Assigning Responsibility for Gossypiboma (Abdominal Retained Surgical Sponges) in Operating Room

Authors

  • Naveed Ali Khan Department of General Surgery, Civil Hospital Karachi, Pakistan
  • Naveed A Khan Department of Surgery, Civil Hospital and Dow University of Health Sciences, Karachi, Pakistan.
  • Khursheed A Samo Department of Surgery, Civil Hospital and Dow University of Health Sciences, Karachi, Pakistan.
  • Amna Bhatti Department of Surgery, Civil Hospital and Dow University of Health Sciences, Karachi, Pakistan.
  • Rekha Jiswant Kumar Final Year Student, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
  • Maryum Nouman Final Year Student, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan

Keywords:

Surgical gauze, medical ethics

Abstract

Background and objective

Retained surgical gauze is a well known but less frequently reported surgical error. Several factors can lead to this mishap. It remains under-reported due to medico legal issues associated with its occurrence. This study was carried out to determine the view of health care providers at risk of committing this error regarding accidental abandonment of surgical gauze in surgical patients.

Type

Cross sectional study. Place: Civil Hospital Karachi.

Method

A questionnaire was distributed among the participants by investigators. The participants were divided into categories of faculty, surgical trainees and scrub Nurses. The responses of the participants were entered and analyzed on SPSS version 11.

Results

A total of 254 participants completed the survey form. Majority of the participants were trainees and scrub nurses.i.e.159 (62.5%) and 51(20.1%) respectively. Quite a few participants supported the idea of introduction of medical ethics in curriculum 108 (42.5%), active legislation regarding abandonment of swabs by PMDC 52 (20.4%), application of white boards in swab counting i.e. 80 (31.4%), and barring of surgeon if found involved in such accident 53 i.e. (20.8%). Most participants thought swab counting was practiced in the operation theater (195/254)(76.7%)

Retained surgical gauze is an important surgical error in terms of medico-legal issues and patient morbidity. Health care providers fear its’ outcomes and so standard guidelines need to be in practice to prevent patients and health care providers from this mistake and its adverse outcomes.

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References

Grassi N, Cipolla C, Torcivia A, Bottino A, Fiorentino E, Ficano L, Pantuso G. Trans-visceral migration of retained surgical gauze as a cause of intestinal obstruction: a case report. 2008 Jan 24; 2:17.

Wan W, Le T, Riskin L, Macario A. Improving safety in the operating room: a systematic literature review of retained surgical sponges. Curr Opin Anaesthesiol 2009;22:207-14.

Sheehan RE, Sheppard MN, Hansell DM. Retained intra thoracic surgical swab: CT appearances. J Thorac Imaging 2000; 15:61-4.

Coskun M, Noyvat F, Agildere AM. CT features of a pericardial gossypiboma. Euro Radiol 1999; 9:728-30.

Jaffary SA, Asim SS, Anwar S, Shamim MS. Retained

Surgical Sponge Following Abdominal Surgery.

JLUMHS 2010; 9: 58-63.

Berkowitz S, Marshall H, Charles A. Retained intraabdominal surgical instruments: time to use nascent technology? Am Surg 2007; 73:1083-5.

Stawicki SP, Evans DC, Cipolla J, Seamon MJ, Lukaszczyk JJ, Prosciak MP, Torigian DA, Doraiswamy VA, Yazzie NP, Gunter OL, Steinberg SM. Retained surgical foreign bodies: a comprehensive review of risks and preventive strategies. Scand J Surg 2009; 98:8-17.

Hyslop JW, Maull KI. Natural history of the retained surgical sponge. South Med J 1982; 75:657-60.

Bani-Hani KE, Gharaibeh KA, Yaghan RJ. Retained Surgical Sponges (gossypiboma). 2005; 28:109-15.

Selvakumar D, Joseph L.B.M. The importance of including bio-medical ethics in the curriculum of health education institutes. Education for Health 2004; 17:93-6.

Christian CK, Gustafson ML, Roth EM, Sheridan TB, Gandhi TK, Dwyer K, Zinner MJ, Dierks MM. A prospective study of patient safety in the operating room. Surgery 2006; 139:159-73.

Jackson S, Brady S. Counting difficulties: retained instruments, sponges and needles. 2008; 87:315-21.

Recommended practices for sponge, sharp, and instrument counts. In: Peri operative Standards and Recommended Practices. Denver, CO: AORN, Inc; 2008; 293-302.

Beyea SC. Counting instruments and sponges [Patient Safety First]. AORN J. 2003; 78:290,293-4.

Wang CF, Cook CH, Whitmill ML, Thomas YM, Lindsey DE, Steinberg SM, Stawicki SP. Risk factors for retained surgical foreign bodies: A meta-analysis. OPUS 12 Scientist 2009; 3:21-7.

Tacyildiz I, Aldemir M. The mistakes of surgeons: ‘gossypiboma’. Acta Chir Belg 2004; 104:71–5.

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Published

2012-12-25

How to Cite

Ali Khan, N. ., A Khan, N. ., A Samo, K. ., Bhatti, A. ., Jiswant Kumar, R., & Nouman, M. . (2012). Assigning Responsibility for Gossypiboma (Abdominal Retained Surgical Sponges) in Operating Room. Journal of the Dow University of Health Sciences (JDUHS), 6(3), 106–109. Retrieved from https://mail.jduhs.com/index.php/jduhs/article/view/1494

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