The Royal Orthopaedic Hospital, Birmingham, UK.
Neurosurgery Department, Suez Canal University, Ismailia, Egypt.
J Perioper Pract. 2024 Apr;34(4):101-105. doi: 10.1177/17504589231163685. Epub 2023 Apr 26.
Retained wound swabs although classified as a 'never event' and well documented in many surgical specialties are uncommon in spinal surgery. The aim of this article is to highlight the perioperative circumstances of an incident of a retained surgical swab and present a prevention protocol, in an attempt to eliminate its incidence.
The perioperative management of a 53-year-old male undergoing spinal surgery in whom a surgical swab was retained is reported. In addition to existing safety procedures such as the World Health Organization checklist, a Retained Surgical Swab-Prevention Protocol was implemented in our hospital and is presented to eliminate the occurrence of this 'never event' occurring again.
Retained surgical swabs or instruments are rare in spinal surgery occurring mostly in the lumbar spine, during emergency and prolonged procedures in patients with high body mass index. Maintaining a high index of suspicion and utilising a prevention protocol will prevent further harm to the patient.
虽然遗留伤口拭子被归类为“不应发生的事件”，并且在许多外科专业中都有详细记录，但在脊柱外科中并不常见。本文的目的是强调一起遗留手术拭子事件的围手术期情况，并提出一个预防方案，试图消除其发生。
报告了一名 53 岁男性在接受脊柱手术时遗留手术拭子的围手术期管理。除了现有的安全程序，如世界卫生组织清单外，我们医院还实施了《遗留手术拭子预防方案》，以消除再次发生这种“不应发生的事件”。
遗留手术拭子或器械在脊柱外科中很少见，主要发生在腰椎，在肥胖指数高的患者中进行急诊和长时间手术时。保持高度怀疑并使用预防方案将防止对患者造成进一步伤害。
