TY  - JOUR
AB  - IMPORTANCE Serious, preventable surgical events, termed never events, continue to occur despite considerable patient safety efforts. OBJECTIVE To examine the incidence and root causes of and interventions to prevent wrong-site surgery, retained surgical items, and surgical fires in the era after the implementation of the Universal Protocol in 2004. DATA SOURCES We searched 9 electronic databases for entries from 2004 through June 30, 2014, screened references, and consulted experts. STUDY SELECTION Two independent reviewers identified relevant publications in June 2014. DATA EXTRACTION AND SYNTHESIS One reviewer used a standardized form to extract data and a second reviewer checked the data. Strength of evidence was established by the review team. Data extraction was completed in January 2015. MAIN OUTCOMES AND MEASURES Incidence of wrong-site surgery, retained surgical items, and surgical fires. RESULTS We found 138 empirical studies that met our inclusion criteria. Incidence estimates for wrong-site surgery in US settings varied by data source and procedure (median estimate, 0.09 events per 10 000 surgical procedures). The median estimate for retained surgical items was 1.32 events per 10 000 procedures, but estimates varied by item and procedure. The per-procedure surgical fire incidence is unknown. A frequently reported root cause was inadequate communication. Methodologic challenges associated with investigating changes in rare events limit the conclusions of 78 intervention evaluations. Limited evidence supported the Universal Protocol (5 studies), education (4 studies), and team training (4 studies) interventions to prevent wrong-site surgery. Limited evidence exists to prevent retained surgical items by using data-matrix-coded sponge-counting systems (5 pertinent studies). Evidence for preventing surgical fires was insufficient, and intervention effects were not estimable. CONCLUSIONS AND RELEVANCE Current estimates for wrong-site surgery and retained surgical items are 1 event per 100 000 and 1 event per 10 000 procedures, respectively, but the precision is uncertain, and the per-procedure prevalence of surgical fires is not known. Root-cause analyses suggest the need for improved communication. Despite promising approaches and global Universal Protocol evaluations, empirical evidence for interventions is limited. © 2015 American Medical Association. All rights reserved.
AD  - Southern California Evidence-Based Practice Center, RAND Corporation, 1776 Main St, Santa Monica, CA 90401, United States
Department of Surgery, Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, CA, United States
Department of Surgery, David Geffen School of Medicine, University of California, Los Angeles, United States
Robert Wood Johnson Clinical Scholars Program, University of California, Los Angeles, United States
Evidence-Based Synthesis Program (ESP) Center, West Los Angeles Veterans Affairs Medical Center, Los Angeles, CA, United States
RAND Health, RAND Corporation, Santa Monica, CA, United States
AU  - Hempel, S.
AU  - Maggard-Gibbons, M.
AU  - Nguyen, D. K.
AU  - Dawes, A. J.
AU  - Miake-Lye, I.
AU  - Beroes, J. M.
AU  - Booth, M. J.
AU  - Miles, J. N. V.
AU  - Shanman, R.
AU  - Shekelle, P. G.
DB  - Scopus
DO  - 10.1001/jamasurg.2015.0301
IS  - 8
M3  - Article
N1  - Cited By :53
Export Date: 10 November 2020
PY  - 2015
SP  - 796-805
ST  - Wrong-site surgery, retained surgical items, and surgical fires a systematic review of surgical never events
T2  - JAMA Surgery
TI  - Wrong-site surgery, retained surgical items, and surgical fires a systematic review of surgical never events
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84939833172&doi=10.1001%2fjamasurg.2015.0301&partnerID=40&md5=bd7e1932878a452214c4451be9bbdeef
VL  - 150
ID  - 1246
ER  - 

TY  - JOUR
AB  - IMPORTANCE Serious, preventable surgical events, termed never events, continue to occur despite considerable patient safety efforts. OBJECTIVE To examine the incidence and root causes of and interventions to prevent wrong-site surgery, retained surgical items, and surgical fires in the era after the implementation of the Universal Protocol in 2004. DATA SOURCES We searched 9 electronic databases for entries from 2004 through June 30, 2014, screened references, and consulted experts. STUDY SELECTION Two independent reviewers identified relevant publications in June 2014. DATA EXTRACTION AND SYNTHESIS One reviewer used a standardized form to extract data and a second reviewer checked the data. Strength of evidence was established by the review team. Data extraction was completed in January 2015. MAIN OUTCOMES AND MEASURES Incidence of wrong-site surgery, retained surgical items, and surgical fires. RESULTS We found 138 empirical studies that met our inclusion criteria. Incidence estimates for wrong-site surgery in US settings varied by data source and procedure (median estimate, 0.09 events per 10 000 surgical procedures). The median estimate for retained surgical items was 1.32 events per 10 000 procedures, but estimates varied by item and procedure. The per-procedure surgical fire incidence is unknown. A frequently reported root cause was inadequate communication. Methodologic challenges associated with investigating changes in rare events limit the conclusions of 78 intervention evaluations. Limited evidence supported the Universal Protocol (5 studies), education (4 studies), and team training (4 studies) interventions to prevent wrong-site surgery. Limited evidence exists to prevent retained surgical items by using data-matrix-coded sponge-counting systems (5 pertinent studies). Evidence for preventing surgical fires was insufficient, and intervention effects were not estimable. CONCLUSIONS AND RELEVANCE Current estimates for wrong-site surgery and retained surgical items are 1 event per 100 000 and 1 event per 10 000 procedures, respectively, but the precision is uncertain, and the per-procedure prevalence of surgical fires is not known. Root-cause analyses suggest the need for improved communication. Despite promising approaches and global Universal Protocol evaluations, empirical evidence for interventions is limited.
AD  - S. Hempel, Southern California Evidence-Based Practice Center, RAND Corporation, 1776 Main St, Santa Monica, CA, United States
AU  - Hempel, S.
AU  - Maggard-Gibbons, M.
AU  - Nguyen, D. K.
AU  - Dawes, A. J.
AU  - Miake-Lye, I.
AU  - Beroes, J. M.
AU  - Booth, M. J.
AU  - Miles, J. N. V.
AU  - Shanman, R.
AU  - Shekelle, P. G.
DB  - Embase
Medline
DO  - 10.1001/jamasurg.2015.0301
IS  - 8
KW  - article
bibliographic database
communication disorder
data extraction
human
incidence
meta analysis
operating room
patient safety
priority journal
quality control
regional anesthesia
resource management
retained instrument
surgical error
surgical fire
surgical patient
surgical sponge
surgical training
systematic review
wound closure
wrong site surgery
LA  - English
M3  - Article
N1  - L605745560
2015-08-27
2015-08-31
PY  - 2015
SN  - 2168-6254
SP  - 796-805
ST  - Wrong-site surgery, retained surgical items, and surgical fires a systematic review of surgical never events
T2  - JAMA Surgery
TI  - Wrong-site surgery, retained surgical items, and surgical fires a systematic review of surgical never events
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L605745560&from=export
http://dx.doi.org/10.1001/jamasurg.2015.0301
VL  - 150
ID  - 439
ER  - 

TY  - JOUR
AB  - Importance: Serious, preventable surgical events, termed never events, continue to occur despite considerable patient safety efforts.Objective: To examine the incidence and root causes of and interventions to prevent wrong-site surgery, retained surgical items, and surgical fires in the era after the implementation of the Universal Protocol in 2004.Data Sources: We searched 9 electronic databases for entries from 2004 through June 30, 2014, screened references, and consulted experts.Study Selection: Two independent reviewers identified relevant publications in June 2014.Data Extraction and Synthesis: One reviewer used a standardized form to extract data and a second reviewer checked the data. Strength of evidence was established by the review team. Data extraction was completed in January 2015.Main Outcomes and Measures: Incidence of wrong-site surgery, retained surgical items, and surgical fires.Results: We found 138 empirical studies that met our inclusion criteria. Incidence estimates for wrong-site surgery in US settings varied by data source and procedure (median estimate, 0.09 events per 10,000 surgical procedures). The median estimate for retained surgical items was 1.32 events per 10,000 procedures, but estimates varied by item and procedure. The per-procedure surgical fire incidence is unknown. A frequently reported root cause was inadequate communication. Methodologic challenges associated with investigating changes in rare events limit the conclusions of 78 intervention evaluations. Limited evidence supported the Universal Protocol (5 studies), education (4 studies), and team training (4 studies) interventions to prevent wrong-site surgery. Limited evidence exists to prevent retained surgical items by using data-matrix-coded sponge-counting systems (5 pertinent studies). Evidence for preventing surgical fires was insufficient, and intervention effects were not estimable.Conclusions and Relevance: Current estimates for wrong-site surgery and retained surgical items are 1 event per 100,000 and 1 event per 10,000 procedures, respectively, but the precision is uncertain, and the per-procedure prevalence of surgical fires is not known. Root-cause analyses suggest the need for improved communication. Despite promising approaches and global Universal Protocol evaluations, empirical evidence for interventions is limited.
AN  - 109624636. Language: English. Entry Date: 20150923. Revision Date: 20160520. Publication Type: journal article
AU  - Hempel, Susanne
AU  - Maggard-Gibbons, Melinda
AU  - Nguyen, David K.
AU  - Dawes, Aaron J.
AU  - Miake-Lye, Isomi
AU  - Beroes, Jessica M.
AU  - Booth, Marika J.
AU  - Miles, Jeremy N. V.
AU  - Shanman, Roberta
AU  - Shekelle, Paul G.
DB  - ccm
DO  - 10.1001/jamasurg.2015.0301
DP  - EBSCOhost
IS  - 8
N1  - review. Journal Subset: Biomedical; USA. Special Interest: Perioperative Care. NLM UID: 101589553.
PMID: NLM26061125.
PY  - 2015
SN  - 2168-6254
SP  - 796-805
ST  - Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never Events
T2  - JAMA Surgery
TI  - Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never Events
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109624636&site=ehost-live&scope=site
VL  - 150
ID  - 856
ER  - 

