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Pulsatile lavage irrigator tip, a rare radiolucent retained foreign body in the pelvis: a case report.

Connelly CL, Archdeacon MT - Patient Saf Surg (2011)

Bottom Line: Retained foreign bodies after surgery have the potential to cause serious medical complications for patients and bring fourth serious medico-legal consequences for surgeons and hospitals.Despite these precautions, radiolucent objects and uncounted components/pieces of instruments are at risk to be retained in the surgical wound.Revision surgery was required in order to remove the retained object, and the patient had no further complications.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedic Surgery, University of Cincinnati, P,O, Box 670212, Cincinnati, OH, 45267-0212, USA. archdemt@ucmail.uc.edu.

ABSTRACT
Retained foreign bodies after surgery have the potential to cause serious medical complications for patients and bring fourth serious medico-legal consequences for surgeons and hospitals. Standard operating room protocols have been adopted to reduce the occurrence of the most common retained foreign bodies. Despite these precautions, radiolucent objects and uncounted components/pieces of instruments are at risk to be retained in the surgical wound. We report the unusual case of a retained plastic pulsatile lavage irrigator tip in the surgical wound during acetabulum fracture fixation, which was subsequently identified on routine postoperative computed tomography. Revision surgery was required in order to remove the retained object, and the patient had no further complications.

No MeSH data available.


Related in: MedlinePlus

Immediate postoperative AP and oblique pelvic radiographs demonstrating near anatomic reduction status post ORIF.
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Figure 3: Immediate postoperative AP and oblique pelvic radiographs demonstrating near anatomic reduction status post ORIF.

Mentions: The patient underwent open reduction internal fixation (ORIF) of his acetabulum fracture through a modified ilioinguinal Stoppa approach [7]. The wounds were irrigated with three liters of pulsatile normal saline and closed in layers as is routine at our institution. There were no recognized intraoperative complications and instrument and sponge counts were correct. Immediate postoperative anterior-posterior (AP) and Judet radiographs (Figure 1, Figure 2 and Figure 3) demonstrated near anatomic reduction of the acetabulum, no evidence of intra-articular hardware penetration and a concentric reduction of the hip. The patient was transferred to the recovery room in stable condition.


Pulsatile lavage irrigator tip, a rare radiolucent retained foreign body in the pelvis: a case report.

Connelly CL, Archdeacon MT - Patient Saf Surg (2011)

Immediate postoperative AP and oblique pelvic radiographs demonstrating near anatomic reduction status post ORIF.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3117682&req=5

Figure 3: Immediate postoperative AP and oblique pelvic radiographs demonstrating near anatomic reduction status post ORIF.
Mentions: The patient underwent open reduction internal fixation (ORIF) of his acetabulum fracture through a modified ilioinguinal Stoppa approach [7]. The wounds were irrigated with three liters of pulsatile normal saline and closed in layers as is routine at our institution. There were no recognized intraoperative complications and instrument and sponge counts were correct. Immediate postoperative anterior-posterior (AP) and Judet radiographs (Figure 1, Figure 2 and Figure 3) demonstrated near anatomic reduction of the acetabulum, no evidence of intra-articular hardware penetration and a concentric reduction of the hip. The patient was transferred to the recovery room in stable condition.

Bottom Line: Retained foreign bodies after surgery have the potential to cause serious medical complications for patients and bring fourth serious medico-legal consequences for surgeons and hospitals.Despite these precautions, radiolucent objects and uncounted components/pieces of instruments are at risk to be retained in the surgical wound.Revision surgery was required in order to remove the retained object, and the patient had no further complications.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Orthopaedic Surgery, University of Cincinnati, P,O, Box 670212, Cincinnati, OH, 45267-0212, USA. archdemt@ucmail.uc.edu.

ABSTRACT
Retained foreign bodies after surgery have the potential to cause serious medical complications for patients and bring fourth serious medico-legal consequences for surgeons and hospitals. Standard operating room protocols have been adopted to reduce the occurrence of the most common retained foreign bodies. Despite these precautions, radiolucent objects and uncounted components/pieces of instruments are at risk to be retained in the surgical wound. We report the unusual case of a retained plastic pulsatile lavage irrigator tip in the surgical wound during acetabulum fracture fixation, which was subsequently identified on routine postoperative computed tomography. Revision surgery was required in order to remove the retained object, and the patient had no further complications.

No MeSH data available.


Related in: MedlinePlus