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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Updated: Mar 1, 2026

Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
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Retained foreign bodies

C W Kaiser1, T Slowick, K P Spurling

  • 1Department of Veterans Affairs Medical Center, Manchester, New Hampshire 03104, USA. cwkaiser@ix.netcom.com

The Journal of Trauma
|July 1, 1997
PubMed
Summary
This summary is machine-generated.

Retained foreign bodies in urgent care lead to significant claims, especially glass fragments. Improved documentation and diagnostic imaging, like X-rays, are crucial for better patient outcomes and reduced healthcare costs.

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Area of Science:

  • Medical Malpractice
  • Patient Safety
  • Emergency Medicine

Background:

  • Retained foreign bodies (RFBs) pose a risk in urgent care settings.
  • Claims related to RFBs incur substantial financial costs for healthcare providers and institutions.

Purpose of the Study:

  • To determine the incidence and outcomes of patients with retained foreign bodies after urgent care.
  • To analyze the financial implications of retained foreign body claims.

Main Methods:

  • Review of closed case records from a medical malpractice insurance company over seven years.
  • Analysis of claims involving retained foreign bodies after urgent care treatment.

Main Results:

  • Thirty-two patients filed 54 claims, resulting in over $1.5 million in defense costs and indemnity payments.
  • Glass was the most common foreign body (53% of claims), yet X-rays were underutilized (31% of all patients).
  • Failure to obtain radiologic studies for glass fragments led to higher claim defense rates and indemnity payments.

Conclusions:

  • All wounds must be assessed for potential foreign body entry.
  • Enhanced documentation of wound exploration and patient follow-up is essential.
  • Increased utilization of diagnostic imaging, including plain films, can mitigate risks and improve patient care.