Molina Gabriel A, Fuentes Germanico, Jimenez Andres, Proaño Estefany J, Chango Paulina E, Uzcategui Maria Isabel, Alvear Ronald S, Rubio Cristina B
Department of General Surgery, Hospital Metropolitano & Universidad San Francisco de Quito (USFQ), Quito, Ecuador.
Department of General Surgery, Iess Quito-Sur, Quito, Ecuador.
J Surg Case Rep. 2022 Oct 11;2022(10):rjac464. doi: 10.1093/jscr/rjac464. eCollection 2022 Oct.
Forgetting gauze or "a surgical drape" inside a patient after surgery is a rare medical error. It can lead to severe complications, high hospital costs and medico-legal implications. As a result, this complication is often not reported, mainly to avoid retaliation and because it can initiate extensive critical press coverage. This technical oversight may be just the tip of an iceberg concerning the reality of surgical errors; therefore, the entire surgical team must focus on prevention, continuing medical education and strict adherence to protocols and counting guidelines to minimize their incidence. We present the case of a 76-year-old patient with an acute abdomen; after an initial evaluation, a gossypiboma was discovered, which was forgotten 24 years after prostatectomy.
术后将纱布或“手术巾”遗留在患者体内是一种罕见的医疗失误。它可能导致严重并发症、高昂的住院费用以及法律问题。因此,这种并发症往往未被上报,主要是为了避免报复,也因为它可能引发媒体的广泛批评报道。这种技术疏忽可能只是手术失误现实情况的冰山一角;因此,整个手术团队必须专注于预防、持续医学教育以及严格遵守规程和计数指南,以尽量减少其发生率。我们报告一例76岁急腹症患者的病例;经过初步评估,发现了一个棉绒瘤,它是在前列腺切除术后24年被遗忘在体内的。