2017, Number 03
<< Back Next >>
Ginecol Obstet Mex 2017; 85 (03)
Oblitoma in obstetric and gynecologic surgery: a growing problem
Martínez-Velasco IG, Jiménez-López R, Veliz-Pradel N, Cadena-Vázquez MA, Reyes-García A
Language: Spanish
References: 56
Page: 202-211
PDF size: 246.99 Kb.
ABSTRACT
Background: Oblitomas or retained surgical items (RSI) in the abdominal cavity after surgery are cause of iatrogenic medical problems, that origin high morbidity, difficult diagnosis and medical malpractice claims to may lead complications to patients, physicians included to hospital.
Clinic case: We report an exceptional case, in a 27-year-old women, with a bulb of Yankahuer cannula retained in abdominal cavity, Forgotten during an emergency cesarean section. The diagnosis and management was realized with opportunity, avoiding complications.
Conclusion: Actually, the study of oblitoma or foreign objects retained that’s considered a growing problem, with statistics against it, mainly associated with high frequency of cesarean sections and high prevalence of maternal obesity during pregnancy. In fact, that situation place the gynecologists and obstetricians at a latent risk for this event. It is important to know the predisposing factors for its prevention and to implement institutional programs to reduce complications.
REFERENCES
Beyond the Count: Preventing Retention of Foreign Objects. Pa Patient Saf Advis 2009;6(2):39-45. Dirección URL: .
Gómez-Hernández MM, Morales-Wong MM, González- Ortega JM, Escaig-Olivares RL, Casañola-Grillo, et al. Textiloma intraperitoneal. A propósito de un caso de evolución no habitual. Reporte de casos. Actas Hispanoamer Patol 2006. Referencia incompleta
Conteras Ruiz-Velasco R, Sánchez-Jureidini GO, González– Rosado GD, González-Avilés JM et al. En el olvido: textiloma. An Med (Mex) 2007;52(1):37-41.
Borráez OA, Borráez BA, Orozco M, Matzalik G. Cuerpos extraños en abdomen: presentación de casos y revisión bibliográfica. Rev Colomb Cir 2009;24:114-122.
Barido-Murguía E, Hernández-Paniagua A, Menjivar-Rivera A, Torres-Ruiz F, et al. Retención de cuerpos extraños en cirugía: la seguridad del enfermo en riesgo. Cirujano general 2011;33(39):175.179.
Grant-Orser A, Davies P, Sony-Singh S. The lost sponge: patient safety in the operating room. CMAJ 2012;184(11):1275-78.
Maita-Quispé F, Avalos-Salaza F, Panozo-Borda SV. Diagnóstico prequirúrgico de cuerpos extraños en abdomen: presentación de tres caos. Gac Med Bol 2012;31(1):35-38.
Molero-Silvero E, Bartolomé-Cela E, Pérez-Alé M, Garcíade la Llana MA. Cuerpo extraño intrabdominal. Sanid mil 2015;71(2):117-118.
Dubón-Peniche MC, Valverde-Buendía J. Textiloma relacionado con procedimientos quirúrgicos de ginecología y obstetricia. Caso CONAMED. Rev Fac UNAM 2015;58(39:30-37.
Balcázar-Rincon LE, Gordillo-Gómez EA, Ramírez-Alcántara YL. Intestinal oclussion secondary to a retained surgical ítem. Cirug Cir 2016;86:503-508.
Ackerman J, Kanzow M, Mathiak M, Pecks U, et al. Endoscopic removal of a retained surgical sponge in a young Syrian refugee after cesarean section: a case report with discussion of cultural and political consequences. Pat Safety Surg 2016;10:22-27.
Dirección General de Información en Salud. Boletín de Información Estadística. Servicios otorgados y programas sustantivos. Secretaría de Salud [En línea] 2009. Dirección URL: .
Birolini DA, Rasslan S, Massazo-Utiyama E. Unintentionally retaained foreign bodies after surgical procedures. Analysis of 4547 cases. Rev Col Bras Cir 2016;43(1):12-17.
