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Updated: Jun 4, 2026

Transvaginal Mesh Insertion in the Ovine Model

Transvaginal Mesh Insertion in the Ovine Model

Published on: July 27, 2017

[Gossypiboma--retained textile foreign body].

D Andronic¹, C Lupaşcu, E Târcoveanu

¹Clinica I Chirurgie, Spitalul Sf. Spiridon Iaşi, Universitatea de Medicină şi Farmacie Gr. T. Popa, Iaşi. candroni@gmail.com

Chirurgia (Bucharest, Romania : 1990)

|March 2, 2011

Summary

Retained textile foreign body (RTFB) is a historical surgical error. Prevention strategies are evolving, incorporating technology and systemic improvements to minimize patient risk.

Area of Science:

Medical Error and Patient Safety
Surgical Complications
Healthcare Systems Analysis

Context:

Surgical complexity increases the potential for errors, including the long-recognized issue of forgotten foreign bodies.
Retained textile foreign bodies (RTFB), also known as gossypiboma, have been documented since the late 19th century.
These incidents occur across all surgical specialties, age groups, and sexes, highlighting a pervasive challenge in healthcare.

Purpose:

To review the historical context, incidence, diagnostic challenges, and management of retained textile foreign bodies (RTFB).
To discuss the evolution of understanding RTFB from individual error to systemic issues.
To explore current and emerging prevention strategies for RTFB.

Summary:

RTFB incidence varies widely (1:833–1:32,672), with diagnosis often delayed due to variable presentation, ranging from acute postoperative complications to long asymptomatic periods.

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Last Updated: Jun 4, 2026

Transvaginal Mesh Insertion in the Ovine Model

Transvaginal Mesh Insertion in the Ovine Model

Published on: July 27, 2017

Imaging diagnosis is challenging, necessitating RTFB consideration in the differential diagnosis for postsurgical patients.

Management requires informed consent, involving RTFB removal and treatment of associated injuries or careful monitoring.

Impact:

Shifting focus from individual blame to systemic analysis of latent errors is crucial for preventing RTFB.
National authorities have implemented regulations including counting, radiography, and technological markers (2D matrix, RFID) to mitigate RTFB occurrences.
While technology aids safety, the inherent human factor introduces variables that remain difficult to control, underscoring the need for continuous vigilance and system improvement.