Serra J, Matias-Guiu X, Calabuig R, Garcia P, Sancho F J, La Calle J P
Department of Surgery, Hospital de la Santa Creu Sant Pau, Universitat Autonoma de Barcelona, Spain.
Am J Surg. 1988 Feb;155(2):235-7. doi: 10.1016/s0002-9610(88)80702-5.
Gauze forgotten at operations can be potentially life threatening, but such cases are seldom reported because of the medicolegal implications. We have presented a series of seven patients with long-term surgical gauze retention, four after pelvic operations, one after cholecystectomy, one after laryngectomy, and one after mastectomy. The median time interval between operation and gauze removal was 5 years. In three patients this was diagnosed as a tumoral mass, in three as an intestinal occlusion, and in one the gauze was found incidentally. All foreign bodies were removed and no patient died. The clinical and diagnostic aspects of retained surgical gauze have been discussed and the need for radiopaque markers in them have been emphasized.
手术时遗留纱布可能会危及生命,但由于法医学方面的影响,此类病例很少被报道。我们报告了7例长期遗留手术纱布的患者,其中4例是盆腔手术后,1例胆囊切除术后,1例喉切除术后,1例乳房切除术后。手术与取出纱布之间的中位时间间隔为5年。3例被诊断为肿瘤性肿块,3例为肠梗阻,1例纱布是偶然发现的。所有异物均被取出,无患者死亡。文中讨论了手术纱布遗留的临床和诊断方面,并强调了在纱布中使用不透射线标记物的必要性。