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Gossypiboma: a report of 2 cases
1Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
Background:
Retention of surgical sponges in body cavities (gossypiboma) is preventable. It is probably under reported, may be for medicolegal reasons. We report 2 cases we have managed, one at a tertiary medical centre, and the other, at a private clinic in Port Harcourt, in order to re-awaken the awareness of its occurrence and make a plea for caution during surgery.
Methods:
The case notes of patients treated surgically over the period between 1995 and 2004 were reviewed for cases of retained surgical sponges.
Results:
Two cases were identified over the period 1995 to 2004. One had presented acutely while the second case presented in a sub-acute manner. Both required re-exploration and retained sponges were retrieved.
Conclusion:
It may not be possible to eradicate the occurrence of retained sponges in the body but it can definitely be minimized, thus saving many patients from the associated agony.
Insights
Retained surgical sponges, known as gossypiboma, are preventable but may be underreported. Implementing caution during surgery can minimize this complication and prevent patient suffering.
Area of Science:
- Medical research
- Surgical safety
Background:
- Gossypiboma (retained surgical sponges) is a preventable complication.
- Underreporting is suspected, potentially due to medicolegal concerns.
Observation:
- Two cases of retained surgical sponges were managed between 1995 and 2004.
- One patient presented acutely, the other sub-acutely, both requiring surgical re-exploration.
Findings:
- Retained surgical sponges were successfully retrieved in both identified cases.
- The cases highlight the occurrence of gossypiboma in different healthcare settings.
Implications:
- Minimizing retained surgical sponges is crucial for patient safety and well-being.
- Increased awareness and surgical caution are essential to reduce gossypiboma incidence.
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