A Serious Medicolegal Problem After Surgery Gossypiboma

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dc.contributor.authorGumus, Metehan
dc.contributor.authorGumus, Hatice
dc.contributor.authorKapan, Murat
dc.contributor.authorOnder, Akin
dc.contributor.authorTekbas, Guven
dc.contributor.authorBac, Bilsel
dc.date.accessioned2024-04-24T17:08:24Z
dc.date.available2024-04-24T17:08:24Z
dc.date.issued2012
dc.departmentDicle Üniversitesien_US
dc.description.abstractAfter surgery, the most common foreign bodies retained in the abdominal cavity are the surgical sponges. The aim of the present study was to emphasize the importance of gossypiboma, which is a serious and medicolegal problem. The records of 12 patients with a confirmed diagnosis of gossypiboma after abdominal surgery at Dicle University Hospital were retrospectively reviewed between January 1994 and December 2009. Eight of the 12 patients were females, and 4 were males. Previously, 7 patients had been operated on electively, and 5 had undergone operations on an emergency basis. Abdominal ultrasonography clearly demonstrated gossypibomas in 5 patients, and computed tomography demonstrated a more precise image of retained surgical sponges in 3 patients. One patient died because of ventricular fibrillation; the other 11 patients were discharged in good health. To eliminate the risk of gossypibomas, all sponges should be counted at least twice (once preoperatively and once postoperatively); use of small sponges should be avoided during laparotomy, and only sponges with radiopaque markers should be used. The surgeon should explore the abdomen before closure. In cases in which the sponge count is uncertain, an abdominal x-ray should be performed before closure.en_US
dc.identifier.doi10.1097/PAF.0b013e31821c09fe
dc.identifier.endpage57en_US
dc.identifier.issn0195-7910
dc.identifier.issn1533-404X
dc.identifier.issue1en_US
dc.identifier.pmid21562399
dc.identifier.scopus2-s2.0-84857923576
dc.identifier.scopusqualityQ3
dc.identifier.startpage54en_US
dc.identifier.urihttps://doi.org/10.1097/PAF.0b013e31821c09fe
dc.identifier.urihttps://hdl.handle.net/11468/17328
dc.identifier.volume33en_US
dc.identifier.wosWOS:000300618300016
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofAmerican Journal of Forensic Medicine and Pathology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectGossypibomaen_US
dc.subjectSurgical Spongesen_US
dc.subjectIntra-Abdominalen_US
dc.titleA Serious Medicolegal Problem After Surgery Gossypibomaen_US
dc.titleA Serious Medicolegal Problem After Surgery Gossypiboma
dc.typeArticleen_US

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