TY  - JOUR
AB  - The history of a wound and its clinical appearance help the clinician make appropriate decisions on management. The level of contamination in the wound can be determined with the rapid biopsy fixation technique. Extensive wound debridement, high-pressure irrigation, and cautious use of antibiotics should reduce the bacterial count to a level that allows primary healing. The use of sutures of appropriate chemical and physical characteristics should minimize suture contribution to the development of wound infection. Coverage of the wound after closure protects it from external contaminants and allows for completion of epithelialization. Immobilization and, if possible, elevation of the wounded part decrease secondary edema formation.
AD  - Dep. Surg., Duke Univ. Med. Cent., Durham, NC 27710, United States
AU  - Georgiade, G. S.
DB  - Scopus
DO  - 10.1080/00325481.1983.11697810
IS  - 3
M3  - Article
N1  - Cited By :5
Export Date: 10 November 2020
PY  - 1983
SP  - 247-254
ST  - Wound contamination. Assessment, prevention, and management
T2  - Postgraduate Medicine
TI  - Wound contamination. Assessment, prevention, and management
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0020694314&doi=10.1080%2f00325481.1983.11697810&partnerID=40&md5=ff330dddae1fd90dc60b79587a1e7c8b
VL  - 73
ID  - 1760
ER  - 

TY  - JOUR
AB  - The article discusses the Sponge, Sharp and Instrument Count Procedure adopted by the Labor and Delivery (LDR) unit of Christiana Care Health Care Services, Newark, Delaware, in 2008 for all vaginal deliveries. Details related to the changes implemented due to the new count procedure and its implications on the LDR and the primary care provider (PCP) nurses are provided. It also mentions the Association of Perioperative Registered Nurses recommendations concerning the same practice.
AD  - RNC, Women's and Children's Services, Christiana Care Health Care Services, Newark, DE
MSN, RNC, Women's and Children's Services, Christiana Care Health Care Services, Newark, DE.
AN  - 62057848. Language: English. Entry Date: 20110901. Revision Date: 20111027. Publication Type: Article
AU  - Townsend, Christine
AU  - Skinner, Nancy
DB  - ccm
DO  - 10.1111/j.1552-6909.2010.01121_47.x
DP  - EBSCOhost
KW  - Vaginal Birth
Surgical Sponges
Surgical Count Procedure
Documentation
Quality Improvement
N1  - abstract. Supplement Title: Sep2010 Supplement 1. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8503123.
PY  - 2010
SN  - 0884-2175
SP  - S82-S82
ST  - When Counts Count: Improving Practice and Documentation
T2  - JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing
TI  - When Counts Count: Improving Practice and Documentation
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=62057848&site=ehost-live&scope=site
VL  - 39
ID  - 924
ER  - 

TY  - JOUR
AB  - Objective: To assess the visual outcome and complications after removal of posterior segment retained intraocular foreign bodies through pars plana approach. Study Design: Case series. Place and Duration of Study: Department of Ophthalmology, Jinnah Postgraduate Medical Centre, Karachi, from May 2005 to May 2006. Methodology: Fifty patients with history of ocular foreign body were admitted through outpatient department and emergency. History, visual acuity, ocular and general examination was done. The foreign body was localized with the radiograph of the skull and ultrasonography. Primary repair was done in patients with open wounds. Pars plana vitrectomy, magnetic or forceps extraction of foreign body was done as required visual outcomes and complications were noted. Results: Among the 50 patients, there were 45 (90%) males and 5 (10%) females. Average age of the patients was 31.52 ±9.52 (ranging from 20 to 50) years. The pre-operatively visual acuity finger counting to perception of light was 78% cases. The best corrected final visual acuity was 6/6 in 1 (2%) patient, 6/9 in 5 (10%) patients, 6/12 in 5 (10%) patients, 6/18 in 3 (6%) patients, 6/24 and 6/36 in 4 (8%) patients each, 6/60 in 4 (8%) patients, finger counting in 8 (16%) patients, hand movement in 4 (8%) patients, projection of light in 9 (18%) patients and no projection of light in 3 (6%) patients. The postoperative complications were corneal opacity in 8 (16%) patients, anterior chamber inflammatory reaction in 6 (12%) patients, increased intraocular pressure in 1 (2%) patient, silicone oil in anterior chamber in 1 (2%) patient, macular scar in 7 (14%) patients, cystoid macular edema in 1 (2%) patient, endophthalmitis in 4 (8%) patients, retinal detachment in 11 (22%) patients and phthisis bulbi in 3 (6%) patients. Conclusion: Acceptable visual results were achieved after the removal of posterior segment intraocular foreign bodies by vitrectomy. However, multiple complications can be encountered which require meticulate postoperative care.
AD  - Department of Ophthalmology, Jinnah Postgraduate Medical Centre, Karachi, Pakistan
Department of Ophthalmology, Sir Syed Medical Science College, Karachi, Pakistan
Decent Complex, Sohrab Goth, KDS Scheme 33, Karachi, Pakistan
AU  - Memon, A. A.
AU  - Saeed Iqbal, M.
AU  - Cheema, A.
AU  - Niazi, J. H.
DB  - Scopus
IS  - 7
KW  - Complications
Intraocular foreign body
Pars plana
Visual outcome
Vitrectomy
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2009
SP  - 436-439
ST  - Visual outcome and complications after removal of posterior segment intraocular foreign bodies through pars plana approach
T2  - Journal of the College of Physicians and Surgeons Pakistan
TI  - Visual outcome and complications after removal of posterior segment intraocular foreign bodies through pars plana approach
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-69249141784&partnerID=40&md5=8bd1f19217311a5ce41be6c308511ec5
VL  - 19
ID  - 1491
ER  - 

TY  - JOUR
AB  - Objective: To assess the visual outcome and complications after removal of posterior segment retained intraocular foreign bodies through pars plana approach. Study Design: Case series. Place and Duration of Study: Department of Ophthalmology, Jinnah Postgraduate Medical Centre, Karachi, from May 2005 to May 2006. Methodology: Fifty patients with history of ocular foreign body were admitted through outpatient department and emergency. History, visual acuity, ocular and general examination was done. The foreign body was localized with the radiograph of the skull and ultrasonography. Primary repair was done in patients with open wounds. Pars plana vitrectomy, magnetic or forceps extraction of foreign body was done as required visual outcomes and complications were noted. Results: Among the 50 patients, there were 45 (90%) males and 5 (10%) females. Average age of the patients was 31.52 ±9.52 (ranging from 20 to 50) years. The pre-operatively visual acuity finger counting to perception of light was 78% cases. The best corrected final visual acuity was 6/6 in 1 (2%) patient, 6/9 in 5 (10%) patients, 6/12 in 5 (10%) patients, 6/18 in 3 (6%) patients, 6/24 and 6/36 in 4 (8%) patients each, 6/60 in 4 (8%) patients, finger counting in 8 (16%) patients, hand movement in 4 (8%) patients, projection of light in 9 (18%) patients and no projection of light in 3 (6%) patients. The postoperative complications were corneal opacity in 8 (16%) patients, anterior chamber inflammatory reaction in 6 (12%) patients, increased intraocular pressure in 1 (2%) patient, silicone oil in anterior chamber in 1 (2%) patient, macular scar in 7 (14%) patients, cystoid macular edema in 1 (2%) patient, endophthalmitis in 4 (8%) patients, retinal detachment in 11 (22%) patients and phthisis bulbi in 3 (6%) patients. Conclusion: Acceptable visual results were achieved after the removal of posterior segment intraocular foreign bodies by vitrectomy. However, multiple complications can be encountered which require meticulate postoperative care.
AD  - A. A. Memon, Decent Complex, Sohrab Goth, KDS Scheme 33, Karachi, Pakistan
AU  - Memon, A. A.
AU  - Saeed Iqbal, M.
AU  - Cheema, A.
AU  - Niazi, J. H.
DB  - Embase
Medline
IS  - 7
KW  - silicone oil
adult
anterior eye chamber
article
clinical article
cornea opacity
echography
endophthalmitis
eye examination
female
hand movement
human
intraocular foreign body
intraocular pressure
light
male
phthisis bulbi
postoperative care
postoperative complication
postoperative inflammation
preoperative evaluation
retina detachment
retina macula cystoid edema
skull radiography
surgical approach
vision
visual acuity
vitrectomy
LA  - English
M3  - Article
N1  - L355153844
2009-10-02
PY  - 2009
SN  - 1022-386X
SP  - 436-439
ST  - Visual outcome and complications after removal of posterior segment intraocular foreign bodies through pars plana approach
T2  - Journal of the College of Physicians and Surgeons Pakistan
TI  - Visual outcome and complications after removal of posterior segment intraocular foreign bodies through pars plana approach
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L355153844&from=export
VL  - 19
ID  - 579
ER  - 

