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Gossypiboma - Successful retrieval through laparoscopy: A case report
Neeraj Saxena1, Dinesh Kumar Kardam1, Rohit Chauhan1
1Department of General & Minimally Invasive Surgery, Atal Bihari Vajpayee Institute of Medical Sciences & Dr Ram Manohar Lohia Hospital, New Delhi, India.
International Journal of Surgery Case Reports
|June 17, 2021
Summary
Gossypiboma, a retained surgical sponge, can be safely removed using laparoscopy. This minimally invasive approach offers faster recovery and better cosmetic outcomes compared to traditional open surgery for this rare complication.
Area of Science:
- Surgical Complications
- Minimally Invasive Surgery
- Abdominal Surgery
Background:
- Gossypiboma, or retained surgical sponge, is a rare but serious complication with significant legal implications for surgeons.
- Prompt diagnosis and management are crucial once gossypiboma is suspected.
Purpose of the Study:
- To highlight the successful laparoscopic retrieval of a gossypiboma.
- To advocate for the consideration of laparoscopy in managing retained surgical sponges.
Main Methods:
- A case report of a patient presenting with a large abdominal mass due to a retained surgical sponge.
- Diagnostic imaging (CT scan) confirmed the presence of gossypiboma with its radio-opaque marker.
- Laparoscopic surgery was performed for the retrieval of the retained sponge.
Main Results:
- A large gossypiboma was successfully identified and removed laparoscopically.
- The patient likely benefited from the minimally invasive approach, though specific outcomes are not detailed in the abstract.
Conclusions:
- Laparoscopy is a viable and beneficial option for gossypiboma retrieval, offering advantages over open surgery.
- Despite its rarity, retained surgical sponges necessitate meticulous surgical precautions; laparoscopy should be considered for management.
