Pakistan Journal of Medical Sciences

Published by : PROFESSIONAL MEDICAL PUBLICATIONS

ISSN 1681-715X

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ORIGINAL ARTICLE

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Volume 26

January - March  2010

Number  1


 

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Retained Surgical Foreign Bodies:
Can these be prevented?

Champa Sushel1, Tariq Wahab Khanzada2, Abdul Samad3

ABSTRACT

Objectives: To determine the frequency and modes of presentation of retained surgical foreign bodies.

Methodology: This study was carried out mainly at a private teaching hospital i.e. Isra University Hospital and four other non-teaching private hospitals of Hyderabad city over a period of five years from June 2004 to May 2009.

Results: A total of 15 patients with retained surgical foreign body were found during the above mentioned study period. Female patients were more common than male patients. Gynaecological procedures were more frequently associated with surgical retained foreign bodies. Most (60%) of the causative procedures were performed as emergency procedures. Retained sponge was the most frequent foreign body (60%) followed by gauze piece. Discharging sinuses and abdominal masses (33.3% each) were the most frequent presentations followed by intestinal obstruction (20%).

Conclusion: Retained surgical foreign body is a rare but well known iatrogenic complication of surgery mostly seen in procedures done as emergency. Discharging sinuses, abdominal mass and intestinal obstruction are the most common modes of presentation. Proper frequent double sponge count and use of radioopaque markers are the major preventive measures to safeguard against this dangerous complication.

KEY WORDS: Gossypiboma, Retained surgical foreign body, Retained sponge.

Pak J Med Sci    January - March 2010    Vol. 26 No. 1    15-20

How to cite this article:

Sushel C, Khanzada TW, Samad A. Retained Surgical Foreign Bodies: Can these be prevented? Pak J Med Sci 2010;26(1):15-20


1. Dr. Champa Sushel FCPS
Senior Registrar
Liaquat University of Medical & Health Sciences, Jamshoro,
Hyderabad - Pakistan.
2. Dr. Tariq Wahab Khanzada FCPS, FRCS
Assistant Professor Surgery,
3. Dr. Abdul Samad FCPS
Associate Professor Surgery,
2-3. Isra University, Hyderabad. Pakistan.

Correspondence:

Dr. Tariq Wahab Khanzada
C- 51, Husnain Square,
Liberty Market, Jacob Road
Hyderabad 71000. Pakistan.
E-mail: tariqwahab@yahoo.com

* Received for Publication: November 26, 2009

* Revision Received: January 11, 2010

* Revision Accepted: January 29th 2010



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