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Gossypiboma: An Unintentional Iatrogenic Error

  • Case Report
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Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

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.

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References

  1. Cima RR, Kollengode A, Garnatz J, Storsveen A, Weisbrod C, Deschamps C (2008) Incidence and characteristics of potential and actual retained foreign object events in surgical patients. J Am Coll Surg 207:80

    Article  Google Scholar 

  2. Gawande AA, Studdert DM, Orav EJ, Brennan TA, Zinner MJ (2003) Risk factors for retained instruments and sponges after surgery. N Engl J Med 348:229

    Article  Google Scholar 

  3. Lincourt AE, Harrell A, Cristiano J, Sechrist C, Kercher K, Heniford BT (2007) Retained foreign bodies after surgery. J Surg Res 138:170

    Article  Google Scholar 

  4. Steelman VM, Shaw C, Shine L et al (2018) Retained surgical sponges: a descriptive study of 319 occurences and contributing factors from 2012 to 2017. Patient Saf Surg 12:20

    Article  Google Scholar 

  5. Alves-de-Oliveria CDN, Pimenta-do-Amaral TM, Ribeiro-Souto G, Alves-Mesquita R (2014) Gossypibomian the oral region: case report and literature review. J ClinExp Dent 6(4):e444–e447

    Google Scholar 

  6. Song SY, Hong JW, Yoo WM, Tark KC (2009) Gossypiboma after mandibular contouring surgery. J Craniofac Surg 20:1607–1610

    Article  Google Scholar 

  7. Pavlikova G, Foltan R, Horka M, Hanzelka T, Borunská H, Sedý J (2011) Piezosurgery in oral and maxillofacial surgery. Int J Oral Maxillofac Surg 40(5):451–457

    Article  CAS  Google Scholar 

  8. Babu KB, Uppada UK, Koppolu P, Mishra A, Chandra CR, Pandey R (2014) Management of ankyloglossia: have lasers taken the sheen away from scalpel. J Dent Lasers 8:56–59

    Google Scholar 

  9. (2018) High volume evacuator (HVE) in reducing aerosolan exploration worth by clinicians. J Dent Health Oral Disord Ther 9(3):165–166

  10. Kim KS (2014) Changes in computed tomography findings according to the chronicity of maxillary sinus gossypiboma. J Craniofac Surg 25(4):e330–e333

    Article  Google Scholar 

  11. Arvalho FSR, Costa FWG, Chaves FN et al (2019) Maxillofacial gossypiboma: case report, review of the literature, and diagnosis algorithm. J Maxillofac Oral Surg 19:50–53

    Article  Google Scholar 

  12. Sorake S, Chawla C, Kumar Rao JP, Kini R, Peter J (2018) Gossypiboma: a diagnosis not to forget. Arch Med Health Sci 6:130–133

    Article  Google Scholar 

  13. Cevik I, Dillioglugil O, Ozveri H, Akdas A (2008) Asymptomatic retained surgical gauze towel diagnosed 32 years after nephrectomy. Int Urol Nephrol 40:885–888

    Article  Google Scholar 

  14. Bani-Hani KE, Gharaibeh KA, Yaghan RJ (2005) Retained surgical sponges (gossypiboma). Asian J Surg 28:109–115

    Article  Google Scholar 

  15. Adar R, Bass A, Walden B (1982) Latrogenic complications in surgery five years’ experience in general and vascular surgery in a university hospital. Ann Surg 196(6):725–729

    Article  CAS  Google Scholar 

  16. Uppada UK, Sinha R (2020) Iatrogenic mandibular ramus fracture following surgical removal of impacted third molar. J Maxillofac Surg. https://doi.org/10.1007/s12663-020-01382-3

    Article  Google Scholar 

  17. Saluja HMC, Rudagi BM, Mahindra UR, Gaikwad PT, Dehane VV (2014) Retrieval of foreign body from a postoperative defect in the mandible during the follow-up period: a bizarre occurrence. Natl J Maxillofac Surg 5(1):67–69

    Article  Google Scholar 

  18. Boutiou E, Ziogas IA, Koloutsos G, Vafiadou M, Antoniades K (2017) A rare case of a plastic foreign body (suction tip) within the soft tissues in the lingual aspect of the mandible. Int J Case Rep Images 8(11):735–738

    Article  Google Scholar 

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Funding

Self funded.

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Authors and Affiliations

  1. Department Oral and Maxillofacial Surgery, Sri Sai College of Dental Surgery, Vikarabad, India

    Sravani Bhogaraju, Vennela Sriramula, Uday Kiran Uppada & Prem Kumar Rathod

Authors
  1. Sravani Bhogaraju
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  2. Vennela Sriramula
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  3. Uday Kiran Uppada
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  4. Prem Kumar Rathod
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Contributions

SB Operating surgeon, Data analysis & manuscript preparation, VS Operating surgeon, Data analysis & manuscript preparation, UKU Operating surgeon, Design of study, Data acquisition, data analysis & manuscript preparation, PKR Data collection & manuscript preparation.

Corresponding author

Correspondence to Uday Kiran Uppada.

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Bhogaraju, S., Sriramula, V., Uppada, U.K. et al. Gossypiboma: An Unintentional Iatrogenic Error. J. Maxillofac. Oral Surg. 21, 1155–1158 (2022). https://doi.org/10.1007/s12663-021-01593-2

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  • DOI: https://doi.org/10.1007/s12663-021-01593-2

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