TY  - JOUR
AB  - Purpose: To evaluate the long-term response of 6 types of 3-piece intraocular lenses (IOLs) by assessing the cellular reaction on the anterior IOL surface, the behavior of posterior and anterior capsule fibrosis, and flare. Setting: Department of Ophthalmology, Medical School, University of Vienna, Vienna, Austria. Methods: One hundred eighty eyes were prospectively randomized to receive 1 of 6 IOLs: hydrophilic acrylic Hydroview® (Bausch & Lomb) or MemoryLens® (ORC); hydrophobic acrylic AcrySof® MA60BM (Alcon) or AMO Sensar AR40® (Allergan); hydrophobic silicone CeeOn® 920 or CeeOn 911A (Pharmacia). The patients had standardized cataract surgery, postoperative medication, and follow-up. One year after surgery, 155 eyes were assessed. The cellular reaction was evaluated by specular microscopy of the antenor IOL surface. Anterior and posterior capsule opacification (PCO) was assessed semiquantitatively by biomicroscopy. Flare was measured with a Kowa FC-1000 laser flare-cell meter. Results: Regarding uveal biocompatibility, the hydrophobic acrylic IOLs showed the highest incidence of late foreign-body cell reaction (AcrySof, 30%; AR40, 17%) followed by the hydrophilic acrylic (MemoryLens, 8%; Hydroview, 4%) and silicone (CeeOn 920, 4%; CeeOn 911A, 0%) (P = .0044). In all cases, the cellular reaction was low grade and clinically insignificant. Regarding capsular biocompatibility, some eyes developed lens epithelial cell (LEC) outgrowth on the anterior IOL surface. The highest incidence was in the hydrophilic acrylic group (Hydroview, 85%; MemoryLens, 27%) followed by the hydrophobic acrylic (AcrySof, 4%; AR40, 3%). No silicone IOL had LECs on the anterior surface. The difference among IOL groups was significant (P = .0001). Anterior capsule opacification was more predominant in the hydrophobic IOL groups. Posterior capsule opacification of the central 3.0 mm area was lowest in the groups with a sharp-edged optic (CeeOn 911A, AcrySof) followed by the round-edged silicone (CeeOn 920), hydrophobic acrylic (AR40), and hydrophilic acrylic IOLs (P = .0001). There was a significant difference in flare between the AR40 lens and the Hydroview, MemoryLens, CeeOn 911A, and CeeOn 920 (P < .004). There was no statistically significant difference in the postoperative cell count at 1 year. The power calculation showed that the sample size was sufficient. Conclusions: The differences in cellular reaction, although clinically mild in normal eyes, indicate that there were more giant cells with hydrophobic acrylic IOLs and an increased tendency toward LEC outgrowth with hydrophilic lenses. The incidence of PCO was lowest in the hydrophobic IOL groups, especially in groups with a sharp-edged optic. Second-generation silicone IOLs with a sharp edge had good uveal and capsular biocompatibility 1 year after surgery. © 2002 ASCRS and ESCRS.
AD  - Department of Ophthalmology, Medical School, University of Vienna, Vienna, Austria
Department of Medical Computer Sciences, Section of Clinical Biometrics, University of Vienna, Vienna, Austria
Department of Ophthalmology, Medical School, University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria
AU  - Abela-Formanek, C.
AU  - Amon, M.
AU  - Schild, G.
AU  - Schauersberger, J.
AU  - Heinze, G.
AU  - Kruger, A.
DB  - Scopus
DO  - 10.1016/S0886-3350(01)01122-1
IS  - 1
M3  - Article
N1  - Cited By :127
Export Date: 10 November 2020
PY  - 2002
SP  - 50-61
ST  - Uveal and capsular biocompatibility of hydrophilic acrylic, hydrophobic acrylic, and silicone intraocular lenses
T2  - Journal of Cataract and Refractive Surgery
TI  - Uveal and capsular biocompatibility of hydrophilic acrylic, hydrophobic acrylic, and silicone intraocular lenses
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0036142525&doi=10.1016%2fS0886-3350%2801%2901122-1&partnerID=40&md5=adb1b048d3b3e04011c3ab601a8ed407
VL  - 28
ID  - 1659
ER  - 

TY  - JOUR
AB  - Purpose: To evaluate the long-term response of 6 types of 3-piece intraocular lenses (IOLs) by assessing the cellular reaction on the anterior IOL surface, the behavior of posterior and anterior capsule fibrosis, and flare. Setting: Department of Ophthalmology, Medical School, University of Vienna, Vienna, Austria. Methods: One hundred eighty eyes were prospectively randomized to receive 1 of 6 IOLs: hydrophilic acrylic Hydroview® (Bausch & Lomb) or MemoryLens® (ORC); hydrophobic acrylic AcrySof® MA60BM (Alcon) or AMO Sensar AR40® (Allergan); hydrophobic silicone CeeOn® 920 or CeeOn 911A (Pharmacia). The patients had standardized cataract surgery, postoperative medication, and follow-up. One year after surgery, 155 eyes were assessed. The cellular reaction was evaluated by specular microscopy of the antenor IOL surface. Anterior and posterior capsule opacification (PCO) was assessed semiquantitatively by biomicroscopy. Flare was measured with a Kowa FC-1000 laser flare-cell meter. Results: Regarding uveal biocompatibility, the hydrophobic acrylic IOLs showed the highest incidence of late foreign-body cell reaction (AcrySof, 30%; AR40, 17%) followed by the hydrophilic acrylic (MemoryLens, 8%; Hydroview, 4%) and silicone (CeeOn 920, 4%; CeeOn 911A, 0%) (P = .0044). In all cases, the cellular reaction was low grade and clinically insignificant. Regarding capsular biocompatibility, some eyes developed lens epithelial cell (LEC) outgrowth on the anterior IOL surface. The highest incidence was in the hydrophilic acrylic group (Hydroview, 85%; MemoryLens, 27%) followed by the hydrophobic acrylic (AcrySof, 4%; AR40, 3%). No silicone IOL had LECs on the anterior surface. The difference among IOL groups was significant (P = .0001). Anterior capsule opacification was more predominant in the hydrophobic IOL groups. Posterior capsule opacification of the central 3.0 mm area was lowest in the groups with a sharp-edged optic (CeeOn 911A, AcrySof) followed by the round-edged silicone (CeeOn 920), hydrophobic acrylic (AR40), and hydrophilic acrylic IOLs (P = .0001). There was a significant difference in flare between the AR40 lens and the Hydroview, MemoryLens, CeeOn 911A, and CeeOn 920 (P < .004). There was no statistically significant difference in the postoperative cell count at 1 year. The power calculation showed that the sample size was sufficient. Conclusions: The differences in cellular reaction, although clinically mild in normal eyes, indicate that there were more giant cells with hydrophobic acrylic IOLs and an increased tendency toward LEC outgrowth with hydrophilic lenses. The incidence of PCO was lowest in the hydrophobic IOL groups, especially in groups with a sharp-edged optic. Second-generation silicone IOLs with a sharp edge had good uveal and capsular biocompatibility 1 year after surgery. © 2002 ASCRS and ESCRS.
AD  - C. Abela-Formanek, Department of Ophthalmology, Medical School, University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria
AU  - Abela-Formanek, C.
AU  - Amon, M.
AU  - Schild, G.
AU  - Schauersberger, J.
AU  - Heinze, G.
AU  - Kruger, A.
DB  - Embase
Medline
DO  - 10.1016/S0886-3350(01)01122-1
IS  - 1
KW  - acrylic acid
acrylic acid copolymer
silicon
adult
article
Austria
biocompatibility
biomicroscopy
cataract
cell count
clinical trial
comparative study
controlled clinical trial
controlled study
female
follow up
foreign body reaction
human
hydrophilicity
hydrophobicity
lens implant
major clinical study
male
postoperative complication
priority journal
randomized controlled trial
specular microscopy
treatment outcome
AcrySof MA60BM
AMO Sensar AR40
CeeOn 911A
CeeOn 920
Hydroview
Kowa FC-1000 laser flare-cell meter
MemoryLens
LA  - English
M3  - Article
N1  - L34052010
2002-01-26
PY  - 2002
SN  - 0886-3350
SP  - 50-61
ST  - Uveal and capsular biocompatibility of hydrophilic acrylic, hydrophobic acrylic, and silicone intraocular lenses
T2  - Journal of Cataract and Refractive Surgery
TI  - Uveal and capsular biocompatibility of hydrophilic acrylic, hydrophobic acrylic, and silicone intraocular lenses
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L34052010&from=export
http://dx.doi.org/10.1016/S0886-3350(01)01122-1
VL  - 28
ID  - 649
ER  - 

