-old female spayed domestic shorthair cat had an abdominal mass palpated as an incidental finding on physical examination. Cytologic findings in...
An 8-year-old female spayed domestic shorthair cat had an abdominal mass palpated as an incidental finding on physical examination. Cytologic findings in ultrasound-guided fine-needle aspirates of the mass were most compatible with a sarcoma, with abundant mineralized material and mixed inflammation. The mass was removed surgically and on gross examination was white-tan, firm, associated with the mesentery, and when transected contained a gauze sponge in its center. On histopathologic examination, an area of central necrosis with mineralization and numerous refractile fibers consistent with sponge material was surrounded by dense fibrous connective tissue (gossypiboma). Within the connective tissue was a population of highly pleomorphic spindle cells consistent with a fibrosarcoma. Immunohistochemically, most neoplastic cells stained strongly positive for vimentin and a low number of cells were positive for smooth muscle actin. The results were consistent with a fibrosarcoma arising at the site of a retained surgical sponge. At a follow-up visit 2 months postoperatively, ultrasonographic and cytologic evidence of metastasis was found in the spleen and mesentery. To our knowledge, this is the first report of malignant transformation at the site of a retained surgical sponge in a cat and the first report of a fibrosarcoma arising within a gossypiboma in a domestic animal.
Topics: Animals; Cat Diseases; Cats; Female; Fibrosarcoma; Foreign Bodies; Mesentery; Peritoneal Neoplasms; Surgical Sponges
PubMed: 20088844
DOI: 10.1111/j.1939-165X.2009.00209.x -
Annals of the Royal College of Surgeons... Nov 2016Gossypiboma or retained surgical sponge is an infrequently encountered surgical complication, more so in the head and neck region. A literature search did not reveal a...
Gossypiboma or retained surgical sponge is an infrequently encountered surgical complication, more so in the head and neck region. A literature search did not reveal a previously reported case of retained or concealed surgical sponge after microscopic ear surgery. We present a unique and previously unreported case of a 25-year-old male who presented with a cystic swelling in the right supra-aural region 5 months post-modified radical mastoidectomy of the right ear. Surgical excision of the swelling revealed a retained surgical sponge. We emphasise the importance of counting surgical sponges after every surgical step to minimise the incidence of such retained surgical items.
Topics: Adult; Ear, Inner; Foreign Bodies; Humans; Male; Mastoid; Medical Errors; Surgical Sponges
PubMed: 27502345
DOI: 10.1308/rcsann.2016.0234 -
AORN Journal Jun 2019Retained surgical items (eg, sponges, instruments) remain the most frequently reported sentinel events. The primary strategy for preventing retained sponges is the... (Observational Study)
Observational Study
Retained surgical items (eg, sponges, instruments) remain the most frequently reported sentinel events. The primary strategy for preventing retained sponges is the sponge count. Reconciling sponge counts is time consuming and can extend the duration of operative and other invasive procedures. The primary objective of this observational study was to evaluate the effect of a radiofrequency (RF) surgical-sponge detection system on time spent searching for surgical sponges. The study included 27,637 procedures during nine months before and after implementing an RF surgical-sponge detection system. After implementation of the system, time spent searching for sponges was reduced by 79.58%, the percentage of unreconciled counts was reduced by 71.28%, and time spent using radiography to rule out a retained sponge was reduced by 46.31%. This resulted in a reduction of costs. These findings should be used as part of a comprehensive cost analysis of alternative methods when evaluating RF sponge detection technology.
Topics: Foreign Bodies; Humans; Postoperative Complications; Radio Frequency Identification Device; Sentinel Surveillance; Surgical Sponges
PubMed: 31135978
DOI: 10.1002/aorn.12698 -
Journal of the American Veterinary... Jan 2012
Topics: Animals; Dog Diseases; Female; Foreign Bodies; Surgical Sponges
PubMed: 22276344
DOI: No ID Found -
Radiology May 2009
Topics: Abdomen; Aged; Foreign-Body Reaction; Humans; Magnetic Resonance Imaging; Male; Surgical Sponges
PubMed: 19401584
DOI: 10.1148/radiol.2512071142 -
Journal of Visualized Experiments : JoVE Apr 2012Wound healing is a complicated, multistep process involving many cell types, growth factors and compounds(1-3). Because of this complexity, wound healing studies are...
Wound healing is a complicated, multistep process involving many cell types, growth factors and compounds(1-3). Because of this complexity, wound healing studies are most comprehensive when carried out in vivo. There are many in vivo models available to study acute wound healing, including incisional, excisional, dead space, and burns. Dead space models are artificial, porous implants which are used to study tissue formation and the effects of substances on the wound. Some of the commonly used dead space models include polyvinyl alcohol (PVA) sponges, steel wire mesh cylinders, expanded polytetrafluoroethylene (ePTFE) material, and the Cellstick(1,2). Each dead space model has its own limitations based on its material's composition and implantation methods. The steel wire mesh cylinder model has a lag phase of infiltration after implantation and requires a long amount of time before granulation tissue formation begins(1). Later stages of wound healing are best analyzed using the ePTFE model(1,4). The Cellstick is a cellulose sponge inside a silicon tube model which is typically used for studying human surgery wounds and wound fluid(2). The PVA sponge is limited to acute studies because with time it begins to provoke a foreign body response which causes a giant cell reaction in the animal(5). Unlike other materials, PVA sponges are easy to insert and remove, made of inert and non-biodegradable materials and yet are soft enough to be sectioned for histological analysis(2,5). In wound healing the PVA sponge is very useful for analyzing granulation tissue formation, collagen deposition, wound fluid composition, and the effects of substances on the healing process(1,2,5). In addition to its use in studying a wide array of attributes of wound healing, the PVA sponge has also been used in many other types of studies. It has been utilized to investigate tumor angiogenesis, drug delivery and stem cell survival and engraftment(1,2,6,7). With its great alterability, prior extensive use, and reproducible results, the PVA sponge is an ideal model for many studies(1,2). Here, we will describe the preparation, implantation and retrieval of PVA sponge disks (Figure 1) in a mouse model of wound healing.
Topics: Animals; Mice; Models, Animal; Polyvinyl Alcohol; Prostheses and Implants; Prosthesis Implantation; Surgical Sponges; Wound Healing
PubMed: 22546933
DOI: 10.3791/3885