Bhogaraju Sravani, Sriramula Vennela, Uppada Uday Kiran, Rathod Prem Kumar
Department Oral and Maxillofacial Surgery, Sri Sai College of Dental Surgery, Vikarabad, India.
J Maxillofac Oral Surg. 2022 Dec;21(4):1155-1158. doi: 10.1007/s12663-021-01593-2. Epub 2021 May 14.
Unintentional retention of a surgical gauze following a surgical intervention is uncommon but the complications can sometimes be life-threatening. Its diagnosis is challenging due to varied clinical presentations and inconclusive radiographic findings. We put forth a case which reported to us complaining of pain, swelling, pus discharge and sinus opening prejudicing our clinical and radiographic diagnosis to be a residual cyst but turned out to be unintentionally retained surgical gauze with encapsulation. The use of relatively bigger sized surgical gauze and ensuring a correct surgical gauze count intraoperatively in addition to checking the surgical site thoroughly before initiating surgical site closure is a gold standard to prevent such mishaps.
手术干预后意外遗留手术纱布的情况并不常见，但并发症有时可能危及生命。由于临床表现多样且影像学检查结果不明确，其诊断具有挑战性。我们提出一个病例，该病例向我们报告称有疼痛、肿胀、脓性分泌物和窦道开口，使我们在临床和影像学上误诊为残余囊肿，但结果却是意外遗留并被包裹的手术纱布。除了在开始关闭手术切口前彻底检查手术部位外，使用尺寸相对较大的手术纱布并在术中确保正确清点手术纱布数量是预防此类事故的金标准。