TY  - JOUR
AB  - Purpose: To analyze uveal and capsular biocompatibility 1 year following implantation of a sharp-edged, hydrophilic, collagen-containing posterior chamber intraocular lens (IOL). Setting: Department of Ophthalmology, University of Vienna Medical School, Vienna, Austria. Method: In a prospective study, a Collamer CC4204BF IOL was implanted in 30 eyes of patients with senile cataract. A standardized surgical technique and postoperative regimen were applied. To assess uveal biocompatibility, cellular inflammation on the anterior IOL surface was evaluated with a specular microscope. Capsular biocompatibility was registered semiquantitatively with a biomicroscope, based on an assessment of fibrosis on the anterior and posterior capsules. Tyndall values were measured with the Kowa FC-1000 laser flare-cell meter. Decentration of the lens was also registered. Results: One year after implantation, the values of flare and cell count in the anterior chamber were lower than preoperatively. Round and spindle-shaped, epithelioid, and foreign-body giant cells were not found on the anterior surface of the IOL. The capsulorhexis rim was moderately fibrosed in 56.6% of cases. Fibrosis of the capsule over the optic was also moderate in 36.6%. The central portion of the posterior capsule was devoid of fibrosis in 43.3% and mildly fibrosed in 50%. Three lenses revealed outgrowth of lens epithelial cells to the anterior surface of the IOL. A neodymium:YAG capsulotomy had to be performed in 1 case. All lenses were well centered in the capsular bag 1 year after implantation. Conclusions: The absence of inflammatory cells on the anterior surface of the IOL indicates the high uveal biocompatibility of the lens. In terms of capsular biocompatibility, the results were satisfactory. © 2004 ASCRS and ESCRS.
AD  - Medical University of Vienna, Dept. of Ophthalmology and Optometry, Währinger Gürtel 18-20, 1090 Vienna, Austria
Department of Ophthalmology, University of Vienna, Medical School, Vienna, Austria
AU  - Schild, G.
AU  - Amon, M.
AU  - Abela-Formanek, C.
AU  - Schauersberger, J.
AU  - Bartl, G.
AU  - Kruger, A.
DB  - Scopus
DO  - 10.1016/j.jcrs.2003.11.041
IS  - 6
M3  - Article
N1  - Cited By :8
Export Date: 10 November 2020
PY  - 2004
SP  - 1254-1258
ST  - Uveal and capsular biocompatibility of a single-piece, sharp-edged hydrophilic acrylic intraocular lens with collagen (Collamer) 1-year results
T2  - Journal of Cataract and Refractive Surgery
TI  - Uveal and capsular biocompatibility of a single-piece, sharp-edged hydrophilic acrylic intraocular lens with collagen (Collamer) 1-year results
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-2942531032&doi=10.1016%2fj.jcrs.2003.11.041&partnerID=40&md5=0c95cbd1b33e54dc5bbbe50797b80bdc
VL  - 30
ID  - 1628
ER  - 

TY  - JOUR
AB  - Purpose: To analyze uveal and capsular biocompatibility 1 year following implantation of a sharp-edged, hydrophilic, collagen-containing posterior chamber intraocular lens (IOL). Setting: Department of Ophthalmology, University of Vienna Medical School, Vienna, Austria. Method: In a prospective study, a Collamer CC4204BF IOL was implanted in 30 eyes of patients with senile cataract. A standardized surgical technique and postoperative regimen were applied. To assess uveal biocompatibility, cellular inflammation on the anterior IOL surface was evaluated with a specular microscope. Capsular biocompatibility was registered semiquantitatively with a biomicroscope, based on an assessment of fibrosis on the anterior and posterior capsules. Tyndall values were measured with the Kowa FC-1000 laser flare-cell meter. Decentration of the lens was also registered. Results: One year after implantation, the values of flare and cell count in the anterior chamber were lower than preoperatively. Round and spindle-shaped, epithelioid, and foreign-body giant cells were not found on the anterior surface of the IOL. The capsulorhexis rim was moderately fibrosed in 56.6% of cases. Fibrosis of the capsule over the optic was also moderate in 36.6%. The central portion of the posterior capsule was devoid of fibrosis in 43.3% and mildly fibrosed in 50%. Three lenses revealed outgrowth of lens epithelial cells to the anterior surface of the IOL. A neodymium:YAG capsulotomy had to be performed in 1 case. All lenses were well centered in the capsular bag 1 year after implantation. Conclusions: The absence of inflammatory cells on the anterior surface of the IOL indicates the high uveal biocompatibility of the lens. In terms of capsular biocompatibility, the results were satisfactory. © 2004 ASCRS and ESCRS.
AD  - G. Schild, Medical University of Vienna, Dept. of Ophthalmology and Optometry, Währinger Gürtel 18-20, 1090 Vienna, Austria
AU  - Schild, G.
AU  - Amon, M.
AU  - Abela-Formanek, C.
AU  - Schauersberger, J.
AU  - Bartl, G.
AU  - Kruger, A.
DB  - Embase
Medline
DO  - 10.1016/j.jcrs.2003.11.041
IS  - 6
KW  - acrylic acid copolymer
collagen implant
anterior eye chamber
article
biocompatibility
capsulotomy
clinical article
controlled study
female
human
laser surgery
lens capsule
lens implant
long term care
male
neodymium laser
ocular fibrosis
phacoemulsification
posterior eye chamber
postoperative period
priority journal
senile cataract
specular microscopy
standard
surface property
surgical technique
treatment outcome
uvea
LA  - English
M3  - Article
N1  - L38748439
2004-06-21
PY  - 2004
SN  - 0886-3350
SP  - 1254-1258
ST  - Uveal and capsular biocompatibility of a single-piece, sharp-edged hydrophilic acrylic intraocular lens with collagen (Collamer) 1-year results
T2  - Journal of Cataract and Refractive Surgery
TI  - Uveal and capsular biocompatibility of a single-piece, sharp-edged hydrophilic acrylic intraocular lens with collagen (Collamer) 1-year results
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L38748439&from=export
http://dx.doi.org/10.1016/j.jcrs.2003.11.041
VL  - 30
ID  - 634
ER  - 

TY  - JOUR
AB  - Retained items (eg, sponges, sharps) after surgical procedures are reportable errors that can result in patient harm or death and increased patient and health care system costs. Perioperative use of radiofrequency (RF) technology may decrease the number of retained sponges and reduce hospital costs. We sought to determine whether the use of RF technology may be associated with fewer retained sponges, improved patient outcomes, and decreased hospital costs. We completed a retrospective evaluation of incident reports before and after implementing the use of an RF system for retained surgical sponges. We found that using RF technology was associated with fewer retained sponges and improved outcomes at our facility. We also determined that mortality rates before and after RF technology implementation were similar, and we estimated that our hospital’s costs were reduced. © AORN, Inc, 2020
AD  - MetroHealth Medical Center, Cleveland, OH, United States
the College of Nursing, The Ohio State University, Columbus, United States
AU  - Primiano, M.
AU  - Sparks, D.
AU  - Murphy, J.
AU  - Glaser, K.
AU  - McNett, M.
DB  - Scopus
DO  - 10.1002/aorn.13171
IS  - 4
KW  - human error
manual surgical count
radiofrequency (RF) technology
retained surgical item
surgical sponge
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
SP  - 345-352
ST  - Using Radiofrequency Technology to Prevent Retained Sponges and Improve Patient Outcomes
T2  - AORN Journal
TI  - Using Radiofrequency Technology to Prevent Retained Sponges and Improve Patient Outcomes
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85091722193&doi=10.1002%2faorn.13171&partnerID=40&md5=0521713d4234dacb79d7d3f8b128b40f
VL  - 112
ID  - 955
ER  - 