Wilson CP. Foreign bodies left in the abdomen after laparotomy. Gynecol Tr 1884;9:109-12.
15 Cima RR, Kollengode A, Garnatz J et al. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. J Am Coll Surg 2008; 207: 80-87.
Stawicki SP, Cook CH, Anderson HL , Chowayou L, et al. Natural history of retained surgical items supports the need for team training, early recognition, and prompt retrieval. OPUS 12 Foundation Multicenter Trials Group. Am J Surg 2014;208(1):65-72.
Teixeira PG, Inaba K, Salim A, Brown C, Rhee P, Browder T. Retained foreign bodies after emergent trauma surgery: incidence after 2526 cavitary explorations. Am Surg 2007;73:1031-4.
Yildirim T, Parlakgumus A, Yildirim S. Diagnosis and management of retained foreign objects J Coll Physicians Surg Pak 2015;25(5):367-371.
Gawande AA, Studdert DM, Orav EJ, Brennan TA, Zinner MJ. Risk factors for retained instruments and sponges after surgery. N Engl J Med 2003;348: 229-235.
Stawicki SP, Moffatt-Bruce SD, Ahmed HM, Anderson HL, Balija TM, Bernescu I, et al. Retained surgical items: a problem yet to be solved. J Am Coll Sur g 2013;216(1):15-22.
Hislop JW, Maull KI. Natural history of the retained surgical sponge. South Med J 1982;75:657-60.
De Quesada-Suarez L, Ival-pelayo M, Tejera JG, Rubio-González D. Abdomen agudo quirúrgico causado por cánula de succión. Archivos del Hospital Universitario “Gral. Calixto García” 2015;3(1)34-37.
Pita-Armenteros L, Pérez_ Jomarrón E, González-Salcedo J, Morales-Diaz I. Fecaloma, oblito y oclusión intestinal: informe de un cas, comentarios y una propuesta. Rev Cubana Cir 2010;49(1):37-42.
Franz-Guerrero A, Archila-Santamaría D, Cuadros-Mendoza C, Beltrán-Durán S, Cuadros-Mendoza G. Textiloma en cavidad intraabdominal, una causa de diagnóstico equívoco. Med UIS 2010:59-65.
Nasir G. Missed instrument and surgical sponge (gauze and pack). Int J Surg 2008;20(1):14-20.
Oriyuki Y, Kiyokazu N. Intra-abdominal textiloma. A retained surgical sponge mimicking a gastric gastrointestinal stromal tumor: report of a case. Surg Today 2008;38:552-4.
Kabiri H, Caidi M, Benamor J, el Maslout A, Benosman A. Intrathoracic textiloma caused by transdiaphragmatic migration after biliary surgery. Report of a case. Rev Pneumol Clin 2001;57(5):362-5.
Lone GN, Bhat AH, Tak MY, Garcoo SA. Transdiaphragmatic migration of forgotten gauze sponge: an unreported entity of lung abscess. Eur J Cardiothorac Surg 2005;28(2):355-7.
Esposito S, Ragozzino A, Rossi G, Pinto A, Martino A. Spontaneous migration of a surgical sponge in the small intestine. A propos of a case studied with conventional radiology and CT. Radiol Med (Torino) 1994;88(1-2):139-41.
Yeung KW, Chang MS, Huang JF. Imaging of transmural migration of a retained surgical sponge: a case report. Kaohsiung J Med Sci 2004;20(11):567-71.
Godara R, Marwah S, Karwasra R, Goel R, Sen J, Singh R. Spontaneous transmural migration of surgical sponges. Assian J Surg 2006;29(1):44-5.
Uzcategui E, González G. Granuloma a cuerpo extraño, simulando una enfermedad maligna del tracto biliar. Gastroenterol Hepatol 2009;32(1):32-5.
Cimsit B, Keskin M, Ozden I, Alper A. Obstructive jaundice due to a textiloma mimicking a common bile duct stone. J Hepatobiliary Pancreat Surg 2006;13(2):172-3.
Lin TY, Chuang CK, Wong YC, Liao HC. Gossypiboma: migration of retained surgical gauze and spontaneous transurethral protrusion. BJU Int 1999;84(7):879-80.
