Contreras AA, Urióstegui FR

Language: Spanish
References: 6
Page: 401-403
PDF size: 204.05 Kb.

ABSTRACT

It is estimated that retained surgical materials occur in 1:5,500 surgeries, with 50% diagnosed when the patient is discharged. Gauze pads are the most common cause of surgical retention (48-69%), and counting them is essential to prevent this problem. Although only 77% of counts are performed correctly, preventive protocols such as using surgical material impregnated with a radiopaque tracer and X-rays can minimize the damage. It is important to report and document these cases to improve the quality of medical care and reduce the risk of errors in future surgeries.

REFERENCES

1. Gawande AA, Studdert DM, Orav EJ, Brennan TA, Zinner MJ. Risk factors for retained instruments and sponges after surgery. N Engl J Med. 2003; 348 (3): 229-235. doi: 10.1056/NEJMsa021721.

2. Cima RR, Kollengode A, Garnatz J, Storsveen A, Weisbrod C, Deschamps C. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. J Am Coll Surg. 2008; 207 (1): 80-87. doi: 10.1016/j.jamcollsurg.2007.12.047.

3. Gibbs VC. Retained surgical items and minimally invasive surgery. World J Surg. 2011; 35 (7): 1532-1539. doi: 10.1007/s00268-011-1060-4.

4. Moffatt-Bruce SD, Cook CH, Steinberg SM, Stawicki SP. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014; 190 (2): 429-436. doi: 10.1016/j.jss.2014.05.044.

5. De Gea Rico A, Krishna P, Devlin HL, Rohatgi A. Gossypiboma: a ghastly find. BMJ Case Rep. 2018; 2018: bcr2017221537. doi: 10.1136/bcr-2017-221537.

6. Secretaría de Salud. Lista de verificación de la seguridad de la cirugía. Disponible en: https://www.gob.mx/cms/uploads/attachment/file/29526/seguridadPaciente_02.pdf