Belassene Fremdkörper – aus der Sicht des Chirurgen View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2007-01

AUTHORS

K. Schönleben, A. Strobel, F. Schönleben, A. Hoffmann

ABSTRACT

The number of foreign bodies remaining in the patient after a surgical procedure is presumably higher than mentioned in the literature. According to US insurance statistics, the incidence amounts to 1 in 1,500 surgical procedures. As a basic principle – also from the legal aspect – it is necessary to determine whether a foreign body was left in situ accidentally (i.e. due to a material fault) or if it was simply forgotten. In 70% of cases, fabric items (e.g. swabs etc.) are left behind, while around 30% are metal objects. A particularly high risk is seen in emergency settings, in unexpected changes in the surgical procedure, or for patients with a high body mass index. The outcome for the patient differs depending on the nature of the object left behind and the individual patient’s situation. Usually, metal items cause more acute clinical symptoms at an earlier time after the operation. Fabric items tend to induce, in the absence of primary contamination, a chronic progression of symptoms over several years. Reoperation has a high mortality (between 11% and 35%). Precautions in terms of risk management have to be established and need to be strictly respected, especially in high risk settings. Visually or acoustically controlled monitoring before wound-closure are recommended to eliminate “human error” as thoroughly as possible. More... »

PAGES

7-12

References to SciGraph publications

  • 2005-09-17. Retained surgical sponge (gossypiboma) after intraabdominal or retroperitoneal surgery: 14 cases treated at a single center in LANGENBECK'S ARCHIVES OF SURGERY
  • 1992-10. Open quiz solution: Case report 736 in SKELETAL RADIOLOGY
  • 2000-05. Intraperitoneal Gossypibomas: The Need to Count Sponges in WORLD JOURNAL OF SURGERY
  • 1988-12. The forgotten surgical foreign body in GASTROINTESTINAL RADIOLOGY
  • 2003-08-20. Forgotten needle—an unusual cause of chronic pelvic pain in ARCHIVES OF GYNECOLOGY AND OBSTETRICS
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00104-006-1271-7

    DOI

    http://dx.doi.org/10.1007/s00104-006-1271-7

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1036812966

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/17151842


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