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Gossypiboma simulating huge ovarian mass: a case report
S O Fadiora1, J O Komolafe, S O Ogunniyi
1Department of Surgery, Ladoke Akintola University of Technology (LAUTECH), Teaching Hospital, Oshogbo.
Summary
A retained surgical gauze pack after myomectomy required a second surgery. This case highlights the critical importance of meticulous surgical counts and using radio-detectable gauze to prevent retained surgical items.
Area of Science:
- Surgical Safety
- Gynecologic Surgery
- Patient Safety
Background:
- Retained surgical items, such as gauze packs, are a rare but serious complication following abdominal procedures.
- Myomectomy, a surgical removal of uterine fibroids, carries inherent risks, including the potential for retained surgical materials.
Observation:
- A 36-year-old patient, gravida 1, presented with a retained abdominal gauze pack post-myomectomy.
- This complication necessitated a subsequent exploratory laparotomy to retrieve the gauze pack.
Findings:
- The case underscores the critical need for rigorous attention to the counting of surgical instruments and gauze packs before abdominal closure.
- The use of gauze impregnated with radio-detectable material is strongly recommended to aid in the detection of any inadvertently retained items.
Implications:
- Implementing standardized surgical counting protocols can significantly reduce the incidence of retained surgical items.
- Utilizing advanced materials like radio-detectable gauze can serve as a crucial safety net in preventing surgical errors.
- This case emphasizes the importance of continuous quality improvement in surgical practices to enhance patient safety and outcomes.