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Updated: Jul 14, 2026

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

Published on: February 14, 2025

Postoperative complications due to a retained surgical sponge.

A K Sarda¹, D Pandey, S Neogi

¹Department of Surgery, Maulana Azad Medical College and Lok Nayak Hospital, Bahadur Shah Zafar Marg, New Delhi, India.

Singapore Medical Journal

|June 1, 2007

Summary

Retained surgical sponges can cause serious postoperative complications, including gastric and intestinal obstruction. Early detection and removal are crucial for patient recovery and preventing further harm.

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Last Updated: Jul 14, 2026

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

Published on: February 14, 2025

Area of Science:

Medical Science
Surgical Complications
Patient Safety

Background:

Retained surgical sponges, also known as gossypibomas, are an infrequent but significant complication.
Underreporting due to fear of litigation and negative publicity is a concern.

Observation:

Three cases of postoperative complications from retained surgical sponges are presented.
Complications included gastric outlet obstruction, repeated intestinal obstruction, and colonic obstruction with internal fistulae.

Findings:

A retained sponge caused gastric outlet obstruction relieved by endoscopic removal.
Another case involved intestinal obstruction requiring surgical sponge removal.
A third patient developed colonic obstruction and multiple internal fistulae due to a retained sponge.

Implications:

Highlights the importance of vigilance for retained surgical items.
Underscores the potential for severe morbidity even with seemingly minor surgical events.
Emphasizes the need for improved surgical safety protocols to prevent retained foreign objects.