6533b829fe1ef96bd128ade4

RESEARCH PRODUCT

Hysteroscopic removal of a gauze inadvertently retained in uterus for two years following caesarean section

Valeria MasciulloGiovanni ScambiaVito ChianteraNicoletta Di SimoneSilvia Amodeo

subject

Adultmedicine.medical_specialtymedicine.medical_treatmentUterusHysteroscopy03 medical and health sciencesPostoperative Complications0302 clinical medicinePregnancymedicineHumansCaesarean sectionPregnancy030219 obstetrics & reproductive medicineHysteroscopicHysteroscopyC-SectionCesarean Sectionbusiness.industryGeneral surgeryUterusObstetrics and GynecologyForeign Bodiesmedicine.diseaseBandagesSettore MED/40 - GINECOLOGIA E OSTETRICIAmedicine.anatomical_structure030220 oncology & carcinogenesisFemalebusiness

description

Despite the worldwide accomplishment of manual counting procedures of surgical textiles and instruments, cases of retained (forgotten) surgical items (RSIs) still occur. Gauzes are the most frequently RSIs, accounting for 90% of the cases because they are widely used. Approximately half of the cases occur in the context of general surgery procedures, fol- lowed by gynaecological – obstetrics surgery. The time inter- val between initial surgery, diagnosis and removal of the gauze is clinically relevant, as the morbidity and mortality are reduced if the foreign body is removed immediately after the offending operation. We report on a successful hysteroscopic identification and removal of a gauze inadvertently forgotten in utero two years after a C-Section in a symptomatic woman.

https://doi.org/10.1080/01443615.2020.1828317