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A Murine Model of Group B Streptococcus Vaginal Colonization
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Gossypiboma: An uncommon but avoidable dreadful complication.

Amit Sharma1, Deepak Biswal1, Satyadeo Sharma1

  • 1All India Institute of Medical Sciences - Raipur, Raipur, CT, India.

Urologia
|April 13, 2021
PubMed
Summary
This summary is machine-generated.

Gossypiboma, a retained surgical sponge, is an under-reported complication with diverse presentations and medico-legal implications. Diagnosis is challenging, requiring surgical intervention for this avoidable surgical error.

Keywords:
Gossypibomafistulaelower uretermultiple

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Area of Science:

  • Surgical Complications
  • Medical Malpractice
  • Abdominal Surgery

Background:

  • Gossypiboma, or retained surgical sponge, represents an avoidable complication in abdominal surgery.
  • The incidence of gossypiboma is frequently under-reported, leading to potential diagnostic delays.
  • This complication carries significant medico-legal ramifications.

Observation:

  • A case of gossypiboma is presented in a male patient.
  • The patient exhibited multiple complex fistulae, including vesico-cutaneous and colo-vesical fistulae.
  • Clinical presentations of gossypiboma can be varied and challenging to diagnose pre-operatively.

Findings:

  • Pre-operative diagnosis of gossypiboma is often difficult, necessitating advanced imaging or exploratory surgery.
  • Surgical management is the definitive treatment for retained surgical sponges.
  • The formation of fistulae highlights the severe consequences of delayed diagnosis and management.

Implications:

  • Highlights the importance of meticulous surgical counts and post-operative checks to prevent retained surgical items.
  • Underscores the need for increased awareness and improved diagnostic strategies for gossypiboma.
  • Emphasizes the critical medico-legal and patient safety aspects associated with surgical sponges.