TY  - JOUR
AB  - Retained items (eg, sponges, sharps) after surgical procedures are reportable errors that can result in patient harm or death and increased patient and health care system costs. Perioperative use of radiofrequency (RF) technology may decrease the number of retained sponges and reduce hospital costs. We sought to determine whether the use of RF technology may be associated with fewer retained sponges, improved patient outcomes, and decreased hospital costs. We completed a retrospective evaluation of incident reports before and after implementing the use of an RF system for retained surgical sponges. We found that using RF technology was associated with fewer retained sponges and improved outcomes at our facility. We also determined that mortality rates before and after RF technology implementation were similar, and we estimated that our hospital's costs were reduced.
AN  - 146138347. Language: English. Entry Date: 20201008. Revision Date: 20201008. Publication Type: Article
AU  - Primiano, Mike
AU  - Sparks, Deb
AU  - Murphy, Jill
AU  - Glaser, Kathleen
AU  - McNett, Molly
DB  - ccm
DO  - 10.1002/aorn.13171
DP  - EBSCOhost
IS  - 4
KW  - Quality Improvement
Retained Instruments
Adverse Health Care Event -- Prevention and Control
Health Care Costs
Radio Waves -- Therapeutic Use
Technology
Human
Retrospective Design
Incident Reports
Cost Savings
Academic Medical Centers
Ohio
Perioperative Care
Surgical Sponges
Female
Adolescence
Adult
Middle Age
Aged
Aged, 80 and Over
T-Tests
Descriptive Statistics
Chi Square Test
Data Analysis Software
Inferential Statistics
Two-Tailed Test
Program Implementation
Surgical Count Procedure
N1  - research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0372403.
PY  - 2020
SN  - 0001-2092
SP  - 345-352
ST  - Using Radiofrequency Technology to Prevent Retained Sponges and Improve Patient Outcomes
T2  - AORN Journal
TI  - Using Radiofrequency Technology to Prevent Retained Sponges and Improve Patient Outcomes
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146138347&site=ehost-live&scope=site
VL  - 112
ID  - 705
ER  - 

TY  - JOUR
AB  - Background: Retained surgical items (RSIs), most commonly sponges, are infrequent. Yet despite sponge-counting standards, failure to maintain an accurate count is a common error. To improve counting performance, technology solutions have been developed. A data-matrix-coded sponge (DMS) system was evaluated and implemented in a highvolume academic surgical practice at Mayo Clinic Rochester (MCR). The primary end point was prevention of sponge RSIs after 18 months. Methods: Two trials were conducted before implementation. A randomized-controlled trial assessed the system's function, efficiency, and ergonomics. The second, larger trial was conducted to validate the prior findings and test product improvements. After the trials, the system was implemented in all 128 operating/procedure rooms across the MCR campus on February 2, 2009. The institutionwide implementation was intended to avoid the possibility of having standard unmarked sponges and DMSs in the operating room suite concurrently. Results: Before implementation, a retained sponge occurred on average every 64 days. Between February 2009 and July 2010, 87,404 procedures were performed, and 1,862,373 DMSs were used without an RSI (p < .001). After four cases, the average time to count a DMS decreased from 11 to 4 seconds. Total sponge counting time/operation in creased without any increase in overall operative time. Conclusions: After 18 months, a DMS system eliminated sponge RSIs from a high-volume surgical practice. The DMS system caused no work-flow disruption or increases in case duration. Staff satisfaction was acceptable, with a high degree of trust in the system. The DMS system is a reliable and cost-effective technology that improves patient safety. Copyright 2011 © The Joint Commission.
AD  - Department of Surgical Services, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, MN, United States
Quality Management Services, Mayo Clinic, United States
AU  - Cima, R. R.
AU  - Kollengode, A.
AU  - Clark, J.
AU  - Pool, S.
AU  - Weisbrod, C.
AU  - Amstutz, G. J.
AU  - Deschamps, C.
DB  - Scopus
DO  - 10.1016/s1553-7250(11)37007-9
IS  - 2
M3  - Article
N1  - Cited By :41
Export Date: 10 November 2020
PY  - 2011
SP  - 51-58
ST  - Using a data-matrix-coded sponge counting system across a surgical practice: Impact after 18 months
T2  - Joint Commission Journal on Quality and Patient Safety
TI  - Using a data-matrix-coded sponge counting system across a surgical practice: Impact after 18 months
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-79952526430&doi=10.1016%2fs1553-7250%2811%2937007-9&partnerID=40&md5=74c20f0c37753cca231b98b1660e4ae9
VL  - 37
ID  - 1430
ER  - 

TY  - JOUR
AB  - Background: Retained surgical items (RSIs), most commonly sponges, are infrequent. Yet despite sponge-counting standards, failure to maintain an accurate count is a common error. To improve counting performance, technology solutions have been developed. A data-matrix-coded sponge (DMS) system was evaluated and implemented in a highvolume academic surgical practice at Mayo Clinic Rochester (MCR). The primary end point was prevention of sponge RSIs after 18 months. Methods: Two trials were conducted before implementation. A randomized-controlled trial assessed the system's function, efficiency, and ergonomics. The second, larger trial was conducted to validate the prior findings and test product improvements. After the trials, the system was implemented in all 128 operating/procedure rooms across the MCR campus on February 2, 2009. The institutionwide implementation was intended to avoid the possibility of having standard unmarked sponges and DMSs in the operating room suite concurrently. Results: Before implementation, a retained sponge occurred on average every 64 days. Between February 2009 and July 2010, 87,404 procedures were performed, and 1,862,373 DMSs were used without an RSI (p < .001). After four cases, the average time to count a DMS decreased from 11 to 4 seconds. Total sponge counting time/operation in creased without any increase in overall operative time. Conclusions: After 18 months, a DMS system eliminated sponge RSIs from a high-volume surgical practice. The DMS system caused no work-flow disruption or increases in case duration. Staff satisfaction was acceptable, with a high degree of trust in the system. The DMS system is a reliable and cost-effective technology that improves patient safety.
AD  - Surgical Services, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, MN, USA; Cima.Robert@Mayo.edu
Quality Management Services, Mayo Clinic, Rochester, MN, USA
Administrative Services, Mayo Clinic, Rochester, MN, USA
Department of Surgery, Mayo Clinic, Rochester, MN, USA
AN  - 104829494. Language: English. Entry Date: 20110429. Revision Date: 20150711. Publication Type: Journal Article
AU  - Cima, Robert R.
AU  - Kollengode, Anantha
AU  - Clark, James
AU  - Pool, Sarah
AU  - Weisbrod, Cheryl
AU  - Amstutz, Gwendolyn J.
AU  - Deschamps, Claude
DB  - ccm
DP  - EBSCOhost
IS  - 2
KW  - Perioperative Care -- Trends
Retained Instruments
Surgical Count Procedure -- Evaluation
Data Analysis Software
Data Analysis, Statistical
Descriptive Statistics
Human
Interrater Reliability
Observational Methods
P-Value
Randomized Controlled Trials
Surgical Count Procedure -- Economics
Surveys
Time Factors
N1  - clinical trial; pictorial; research; tables/charts. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; USA. Special Interest: Patient Safety; Perioperative Care; Quality Assurance. NLM UID: 101238023.
PMID: NLM21939132.
PY  - 2011
SN  - 1553-7250
SP  - 51-58
ST  - Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months
T2  - Joint Commission Journal on Quality & Patient Safety
TI  - Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104829494&site=ehost-live&scope=site
VL  - 37
ID  - 831
ER  - 

TY  - JOUR
AB  - Retained surgical items (RSIs), most commonly sponges, are infrequent. Yet despite sponge-counting standards, failure to maintain an accurate count is a common error. To improve counting performance, technology solutions have been developed. A data-matrix-coded sponge (DMS) system was evaluated and implemented in a high-volume academic surgical practice at Mayo Clinic Rochester (MCR). The primary end point was prevention of sponge RSIs after 18 months. Two trials were conducted before implementation. A randomized-controlled trial assessed the system's function, efficiency, and ergonomics. The second, larger trial was conducted to validate the prior findings and test product improvements. After the trials, the system was implemented in all 128 operating/procedure rooms across the MCR campus on February 2, 2009. The institutionwide implementation was intended to avoid the possibility of having standard unmarked sponges and DMSs in the operating room suite concurrently. Before implementation, a retained sponge occurred on average every 64 days. Between February 2009 and July 2010, 87,404 procedures were performed, and 1,862,373 DMSs were used without an RSI (p < .001). After four cases, the average time to count a DMS decreased from 11 to 4 seconds. Total sponge counting time/operation increased without any increase in overall operative time. After 18 months, a DMS system eliminated sponge RSIs from a high-volume surgical practice. The DMS system caused no work-flow disruption or increases in case duration. Staff satisfaction was acceptable, with a high degree of trust in the system. The DMS system is a reliable and cost-effective technology that improves patient safety.
AD  - R.R. Cima, Surgical Services, Mayo Clinic College of Medicine, Mayo Clinic, Rochester, Minnesota, USA.
AU  - Cima, R. R.
AU  - Kollengode, A.
AU  - Clark, J.
AU  - Pool, S.
AU  - Weisbrod, C.
AU  - Amstutz, G. J.
AU  - Deschamps, C.
DB  - Medline
IS  - 2
KW  - article
cost benefit analysis
foreign body
health care quality
human
information processing
medical error
methodology
observer variation
pilot study
surgery
surgical sponge
time
LA  - English
M3  - Article
N1  - L362682843
2011-10-12
PY  - 2011
SN  - 1553-7250
SP  - 51-58
ST  - Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months
T2  - Joint Commission journal on quality and patient safety / Joint Commission Resources
TI  - Using a data-matrix-coded sponge counting system across a surgical practice: impact after 18 months
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L362682843&from=export
VL  - 37
ID  - 548
ER  - 

