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Published on: September 11, 2018
Diagnosis and management of retained foreign objects.
Tulin Yildirim1, Alper Parlakgumus2, Sedat Yildirim2
1Department of Radiology, Baskent University School of Medicine, Adana Teaching and Research Center, Adana, Turkey.
Retained surgical foreign objects (RFOs) are unintentionally left surgical items that can cause severe complications and are often misdiagnosed. Vigilance in postoperative care and adherence to protocols can minimize these preventable medical errors.
Area of Science:
- Medical Error Analysis
- Surgical Patient Safety
Background:
- Retained surgical foreign objects (RFOs) are unintentionally left items post-surgery.
- RFOs can lead to significant patient morbidity and mortality.
- Diagnosis of RFOs is frequently delayed or incorrect.
Purpose of the Study:
- To review the definition, types, incidence, and risk factors of RFOs.
- To discuss complications associated with RFOs.
- To outline prevention strategies for RFOs.
Main Methods:
- Comprehensive literature review of RFOs.
- Analysis of data up to 2014.
- Review of risk factors, complications, and prevention.
Main Results:
- RFOs are more common in emergency procedures (approx. 1 in 700).
- Risk factors include emergency surgery, operational changes, and high BMI.
- Human error is a primary cause, but training can reduce incidence.
Conclusions:
- RFOs are a serious, potentially fatal medical error.
- Consider RFOs in postoperative patients with unusual symptoms.
- Strict adherence to protocols and enhanced training are crucial for prevention.
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