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DOI:10.2214/AJR.09.7153
AJR 2009; 193:S79-S89
© American Roentgen Ray Society

Left Behind: Unintentionally Retained Surgically Placed Foreign Bodies and How to Reduce Their Incidence—Pictorial Review

Gilbert Whang1, Greg T. Mogel, Jerome Tsai and Suzanne L. Palmer

1 All authors: Department of Radiology, USC University Hospital, 1500 San Pablo St., 2nd Floor Imaging, Los Angeles, CA 90033.

Objective

Unintentionally retained surgically placed foreign bodies have been associated with increased morbidity and mortality, as well as increased costs and medicolegal consequences. This article reviews some of the most commonly retained surgical devices and provides a structured approach to intraoperative image acquisition and interpretation. By increasing the awareness of surgically placed foreign bodies, our goal is to reduce the incidence of and the complications associated with this difficult clinical problem.

Conclusion

Despite various systems and safeguards available, unintentionally retained surgically placed foreign bodies remain difficult to eliminate completely. Developing a standardized approach to the request, "intraoperative film, rule out foreign body," is essential to reduce the adverse outcomes associated with this problem.

Keywords: complications of surgery • foreign bodies • gossypiboma • iatrogenic injury • retained surgical sponges


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