TY  - JOUR
AB  - Background: Wrong site surgery is one of five surgical "Never Events," which include performing surgery on the incorrect side or incorrect site, performing the wrong procedure, performing surgery on the wrong patient, unintended retention of a foreign object in a patient, and intraoperative/immediate postoperative death in an ASA Class I patient. In the spine, wrong site surgery occurs when a procedure is performed on an unintended vertebral level. Despite the efforts of national safety protocols, literature suggests that the risk for wrong level spine surgery remains problematic.Case Presentation: A 34-year-old male was referred to us to evaluate his persistent thoracic pain following right-sided microdiscectomy at T7-8 at an outside institution. Postoperative imaging showed the continued presence of a herniated disc at T7-8 and evidence of a microdiscectomy at the level immediately above. The possibility that wrong level surgery had occurred was discussed with the patient and revision surgery was planned. During surgery, the site of the previous laminectomy was clearly visualized; however, we also experienced confusion when verifying the level of the previous surgery. We ultimately used the previous laminectomy site as a landmark for identifying and treating the correct pathologic level. Postoperative consultation with Musculoskeletal Radiology revealed the patient had two abnormalities in his spinal anatomy that made intraoperative counting of levels inaccurate, including a pair of cervical ribs at C7 and the absence of a pair of thoracic ribs.Conclusion: This case highlights the importance of strict adherence to a preoperative method of vertebral labeling that focuses on the landmarks used to label a pathologic disc space, rather than simply relying on the reference to a particular level. That is, by designating the pathological level as the disc space associated with the fourth rib up from the last rib-bearing vertebrae, rather than calling it "T7-8", then the correct level can be found intraoperatively even in the case of abnormal segmentation. We recommend working closely with radiology during preoperative planning to identify unusual anatomy that may have been overlooked. We also recommend that radiology colleagues use the same system of identifying pathological levels when dictating their reports. Together, these strategies can reduce the risk of wrong level surgery and increase patient safety. © 2011 Lindley et al; licensee BioMed Central Ltd.
AD  - Department of Orthopaedics, University of Colorado Denver, Denver CO, United States
AU  - Lindley, E. M.
AU  - Botolin, S.
AU  - Burger, E. L.
AU  - Patel, V. V.
C7  - 33
DB  - Scopus
DO  - 10.1186/1754-9493-5-33
IS  - 1
KW  - Abnormal segmentation
Cervical ribs
Never event
Wrong level spine surgery
Wrong site surgery
M3  - Article
N1  - Cited By :10
Export Date: 10 November 2020
PY  - 2011
ST  - Unusual spine anatomy contributing to wrong level spine surgery: A case report and recommendations for decreasing the risk of preventable 'never events'
T2  - Patient Safety in Surgery
TI  - Unusual spine anatomy contributing to wrong level spine surgery: A case report and recommendations for decreasing the risk of preventable 'never events'
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84855815013&doi=10.1186%2f1754-9493-5-33&partnerID=40&md5=69f8e62cac2420deed2e9136bfad6a7f
VL  - 5
ID  - 1398
ER  - 

TY  - JOUR
AB  - Background: Wrong site surgery is one of five surgical "Never Events," which include performing surgery on the incorrect side or incorrect site, performing the wrong procedure, performing surgery on the wrong patient, unintended retention of a foreign object in a patient, and intraoperative/immediate postoperative death in an ASA Class I patient. In the spine, wrong site surgery occurs when a procedure is performed on an unintended vertebral level. Despite the efforts of national safety protocols, literature suggests that the risk for wrong level spine surgery remains problematic.Case Presentation: A 34-year-old male was referred to us to evaluate his persistent thoracic pain following right-sided microdiscectomy at T7-8 at an outside institution. Postoperative imaging showed the continued presence of a herniated disc at T7-8 and evidence of a microdiscectomy at the level immediately above. The possibility that wrong level surgery had occurred was discussed with the patient and revision surgery was planned. During surgery, the site of the previous laminectomy was clearly visualized; however, we also experienced confusion when verifying the level of the previous surgery. We ultimately used the previous laminectomy site as a landmark for identifying and treating the correct pathologic level. Postoperative consultation with Musculoskeletal Radiology revealed the patient had two abnormalities in his spinal anatomy that made intraoperative counting of levels inaccurate, including a pair of cervical ribs at C7 and the absence of a pair of thoracic ribs.Conclusion: This case highlights the importance of strict adherence to a preoperative method of vertebral labeling that focuses on the landmarks used to label a pathologic disc space, rather than simply relying on the reference to a particular level. That is, by designating the pathological level as the disc space associated with the fourth rib up from the last rib-bearing vertebrae, rather than calling it "T7-8", then the correct level can be found intraoperatively even in the case of abnormal segmentation. We recommend working closely with radiology during preoperative planning to identify unusual anatomy that may have been overlooked. We also recommend that radiology colleagues use the same system of identifying pathological levels when dictating their reports. Together, these strategies can reduce the risk of wrong level surgery and increase patient safety. © 2011 Lindley et al; licensee BioMed Central Ltd.
AD  - E.M. Lindley, Department of Orthopaedics, University of Colorado Denver, Denver CO, United States
AU  - Lindley, E. M.
AU  - Botolin, S.
AU  - Burger, E. L.
AU  - Patel, V. V.
DB  - Embase
DO  - 10.1186/1754-9493-5-33
IS  - 1
KW  - nonsteroid antiinflammatory agent
adult
article
backache
case report
clinical decision making
clinical feature
computer assisted tomography
lack of drug effect
human
intervertebral disk hernia
discectomy
laminectomy
male
nuclear magnetic resonance imaging
patient assessment
practice guideline
rib fracture
spine fusion
spine malformation
spine surgery
surgical error
surgical risk
thorax epidural anesthesia
thorax pain
LA  - English
M3  - Article
N1  - L364088765
2012-01-20
2012-01-27
PY  - 2011
SN  - 1754-9493
ST  - Unusual spine anatomy contributing to wrong level spine surgery: A case report and recommendations for decreasing the risk of preventable 'never events'
T2  - Patient Safety in Surgery
TI  - Unusual spine anatomy contributing to wrong level spine surgery: A case report and recommendations for decreasing the risk of preventable 'never events'
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L364088765&from=export
http://dx.doi.org/10.1186/1754-9493-5-33
http://www.pssjournal.com/content/5/1/33
VL  - 5
ID  - 529
ER  - 

TY  - JOUR
AB  - Background: The term "gossypiboma" denotes a mass of cotton that is retained in the body following surgery. Gossypiboma is a medico-legal problem especially for surgeons. To the best of our knowledge, the patient presented herein is the second reported patient in whom the exact site of migration of a retained surgical textile material into the intestinal lumen could be demonstrated by preoperative imaging studies. Case presentation: A 74-year-old woman presented with symptoms of small bowel obstruction due to incomplete intraluminal migration of a laparotomy towel 3 years after open cholecystectomy and umbilical hernia repair. Plain abdominal radiography did not show any sign of a radio-opaque marker in the abdomen. However, contrast enhanced abdominal computerized tomography revealed a round, well-defined soft-tissue mass with a dense, enhanced wall, containing an internal high-density area with air-bubbles in the mid-abdomen. A fistula between the abscess cavity containing the suspicious mass and gastrointestinal tract was identified by upper gastrointestinal series. The presence of a foreign body was considered. It was surgically removed with a partial small bowel resection followed by anastomosis. Conclusions: Although gossypiboma is rarely seen in daily clinical practice, it should be considered in the differential diagnosis of acute mechanical intestinal obstruction in patients who underwent laparotomy previously. The best approach in the prevention of this condition can be achieved by meticulous count of surgical materials in addition to thorough exploration of surgical site at the conclusion of operations and also by routine use of surgical textile materials impregnated with a radio-opaque marker.
AD  - Dept. of Gastrointestinal Surgery, Marmara Univ. Inst. Gastroenterol., Istanbul, Turkey
Department of General Surgery, Marmara Univ. School of Medicine, Istanbul, Turkey
AU  - Gencosmanoglu, R.
AU  - Inceoglu, R.
C7  - 6
DB  - Scopus
DO  - 10.1186/1471-2482-3-6
M3  - Article
N1  - Cited By :66
Export Date: 10 November 2020
PY  - 2003
SP  - 1-6
ST  - An unusual cause of small bowel obstruction: Gossypiboma - Case report
T2  - BMC Surgery
TI  - An unusual cause of small bowel obstruction: Gossypiboma - Case report
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-3042538949&doi=10.1186%2f1471-2482-3-6&partnerID=40&md5=b1c423ff173e657c8145d1741b3746dd
VL  - 3
ID  - 1642
ER  - 

