Contraindications ; Humans ; Surgical Sponges

Textiloma is an inflammatory mass containing surgical sponges that are unintentionally left behind in a surgical wound. This complication has been most commonly described by abdominal and gynecologic surgeons. However, the occurrence of textiloma after intracranial procedures especially under the temporalis muscle has not been documented. The author reports a rare case of textiloma of the pterion in a patient who presented with a subcutaneous tumor developed eight years after frontotemporal craniotomy for aneurysm clipping.
Aneurysm ; Craniotomy ; Humans ; Muscles ; Surgical Sponges

Chitosan ; Epistaxis ; therapy ; Humans ; Surgical Sponges

Intraperitoneal foreign body is a rare but extremely troublesome condition. Such as forceps, rubber tubes, pieces of broken instruments can retained during surgery but most commonly foreign body is the surgical sponge. The retained foreign body produce intra-abdominal abscess, peritonitis, intestinal obstruction in the postoperative period or even after weeks, months or years and very uncommonly migrate into the bowel. We report a case of intracolonic surgical sponge misdiagnosed as retained intraperitoneal foreign body with brief review of literatures.
Abdominal Abscess ; Foreign Bodies* ; Intestinal Obstruction ; Peritonitis ; Postoperative Period ; Rubber ; Surgical Instruments ; Surgical Sponges*

No abstract availble.
Female ; Foreign Bodies/*diagnosis/pathology/radiography ; Humans ; Middle Aged ; *Surgical Sponges ; Tomography, X-Ray Computed

A gossypiboma (also called textiloma or retained surgical sponge) of the neck is rarely reported compared to intraabdominal or intrathoracic gossypibomas and also can be misdiagnosed as metastatic lymph nodes. A patient was referred to our clinic for a supraclavicular neck mass 6 months after thyroidectomy and neck dissection for papillary thyroid carcinoma in another hospital. It was initially considered an isolated neck recurrence, but it was finally diagnosed as gossypiboma by a pathological examination of the surgically-excised specimen. Characteristic findings of computed tomography or positron emission tomography/computed tomography might be helpful to differentiate the gossypiboma from malignant neck mass or other inflammatory conditions. It is essential for clinicians to be aware of this disease entity in differential diagnosis of neck recurrence because a gossypiboma in the neck can be misinterpreted as a malignancy to induce unwarranted radical surgery.
Carcinoma ; Diagnosis, Differential ; Electrons ; Humans ; Lymph Nodes ; Neck Dissection ; Neck* ; Recurrence* ; Surgical Sponges ; Thyroid Neoplasms ; Thyroidectomy

Gossypiboma is the term used to describe a mass within the body composed of a non-absorbable surgical material involving a cotton matrix. Surgical sponges with radiopaque markers are easily recognized on plain radiographs, but foreign bodies retained in the body without such markers present a diagnostic problem. Gossypiboma should be differentiated from a hematoma, abscess, cyst or tumor. Here we report a case of Gossypiboma in a 60-year-old male patient who had undergone a ureterolithotomy for a right ureteral stone 30 years earlier.
Abscess ; Foreign Bodies ; Hematoma ; Humans ; Male ; Middle Aged ; Surgical Sponges ; Ureter

OBJECTIVETo introduce the advantages of the circumcision with a scalpel by inserting a piece of gauze between the inner prepuce and superficial fascia.

METHODSFrom November 2000 to March 2006, 2 100 patients with redundant prepuce, aged 6-78 years, averaging 23, were circumcised with a scalpel by inserting a piece of gauze between the inner prepuce and superficial fascia. Of all the cases, 1 799 (85.7%) were classified as Type I, 237 (11.3%) as Type II and 64 (3.0%) as Type III redundant prepuce. The mean operation time was 20 minutes (15-35 min).

RESULTSThe incisions were all healed in one stage, with good appearance, no infection and no disruption. Bleeding occurred in 12 cases 648 hours after the operation and delayed bleeding in 3 cases.

CONCLUSIONThe circumcision with a scalpel by inserting a piece of gauze between the inner prepuce and superficial fascia, with easier performance, fewer complications and less bleeding, and capable of preserving more and continuous superficial fascia and giving a better appearance, well deserves to be popularized in clinical practice.

Adolescent ; Adult ; Aged ; Child ; Circumcision, Male ; methods ; Humans ; Male ; Middle Aged ; Phimosis ; surgery ; Surgical Sponges

PURPOSE: Surgical sponges retained after laparotomy can cause serious problem if they were not be identified in early state. In these circumstances, abdominal CT yields the accurate diagnostic images. The purpose of this report is to present highly indicative findings permitting correct preoperative diagnosis of the gossypiboma. we experienced three cases in which CT showed the images sufficiently characteristic to suggest the correct preoperative diagnosis. MATERIALS AND METHODS: We evaluated retrospectively the radiological images of gossypiboma confirmed by operation. Three patients were admitted due to palpable masses. Two female patients had mdical histories of cesarean sections and a male patient had been operated due to malignant fibrous histiocytoma, previously. RESULTS: Abdominal CT scan of one case revealed huge ovoid hypodense mass with enhanced peripheral rim. Calcific spots and whirl-like stripes were noted within the lesion. Towel was found in pathologic specimen. CT images of two patients showed well-encapsulated, mixed fluid and soft tissue density mass with several gas bubbles. Surgical sponges were found within abscesses. CONCLUSION: The authors conclude that these characteristic CT findings and careful histories of surgery are very useful for correct pre-operative diagnosis and permit the guideline for the optimal plan of the surgical treatment.
Abscess ; Cesarean Section ; Diagnosis ; Female ; Histiocytoma, Malignant Fibrous ; Humans ; Laparotomy ; Male ; Pregnancy ; Retrospective Studies ; Surgical Sponges ; Tomography, X-Ray Computed

Gossypibomas, retained surgical sponges are prone to creat adhesions and to encapsulate, or to provoke an exudative response, with or without accompanying bacterial infection. Often a process of transmural migration can occur and we experienced a case which was diagnosed by colonoscopy. A 24 year-old female patient who had a history of Cesarean section 4 months ago came to the hospital with a complaint of intermittent right lower quadrant pain. A thread of surgical sponge was found by colonoscopy from ascending colon to cecum. At laparotomy, a transmurally migrating surgical sponge through the colonic fistula at the cecal base with surrounding abscess cavity was found. Adding a case report, the fate of intraperitoneal forgotten surgical sponges is reviewed.
Abscess ; Bacterial Infections ; Cecum ; Cesarean Section ; Colon ; Colon, Ascending ; Colonoscopy* ; Female ; Fistula ; Humans ; Laparotomy ; Pregnancy ; Surgical Sponges* ; Young Adult