Retained foreign objects in surgical site: still occurs?
Keywords:
General surgery. Nursing, Perioperative care, Medical errors, Safety.Abstract
This study is a critica review ol' literature with the objective to identify the retained foreign objectoccurencc. A search in electronicdatabascs Medline, Lilacs, Scielo wascarríed through with describers: sLirgery,perioperative care, errors, safety, andcomplications, besides authors's personal materiaIs published in last 10 years.Concluded that the retained foreignobjects most frequently are surgicalsponge and surgical instruments; theabdominal cavity was more involvedfollowed by thoracic. Factors associatedwith increased risk for retention werelarge surgeries, incorrect count ofsurgicalsponge, emergency surgery, surgicalprocedure change unexpectedly andpatients with high body mass index.Awareness of professionals about themagnitude ofthe problem is the flrst step tomotivate people to pert'orm the preventiveactions ally development of criticalthinking and effective interpersonalcommunication.References
Kohn E. Corrigan .1. Donaldson M, editors. Building a safer heaith svstem: to cri- is h urnan. Vash i ngton: Nat iona 1 Acadeniy Press: 2000.
Weiser TG, Regenhogen SE, Thompson KD. Hay nes AR. Lipsitz SR, Berry WR et ai. An estimation of the global volume of surgery: a modeling strategy based 00 availabie data. Lancet. 2008,372(9632):1')9-44.
Kable AK, Gihhert RW, Spigelnian AD. Adverse events lo surgical patients RJ. Retained surgicai sponges (gossypi- from: http://www.hpnonline.com/insidein Australia. Int J Qual I-lealth Care boma). Asian J Surg. 2005:28(2):109-15. september%2005/0509.html 2002-.14(4):269-76.
McConkey Si. Case series of acute abdominal lii rural Sierra Leone. World J Surg. 2002;26(4):509-13.
Yii MK, Ng KJ. Risk adjusted surgical audit with the POSSUM score system in a developing country. Br J Surg 2002;89( 1): 110-3.
Dellinger EP, Haussman SM, Bratzler DW, Juhnson RM, Daniel DM, Bunt KM et al. HospitaIs collaborate to decrease surgical site inl'ections. Am J SLtrg. 2005;190(l ):9-15.
Runciman WB. latrogenic harm and anaesthesia in Australia. Anaesth Intensive Care. 2005:33(3):297-300.
Rappaport W. Haynes K. lhe retained surgical sponge foI lowing intra-abdominal surgery: a continuing problem. Arch Surg. 1990:1 25(3):405-7.
Yildirim S, Tarim A, Nursal TZ, Yildirim T, Caiiskan K, Torer N et al. Retained surgical sponge (gossypiboma) after intra abdominal or retroperitoneal surgery: 14 cases trated at a single center. Langenbecks Arch Surg. 2006:391(4):390-5,
Bani-Hani KE, Gharaibeh KA, Yaghan
Lincourt AE, Harrel A, Cristiano J. Sechrist C, Kercher K, Heniford BT, Retained foreing bodies after surgery. J Surg Res. 2007:138(2):l70-4.
Carvalho JB, Vinhaes JC. Corpo estranho retido na cavidade abdominal durante onze anos. Rev Col Bras Cir. 20043 1(1):68-70.
IglesiasAC. Salomão RM. Gossipiboma intra-abdominal: análise de 15 casos. Rev Col Bras Cir. 2007:34(2):105-13.
Science Daily. Surgical objects accidentally left inside about 1,500 patients in U.S. each year [honiepage na Internet]. 2009. [citado 2010 Jul. 3]. Available from: http://www.sciencedaily. com/releases/2007/1 2/071208171847. htm.
Gawande AA, Studdert DM, Orav Ei, Brennan TA, Zinner W. Risk factors for retained instruments and sponges after surgery. N EngI J Med. 2003;348(3): 229-35.
Williamson JE. New gown, drape features have or staff covered. lo: Heaithcare Purchasing News [hornepage na Internet]. Louisville: 2005. [citado 2010 Jul. 3]. Available
Association ofSurgical Technologists. AST recommended standards ofpractice for surgical gowns and surgical drapes [homepage na Internet]. Littleton: 2008. [citado 2010, iuly 3]. Availabie from: http://www.ast.org/pdf/Standardsof Practice/RSOPSurgicalDrapes.pdf
Vayre F, Richard P. Olivier JP. Intrathoracic gossypibonia: rnagnetic resonance features. Int J Cardiol. 1999:70(2):l99-200.
Rosalen Júnior RA, Bosi TCC, Souza RMF,Andrade FCG, Candido D, Fatureto MC et ai. Corpo estranho intratorácico: achados radiológicos. Rev Imagem. 2006;28(4):281-6.
Association of periüperative Registered Nurses. AORN 's recommended pratices for sponge, sharp, and instrument counts. In: AORN Recommended Pratices. Atlanta: 2000. p. 107-27.
Berger PS, Sanders G. Objects retained during surgery: human diligence meets systems solutions. In: Patient Safety & Quality Healthcare [homepage na Internet]. Marietta; 2008. [citado 2010 Jul. 3]. Available from: http://www.psqh. com/sepoct08/objects.1itm
Downloads
Published
How to Cite
Issue
Section
License
By publishing in Revista SOBECC, authors retain the copyright of their article and agree to license their work using a Creative Commons Attribution (CC BY 4.0) International Public License, thus accepting the terms of this license. The CC BY 4.0 license allows others to distribute, remix, adapt, and create from the published article, even for commercial purposes, provided they give due credit to the creators of the work (authors of the article).
The authors grant to Revista SOBECC the right of first publication, to identify itself as the original publisher, and grant to the journal a non-exclusive license to use the work in the following ways: (1) to sell and/or distribute the article in hard copies and/or in electronic format; (2) to distribute parts and/or the entire article in order to promote the journal through the internet and other digital and printed media; (3) to record and reproduce the article in any format, including digital media.
With this license, authors can enter into separate contracts for non-exclusive distribution of the article (e.g., publishing in an institutional repository or as a book chapter), with acknowledgement of authorship and initial publication in Revista SOBECC. Authors are encouraged to publish and distribute their work online after publication in the Revista SOBECC, as this can increase the article's visibility and impact.
In line with the journal's policies, each published article will be assigned a CC BY 4.0 license, which will be visible on the abstract page and in the PDF of each article with the respective link to the license terms.