Aguirre JF, Chávez G, Huitrón GA. Textilomas intraabdominales. Frecuencia y actitudes en el cirujano mexicano. Cir Gen 2004;26:203-7.
Haegeman S, Maleux G, Heye S, Daenens K. Textiloma complicated by abscess-formation, three years after surgical repair of abdominal aortic aneurysm. JBR-BTR 2008;91(2):51-3.
Dhillon JS, Park A. Transmural migration of a retained laparotomy sponge. Am Surg 2002;68(7):603-5.
Díaz J, Tantalean E, Balmacedad T, Honorio C, Barandorian MA, Vilela G, et al. Cuerpo extraño en abdomen. A propósito de un caso. Rev Gastroenterol 2001;21(3):229- 23.
Gencosmanoglu R, Inceoglu R. An unusual cause of small bowel obstruction: Gossypiboma: case report. BMC Surg 2003;3:6.
Cárdenas-Gutiérrez O, Rivera-de la Vega A, Domínguez- Camacho L, Espinal-Brito R. Textiloma. Comunicación de un caso. Rev Esp Med Quir 2010;15(2):97-100.
Fernández R, Marin FJ, Fradejas JM, Diaz LM, Camarero E, Moreno m. Postoperative textiloma: review of 14 cases Int Surg 1998;83(1):63-66.
Ferraz-de Campos F, Franco F, Ferreira-Maximilano L, Santos-Martinés J, et al. An iron deficiency anemia of unknown cause: a case report involving gossypiboma. Clinics (Sao Paulo) 2010;65(5):555-558.
Lincourt AE, Harrell A, Cristiano J, Sechrist C et al. Retained foreign bodies after surgery. J Surg Res 2007;138(2):170- 74.
Lauwers PR, Van Hee RH. Intraperitoneal gossypibomas: the need to count sponges. World J Surg2000; 24: 521–527.
Guía de práctica clínica para la realización de la operación cesárea. México: Secretaria de Salud; 2007.
Farías M. Obesidad materna: severo problema de salud pública en Chile. Editorial. Rev Chil Obstet Ginecol 2013;78(6):409-412.
Withaker KM, Wilcox S, Liu J, Blair S, Pate R. Patient and provider perceptios of weight, physical activity, and nutrition during pregnancy: A qualitative study. Women’s Health Issues 2016;26(1):116-121.
Stiller RJ, Thompson T, Ivy MJ. Preventing retained foreign objects in ob/gyn surgery. Comtemp Obstet Gynecol 2010;(6):22-28.
Hariharan D, Lobo DN Retained surgical sponges, needles and instruments. Am j Coll Surg Engl 2013;95:87-92.
Manzella A, Borba Filho P, Alburquerque E, Farias F, Jaercher J. Imaging of gossypibomas. AJR Integrative medicine 2009:S 193:S94-S101.
Vega-Chavaje GR, Hereria-Jarero NM, Camacho-Roncal P, Tenorio-Taramoma M, et al. Extracción de un cuerpo extraño por cirugía laparoscópica. Reporte de un caso y revisión de la literatura. Asociación Mexicana de Cirugía Endoscópica 2002;3(4)175-181.
Statement on the prevention of retained foreign objects after surgery. Bull Am Coll Surg 2005;90(10):15-16 .
Recommended practices for sponge, sharp, and instrument counts. In: AORN Perioperative Standards and Recommended Practices. Denver, CO: AORN;2010:207-216.
Greenberg CG, Diaz-Florez R, Lipsitz SR, et al. Barcoding surgical sponges to improve safety: A randomized controlled trial. Ann Surg 2008;247(4):612-616.
Nguyen MC, Moffatt-Bruce SD. What's New in Academic Medicine? Retained surgical items: Is “zero incidence” achievable? Int J Acad Med 2016;(2):1-4.
Elsharydah A, Warmack KO, Minhajuddin SD. Retained surgical items after abdominal and pelvic surgery: Incidence, trend and predictors-observational study. Annals of medicine and surgery 2016;12:60-64.