TY  - JOUR
AB  - Purpose: To report an extremely rare case involving a 41-year-old man with nine intraocular cilia embedded in the retina after a perforating ocular injury caused by a metal wire. This case is particularly rare because of the number and location of the cilia. Observations: The patient underwent an uneventful corneal suturing and extracapsular extraction of the damaged lens of his right eye. Intraocular foreign bodies were discovered following surgery and were removed at a later date. Following lens extraction and ocular repair, the patient's best-corrected visual acuity (BCVA) was counting fingers. Fundus examination during follow-up revealed several eyelashes embedded in the retina. Thirty-two days after the injury, the patient showed signs of ocular inflammation. Therefore, the patient underwent vitrectomy and intraocular foreign body removal. Nine cilia were embedded in the retina at the posterior perforation site. At the final follow-up visit, his BCVA was 20/25. Conclusion and importance: This report describes an unusual case where intraocular cilia were embedded in the retina after a perforating ocular injury. The eyelashes caused an intraocular inflammatory reaction that subsided after their removal. © 2020 The Authors
AD  - Department of Retina and Vitreous, Sorocaba Eye Hospital, Sorocaba, Sao Paulo, Brazil
Department of Anterior Segment, Sorocaba Eye Hospital, Sorocaba, Sao Paulo, Brazil
AU  - Ramos, G. Z.
AU  - Goncalves, T. B.
AU  - Bordon, A. F.
C7  - 100587
DB  - Scopus
DO  - 10.1016/j.ajoc.2020.100587
KW  - Cilia
Ocular foreign body
Retina
Vitrectomy
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
ST  - An unusual case of nine cilia embedded in the retina after a perforating ocular injury
T2  - American Journal of Ophthalmology Case Reports
TI  - An unusual case of nine cilia embedded in the retina after a perforating ocular injury
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85077987887&doi=10.1016%2fj.ajoc.2020.100587&partnerID=40&md5=23f34434fe2b8865860c695c265f90e8
VL  - 17
ID  - 973
ER  - 

TY  - JOUR
AB  - Purpose: To report an extremely rare case involving a 41-year-old man with nine intraocular cilia embedded in the retina after a perforating ocular injury caused by a metal wire. This case is particularly rare because of the number and location of the cilia. Observations: The patient underwent an uneventful corneal suturing and extracapsular extraction of the damaged lens of his right eye. Intraocular foreign bodies were discovered following surgery and were removed at a later date. Following lens extraction and ocular repair, the patient's best-corrected visual acuity (BCVA) was counting fingers. Fundus examination during follow-up revealed several eyelashes embedded in the retina. Thirty-two days after the injury, the patient showed signs of ocular inflammation. Therefore, the patient underwent vitrectomy and intraocular foreign body removal. Nine cilia were embedded in the retina at the posterior perforation site. At the final follow-up visit, his BCVA was 20/25. Conclusion and importance: This report describes an unusual case where intraocular cilia were embedded in the retina after a perforating ocular injury. The eyelashes caused an intraocular inflammatory reaction that subsided after their removal.
AD  - T.B. Goncalves, Sorocaba Eye Hospital Rua Nabek Shiroma, 210 Sorocaba, Sao Paulo, Brazil
AU  - Ramos, G. Z.
AU  - Goncalves, T. B.
AU  - Bordon, A. F.
DB  - Embase
DO  - 10.1016/j.ajoc.2020.100587
KW  - general device
metal wire
prednisolone acetate
adult
article
best corrected visual acuity
case report
cilium
clinical article
cornea disease
corneal laceration
emergency ward
extracapsular extraction
eye pain
follow up
human
hyperemia
lens capsule rupture
male
perforating eye injury
rare disease
retina
retina detachment
school teacher
slit lamp microscopy
suture technique
traumatic cataract
vitrectomy
vitritis
LA  - English
M3  - Article
N1  - L2004677609
2020-01-23
2020-01-31
PY  - 2020
SN  - 2451-9936
ST  - An unusual case of nine cilia embedded in the retina after a perforating ocular injury
T2  - American Journal of Ophthalmology Case Reports
TI  - An unusual case of nine cilia embedded in the retina after a perforating ocular injury
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L2004677609&from=export
http://dx.doi.org/10.1016/j.ajoc.2020.100587
VL  - 17
ID  - 285
ER  - 

TY  - JOUR
AB  - The causes of intra-abdominal masses associated with chronic abdominal pain range from the benign to malignant; common to bizarre and some raise major medical-legal issues. We present a case of a 40-year old African lady who presented with chronic right-sided abdominal pain with an associated mass on the right mid-abdomen. She had had a Caesarian section one year prior to presentation. Antecedent history of surgery and typical imaging features enabled a preoperative diagnosis of abdominal mass secondary to retained surgical gauze. The case illustrates the fallibility of the men and women in the operating theatres and the vital role of correct instrument and sponge counts.
AD  - Department of Surgery, Aga Khan Hospital, P.O. Box 30270, Nairobi 00100, Kenya
Department of Human Anatomy, College of Health Sciences, University of Nairobi, P.O. Box 30197, Nairobi 00100, Kenya
Department of Radiology, Aga Khan Hospital, P.O. Box 30270, Nairobi 00100, Kenya
AU  - Saidi, H.
AU  - Mohammed, U.
AU  - MacHoki, M.
DB  - Scopus
IS  - 2
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2007
SP  - 88-92
ST  - An unusual abdominal mass: Case report
T2  - East African Medical Journal
TI  - An unusual abdominal mass: Case report
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-34748839633&partnerID=40&md5=b0b56da4a54faac49c0ab205b73884ae
VL  - 84
ID  - 1546
ER  - 

TY  - JOUR
AB  - The causes of intra-abdominal masses associated with chronic abdominal pain range from the benign to malignant; common to bizarre and some raise major medical-legal issues. We present a case of a 40-year old African lady who presented with chronic right-sided abdominal pain with an associated mass on the right mid-abdomen. She had had a Caesarian section one year prior to presentation. Antecedent history of surgery and typical imaging features enabled a preoperative diagnosis of abdominal mass secondary to retained surgical gauze. The case illustrates the fallibility of the men and women in the operating theatres and the vital role of correct instrument and sponge counts.
AD  - H. Saidi, Department of Surgery, Aga Khan Hospital, Nairobi, Kenya.
AU  - Saidi, H.
AU  - Mohammed, U.
AU  - Machoki, M.
DB  - Medline
IS  - 2
KW  - abdominal pain
abdominal tumor
adult
article
case report
cesarean section
chronic disease
female
foreign body
human
laparotomy
pathology
surgical sponge
LA  - English
M3  - Article
N1  - L47467217
2007-02-01
PY  - 2007
SN  - 0012-835X
SP  - 88-92
ST  - An unusual abdominal mass: case report
T2  - East African medical journal
TI  - An unusual abdominal mass: case report
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L47467217&from=export
VL  - 84
ID  - 616
ER  - 

TY  - JOUR
AB  - Objective: this study aims to explore the experience of Brazilian surgeons on Unintentionally Retained Foreign Bodies (RFB) after surgical procedures. Methods: A questionnaire was sent to surgeons by electronic mail, between March and July 2012. The questions analyzed their experience with foreign bodies (FB), foreign bodies’ types, clinical manifestations, diagnoses, risk factors and legal implications. Results: in the 2872 eligible questionnaires, 43% of the surgeons asserted that they had already left FB and 73% had removed FB in one or more occasions, totalizing 4547. Of these foreign bodies, 90% were textiles, 78% were discovered in the first year and 14% remained asymptomatic. Among doctors with less than five years after graduation, 36% had already left a FB. The most frequently surgical procedures mentioned were the elective (57%) and routine (85%) ones. Emergency (26%), lack of counting (25%) and inadequate conditions of work contributed (12.5%) to the occurrence. In 46% of the cases patients were alerted about the FB, and 26% of them sued the doctors or the institution. Conclusions: challenging medical situations, omission of security protocols and inadequate work conditions contributed to RFB. However, RFB occurs mostly in routine procedures such as cesarean or cholecystectomy, and at the beginning of the professional career, highlighting, particularly in poorest countries, the need for primary prevention. Textiles predominated causing clinical repercussions and they were diagnosed in the first postoperative months. Surgeons were sued in 11.3% of the RFB cases. © 2016, Colegio Brasileiro de Cirurgioes, All rights reserved.
AD  - Serviço de Cirurgia de Emergência, Hospital de Clínicas, Universidade de São Paulo (HCFMUSP)SP, Brazil
Disciplina de Cirurgia Geral e Trauma, Hospital de Clínicas, Universidade de São Paulo (HCFMUSP)SP, Brazil
AU  - Birolini, D. V.
AU  - Rasslan, S.
AU  - Utiyama, E. M.
DB  - Scopus
DO  - 10.1590/0100-69912016001004
IS  - 1
KW  - Foreign Bodies
Postoperative Complications
Surgical Instruments
M3  - Article
N1  - Cited By :5
Export Date: 10 November 2020
PY  - 2016
SP  - 12-17
ST  - Retenção inadvertida de corpos estranhos após intervenções cirúrgicas. Análise de 4547 casos
T2  - Revista do Colegio Brasileiro de Cirurgioes
TI  - Unintentionally retained Foreign bodies after surgical procedures. Analysis of 4547 cases
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84963610863&doi=10.1590%2f0100-69912016001004&partnerID=40&md5=870c97fa911b8a2159c69a5cdd58fdfe
VL  - 43
ID  - 1199
ER  - 

