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Urinary Tract Calculi VI: Surgical Management

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Related Experiment Video

Updated: May 3, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children

Published on: September 11, 2018

Retained Foreign Body: "Needle in a Haystack".

Lauren O'Brien¹, Kathleen M Eyster, Keith A Hansen

¹From the *Department of Obstetrics and Gynecology, KU School of Medicine-Wichita, Wichita, Kansas; †Departments of Basic Biomedical Sciences and Obstetrics and Gynecology, and ‡Department of Obstetrics and Gynecology, Sanford School of Medicine of the University of South Dakota, South Dakota.

Journal of Patient Safety

|February 14, 2014

Summary

This summary is machine-generated.

Retained surgical needles pose a risk to patients. A case report details a needle retained from prior surgery found during a post-myomectomy needle count.

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Area of Science:

Medical safety
Surgical procedures
Patient harm prevention

Background:

Retained foreign bodies after surgery are a known source of patient harm.
Accurate surgical counts are critical for preventing retained items.

Observation:

A case is presented of a retained surgical needle.
The needle was discovered during the routine needle count following a myomectomy procedure.

Findings:

The retained needle originated from a surgery performed at a distant time and location.
The discovery occurred unexpectedly during the immediate postoperative needle count.

Implications:

Highlights the importance of meticulous surgical counts, even in cases with a history of prior procedures.
Underscores the potential for retained foreign bodies to be identified long after the initial surgery.
Emphasizes the need for vigilance in surgical safety protocols to prevent patient harm.