Foreign body in Surgery. Case analysis and prevention strategies

  • Javier Chinelli Ramos Facultad de Medicina, Universidad de la República
  • Eduardo Olivera Facultad de Medicina, Universidad de la República
  • Gustavo Rodríguez Facultad de Medicina, Universidad de la República
Keywords: Oblitoma, textiloma, gossypiboma

Abstract

Introduction: Retained foreign items are infrequent but can generate serious morbidity. Although some risk factors have been recognized and complementary detection systems developed, it continues to be a major problem from a health and medical legal point of view.

Objectives: to examine a case study at Hospital Maciel, focusing on clinical presentation and complications.

Patients and methods: 7 patients treated at the General Surgery and Urology Departments in Hospital Maciel, between 2013-2016. The main results analized are clinical presentation and complications, as well as the presence of recongnized risk factors.

Results: In all patients, the foreign bodies were compresses. In 2 cases the obliteration was asymptomatic and in 5 cases it was symptomatic In 2 cases foreign body did not elicit symptoms whereas in five cases it did. In the latter, 2 had an early and 3 a late presentation. The material count was incorrect in only one case. No patient died from the resulting complications

Discussion: Because retained surgical ítems will be a problem as long as surgical procedures are performed, it is necessary to emphasize on a systematic approach accompanied by complementary diagnostic tools that are also available in cases of item miscount

Conclusions: Risk factors were present almost without exception in our case study. Also, the incidence seems to be higher than that reported in the literature.

 

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Author Biographies

Javier Chinelli Ramos, Facultad de Medicina, Universidad de la República

Hospital Maciel. Asistente de Clínica Quirúrgica “2”

Eduardo Olivera, Facultad de Medicina, Universidad de la República

Hospital Maciel. Prof. Agdo. Clínica Quirúrgica “2”

Gustavo Rodríguez , Facultad de Medicina, Universidad de la República

Hospital Maciel. Prof. Titular Clínica Quirúrgica “2”

Published
2017-10-12
How to Cite
Chinelli Ramos, J., Olivera, E., & Rodríguez , G. (2017). Foreign body in Surgery. Case analysis and prevention strategies. Anales De La Facultad De Medicina, 4(2), 18-26. Retrieved from https://revistas.udelar.edu.uy/OJS/index.php/anfamed/article/view/197
Section
Artículos originales