Rajput Deepak, Gupta Amit, Shasheendran Sruthi, Mani Rishit, Tandon Amoli, Krishnasamy Shyam Karuppusamy, Siddeek Rohik Anjum T, Bhukya Krishna Sai, Edem Sanketh
Department of General Surgery, All India Institute of Medical Sciences Rishikesh, Dehradun, Uttarakhand, India.
Department of General Surgery, University College of Medical Sciences, Delhi, India.
Surg J (N Y). 2023 Mar 2;9(1):e62-e66. doi: 10.1055/s-0043-1764124. eCollection 2023 Jan.
Retained surgical foreign bodies are unanticipated events culminating from inadvertent operating room errors and may cause severe medical and legal problems between the patient and the doctor. Here, we report detecting a surgical instrument fragment 13 years after an open abdominal hysterectomy in a quadragenarian during her evaluation of a month-old complaint of lower abdominal and right thigh pain. A computed tomography scan of the abdomen demonstrated a radio-opaque linear foreign body traversing the right obturator foramen with extension into the pelvis cranially and the adductor compartment of the right thigh caudally. The metallic foreign body, identified as a fragmented handle of a uterine tenaculum forceps with a slender sharp-tip hook, could be removed laparoscopically from the pelvis after a diagnostic laparoscopy, preventing significant complications. The minimally invasive approach enabled a smooth recovery, and the patient could go home on the second postoperative day.
手术中遗留异物是由手术室意外失误导致的意外事件，可能会在患者和医生之间引发严重的医疗和法律问题。在此，我们报告一例病例，一名40多岁女性在接受开腹子宫切除术后13年，因持续一个月的下腹部和右大腿疼痛前来就诊时，被检测出体内有一块手术器械碎片。腹部计算机断层扫描显示，一个不透射线的线性异物穿过右闭孔，向上延伸至盆腔，向下延伸至右大腿内收肌间隙。经鉴定，该金属异物是子宫抓钳的破碎手柄，带有细长的尖钩。在诊断性腹腔镜检查后，通过腹腔镜手术成功从盆腔取出该异物，避免了严重并发症的发生。微创方法使患者恢复顺利，术后第二天即可出院。
