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Related Experiment Videos

[Iatrogenic foreign body].

M I Davidov, S V Kharichev, A I Petruniaev

    Urologiia (Moscow, Russia : 1999)
    |August 16, 2002
    PubMed
    Summary
    This summary is machine-generated.

    Iatrogenic foreign bodies, such as retained gauze or surgical needles, can lead to severe urinary tract complications years after procedures. Prompt removal and surgical technique refinement are crucial to prevent these adverse events.

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    Area of Science:

    • Urology
    • Surgical Complications
    • Medical Device Safety

    Background:

    • Iatrogenic foreign bodies are unintended objects left in patients during medical procedures.
    • These can lead to significant morbidity and require complex management.
    • This report details three distinct cases highlighting the risks associated with retained surgical materials and devices.

    Observation:

    • Case 1: A large bladder stone containing a gauze fragment was found 8 years post-suprapubic prostatectomy.
    • Case 2: A surgical needle lost during prostatectomy caused bladder neck obliteration, stone formation, fistula, and chronic infections.
    • Case 3: Ureteral perforation by a broken Dormia's basket led to migrating metal fragments, bladder perforation, and subsequent endoscopic removal.

    Findings:

    Related Experiment Videos

  • Retained gauze can act as a nidus for bladder stone formation.
  • Surgical needles misplaced during procedures can cause severe, long-term urinary tract complications.
  • Device fragmentation during ureterolithoextraction poses risks of perforation and migration.

    • Implications:

    • Highlights the importance of meticulous surgical technique and instrument counts to prevent retained foreign bodies.
    • Emphasizes the potential for delayed and severe complications from overlooked surgical items.
    • Underscores the need for vigilance in diagnosing and managing iatrogenic foreign bodies in the urinary tract.