Related Experiment Videos
Retained portion of latex glove during femoral nailing. Case report
M Sadat-Ali1, S Marwah, I al-Habdan
1College of Medicine and Medical Sciences, King University, Al-Khobar.
Indian Journal of Medical Sciences
|November 1, 1996
Abstract:
A case of retained glove during Kuntscher intramedullary nailing is described. An abscess around the glove could have lead to osteomyelitis. One need to be cautious feeling the top end of the nail while femoral nailing to avoid such a complication.
Insights
A surgical glove was unintentionally left inside a patient during Kuntscher intramedullary nailing. This retained foreign body could cause a serious bone infection (osteomyelitis), highlighting the need for surgical caution.
Area of Science:
- Orthopedic Surgery
- Surgical Complications
- Infectious Disease
Background:
- Kuntscher intramedullary nailing is a common orthopedic procedure for femoral fractures.
- Foreign body retention during surgery is a rare but significant complication.
- Prompt identification and management of retained surgical items are crucial to prevent adverse patient outcomes.
Observation:
- A case report details a retained surgical glove following Kuntscher intramedullary nailing.
- The retained glove was situated around the tip of the intramedullary nail.
- The potential for abscess formation and subsequent osteomyelitis was noted.
Findings:
- Retained surgical materials can serve as a nidus for infection.
- Abscess formation around a retained glove poses a risk of developing osteomyelitis.
- Careful palpation of the nail's proximal end during femoral nailing is essential.
Implications:
- Surgeons must exercise meticulous technique to prevent foreign body retention during intramedullary nailing.
- Early detection and removal of retained surgical items are vital to avoid complications like osteomyelitis.
- This case underscores the importance of surgical checklists and vigilance in preventing retained surgical items.