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Laparoscopic retrieval of a retained surgical sponge: a case report
1Department of Obstetrics and Gynecology, University of Arizona College of Medicine, Tucson.
Abstract:
A retained laparotomy pad after abdominal surgery is a complication that usually requires a second laparotomy. We report a case in which a laparotomy pad and ring were removed laparoscopically 1 week postoperative.
Insights
A retained surgical sponge after abdominal surgery, a rare complication, was successfully removed laparoscopically. This minimally invasive approach avoided a second major surgery for the patient.
Area of Science:
- Surgical complications
- Minimally invasive surgery
- Gastrointestinal surgery
Background:
- Retained surgical items, such as laparotomy pads, are infrequent but serious complications following abdominal surgery.
- Traditionally, removal necessitates a repeat laparotomy, increasing patient morbidity and healthcare costs.
Observation:
- A case is presented involving a patient with a retained laparotomy pad and ring discovered one week after abdominal surgery.
- The patient presented with symptoms necessitating investigation and intervention.
Findings:
- Laparoscopic surgery was successfully employed for the removal of the retained laparotomy pad and ring.
- This minimally invasive technique was performed one week postoperatively.
Implications:
- Laparoscopic removal of retained surgical items offers a less invasive alternative to open surgery.
- This approach may reduce recovery time, complications, and healthcare expenses associated with retained surgical sponges.
- Highlights the potential for minimally invasive techniques in managing surgical errors.