Transmural migration of retained surgical sponges: a systematic review.
Obstet Gynecol Surv
; 63(7): 465-71, 2008 Jul.
Article
em En
| MEDLINE
| ID: mdl-18559122
ABSTRACT
Retained surgical sponges have been reported to occur after a diversity of surgical procedures, but transmural migration is a very unusual sequela. This article reports a case in which a retained surgical sponge eroded from the intra-abdominal space into the intestinal lumen, migrated distally, and spontaneously passed with defecation 12 weeks after the cesarean section. We performed a systematic review of the literature in Pubmed and found 64 cases of transmural migration of retained surgical sponges. Sixty-four cases have been reported of transmural migration, mainly after intra-abdominal surgery. The most frequent site of impaction is the intestine (75%), but we also found 2 cases that describe migration into the stomach and 7 into the bladder. Five more cases have been published describing transdiaphragmic migration. Only 4 cases describe a sponge spontaneously expelled through the rectum, whereas more than 93% needed re-intervention. We strongly advise only the use sponges with radiopaque markers during surgery and additional methodical wound/body cavity examination.
Texto completo:
1
Coleções:
01-internacional
Temas:
Geral
Base de dados:
MEDLINE
Assunto principal:
Tampões de Gaze Cirúrgicos
/
Cesárea
/
Migração de Corpo Estranho
/
Diarreia
Tipo de estudo:
Etiology_studies
/
Systematic_reviews
Limite:
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Obstet Gynecol Surv
Ano de publicação:
2008
Tipo de documento:
Article
País de afiliação:
Holanda