Mabrouk Ola, Ibrahim Khalid
Surgery Department, Bashair Teaching Hospital. Khartoum City 12217, Sudan.
J Surg Case Rep. 2023 Aug 9;2023(8):rjad449. doi: 10.1093/jscr/rjad449. eCollection 2023 Aug.
Retained surgical items that remain inside patient's body during operation are linked to increased mortality, morbidity and negative financial consequences. This case reports a 65-year's-old male nurse with bilateral inguinal swelling. With history of right sided inguinal hernia 8 years ago that underwent open repair without mesh. Swelling was reducible on right side only, positive visible and palpable cough impulse bilaterally, and surgical scar on right iliac region. Diagnosed as left side inguinal hernia with recurrent right side inguinal hernia. After informed consent and preoperative assessment, open repair started with right side, sac excised after reducing content and mesh placed. Same procedure done on left, surgical gauze was found in inguinal canal and removed successfully, operation completed. Patient did well on follow-up. Collaboration and communication is crucial between staff during operations to prevent errors and promote safety.
手术中遗留在患者体内的外科物品与死亡率增加、发病率上升以及负面的经济后果相关。本病例报告了一名65岁的男性护士，双侧腹股沟肿胀。有8年前右侧腹股沟疝病史，接受了无补片的开放修补术。肿胀仅右侧可还纳，双侧可见并可触及明显的咳嗽冲击感，右髂区有手术瘢痕。诊断为左侧腹股沟疝伴右侧复发性腹股沟疝。在获得知情同意并进行术前评估后，先从右侧开始进行开放修补，将内容物还纳后切除疝囊并放置补片。左侧进行相同操作时，在腹股沟管内发现手术纱布并成功取出，手术完成。患者随访情况良好。手术过程中工作人员之间的协作与沟通对于防止错误和促进安全至关重要。
