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Vesical gossypiboma.

Muhammad Rafique1

  • 1Department of Urology, Nishtar Medical College, Multan. rafiqanju@hotmail.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|May 22, 2003
PubMed
Summary

Gossypiboma, or retained surgical sponge, is a rare iatrogenic complication. This study presents four cases following prostatectomy, highlighting diagnostic challenges and prevention.

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Area of Science:

  • Urology
  • Surgical Complications
  • Medical Errors

Background:

  • Gossypiboma (retained surgical sponge) is an iatrogenic complication.
  • Underreporting is common due to legal concerns, leading to delayed diagnosis.
  • Transvesical prostatectomy is a surgical procedure where this complication can occur.

Observation:

  • Four distinct cases of vesical gossypiboma following transvesical prostatectomy were identified.
  • Patients presented with varied clinical signs and symptoms.
  • Diagnostic imaging played a crucial role in identifying the retained surgical material.

Findings:

  • The study details the clinical presentation of these rare cases.
  • Diagnostic challenges associated with gossypiboma are discussed.
  • Effective preventive strategies are explored to mitigate recurrence.

Implications:

  • Increased awareness can improve early detection and reduce misdiagnosis.
  • Implementing standardized checklists and surgical counts can prevent retained surgical sponges.
  • Addressing the legal implications may encourage more open reporting for better patient safety.

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