TY  - JOUR
AB  - METHODS: A questionnaire was sent to surgeons by electronic mail, between March and July 2012. The questions analyzed their experience with foreign bodies (FB), foreign bodies' types, clinical manifestations, diagnoses, risk factors and legal implications. RESULTS: in the 2872 eligible questionnaires, 43% of the surgeons asserted that they had already left FB and 73% had removed FB in one or more occasions, totalizing 4547. Of these foreign bodies, 90% were textiles, 78% were discovered in the first year and 14% remained asymptomatic. Among doctors with less than five years after graduation, 36% had already left a FB. The most frequently surgical procedures mentioned were the elective (57%) and routine (85%) ones. Emergency (26%), lack of counting (25%) and inadequate conditions of work contributed (12.5%) to the occurrence. In 46% of the cases patients were alerted about the FB, and 26% of them sued the doctors or the institution. CONCLUSIONS: challenging medical situations, omission of security protocols and inadequate work conditions contributed to RFB. However, RFB occurs mostly in routine procedures such as cesarean or cholecystectomy, and at the beginning of the professional career, highlighting, particularly in poorest countries, the need for primary prevention. Textiles predominated causing clinical repercussions and they were diagnosed in the first postoperative months. Surgeons were sued in 11.3% of the RFB cases. OBJECTIVE: this study aims to explore the experience of Brazilian surgeons on Unintentionally Retained Foreign Bodies (RFB) after surgical procedures.
AU  - Birolini, D. V.
AU  - Rasslan, S.
AU  - Utiyama, E. M.
DB  - Medline
DO  - 10.1590/0100-69912016001004
IS  - 1
KW  - Brazil
cross-sectional study
foreign body
human
self report
surgery
LA  - English
Portuguese
M3  - Article
N1  - L619037006
2017-11-06
PY  - 2016
SN  - 1809-4546
SP  - 12-17
ST  - Unintentionally retained foreign bodies after surgical procedures. Analysis of 4547 cases
T2  - Revista do Colegio Brasileiro de Cirurgioes
TI  - Unintentionally retained foreign bodies after surgical procedures. Analysis of 4547 cases
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L619037006&from=export
http://dx.doi.org/10.1590/0100-69912016001004
VL  - 43
ID  - 413
ER  - 

TY  - JOUR
AB  - A 79-year-old male patient was followed for unilateral uveitis with 3 attacks in 10 months, despite initial improvement with steroid therapy. The patient had visual acuity (VA) of counting fingers in right eye, hypopyon and vitritis with no chorioretinal lesions. The left eye was normal. The patient was evaluated for intraocular foreign body, intraocular lymphoma and associated systemic disease and malignancy. Computed tomography of the abdomen showed a mass in the bladder. Biopsy confirmed bladder carcinoma. After resection of the mass, intraocular inflammation improved completely and no attack was noted in the follow-up. In his last examination, two years after the operation, VA was light perception; seclusio pupilla and mature cataracts were seen on biomicroscopy. There was no sign of vitritis on ocular ultrasonography. Evidence is discussed that suggests a link and potential etiology between refractory uveitis with hypopyon and bladder carcinoma. This is the first case of unilateral recurrent uveitis with hypopyon as the initial presenting sign of bladder carcinoma. © 2016, Turkish Ophthalmology Society. All rights reserved.
AD  - Necmettin Erbakan University Meram Faculty of Medicine, Department of Ophthalmology, Konya, Turkey
Necmettin Erbakan University Meram Faculty of Medicine, Department of Pathology, Konya, Turkey
AU  - Şatırtav, G.
AU  - Donbaloğlu, M.
AU  - Oltulu, R.
AU  - Oltulu, P.
AU  - Kerimoğlu, H.
AU  - Özkağnıcı, A.
DB  - Scopus
DO  - 10.4274/tjo.92259
IS  - 4
KW  - Anterior uveitis
Bladder carcinoma
Paraneoplastic syndrome
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2016
SP  - 190-193
ST  - Unilateral recurrent anterior uveitis as the presenting sign of bladder carcinoma
T2  - Turk Oftalmoloiji Dergisi
TI  - Unilateral recurrent anterior uveitis as the presenting sign of bladder carcinoma
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84983498966&doi=10.4274%2ftjo.92259&partnerID=40&md5=a64c042ac539892008831925020a8095
VL  - 46
ID  - 1174
ER  - 

TY  - JOUR
AB  - A 79-year-old male patient was followed for unilateral uveitis with 3 attacks in 10 months, despite initial improvement with steroid therapy. The patient had visual acuity (VA) of counting fingers in right eye, hypopyon and vitritis with no chorioretinal lesions. The left eye was normal. The patient was evaluated for intraocular foreign body, intraocular lymphoma and associated systemic disease and malignancy. Computed tomography of the abdomen showed a mass in the bladder. Biopsy confirmed bladder carcinoma. After resection of the mass, intraocular inflammation improved completely and no attack was noted in the follow-up. In his last examination, two years after the operation, VA was light perception; seclusio pupilla and mature cataracts were seen on biomicroscopy. There was no sign of vitritis on ocular ultrasonography. Evidence is discussed that suggests a link and potential etiology between refractory uveitis with hypopyon and bladder carcinoma. This is the first case of unilateral recurrent uveitis with hypopyon as the initial presenting sign of bladder carcinoma.
AD  - Necmettin Erbakan University Meram Faculty of Medicine, Department of Ophthalmology, Konya, Turkey
Necmettin Erbakan University Meram Faculty of Medicine, Department of Pathology, Konya, Turkey
AN  - 117550059. Language: English. Entry Date: 20180117. Revision Date: 20180118. Publication Type: Article
AU  - Şatırtav, Günhal
AU  - Donbaloğlu, Meryem
AU  - Oltulu, Refik
AU  - Oltulu, Pembe
AU  - Kerimoğlu, Hürkan
AU  - Özkağnıcı, Ahmet
DB  - ccm
DO  - 10.4274/tjo.92259
DP  - EBSCOhost
IS  - 4
KW  - Uveitis, Anterior
Visual Acuity
Carcinoma
Bladder
Foreign Bodies
Male
Aged
N1  - case study; diagnostic images; pictorial. Journal Subset: Biomedical; Double Blind Peer Reviewed; Middle East; Peer Reviewed. NLM UID: 9513588.
PY  - 2016
SN  - 1300-0365
SP  - 190-193
ST  - Unilateral Recurrent Anterior Uveitis as the Presenting Sign of Bladder Carcinoma
T2  - Turkish Journal of Ophthalmology / Turk Oftalmoloji Dergisi
TI  - Unilateral Recurrent Anterior Uveitis as the Presenting Sign of Bladder Carcinoma
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117550059&site=ehost-live&scope=site
VL  - 46
ID  - 755
ER  - 

TY  - JOUR
AB  - A 79-year-old male patient was followed for unilateral uveitis with 3 attacks in 10 months, despite initial improvement with steroid therapy. The patient had visual acuity (VA) of counting fingers in right eye, hypopyon and vitritis with no chorioretinal lesions. The left eye was normal. The patient was evaluated for intraocular foreign body, intraocular lymphoma and associated systemic disease and malignancy. Computed tomography of the abdomen showed a mass in the bladder. Biopsy confirmed bladder carcinoma. After resection of the mass, intraocular inflammation improved completely and no attack was noted in the follow-up. In his last examination, two years after the operation, VA was light perception; seclusio pupilla and mature cataracts were seen on biomicroscopy. There was no sign of vitritis on ocular ultrasonography. Evidence is discussed that suggests a link and potential etiology between refractory uveitis with hypopyon and bladder carcinoma. This is the first case of unilateral recurrent uveitis with hypopyon as the initial presenting sign of bladder carcinoma.
AD  - G. Şatırtav, Necmettin Erbakan University Meram Faculty of Medicine, Department of Ophthalmology, Konya, Turkey
AU  - Şatırtav, G.
AU  - Donbaloğlu, M.
AU  - Oltulu, R.
AU  - Oltulu, P.
AU  - Kerimoğlu, H.
AU  - Özkağnıcı, A.
C1  - dekort
dexasine(Liba,Turkey)
sikloplejin(Abdi Ibrahim,Turkey)
tropamid(Bilim,Turkey)
C2  - Abdi Ibrahim(Turkey)
Bilim(Turkey)
Liba(Turkey)
DB  - Embase
DO  - 10.4274/tjo.92259
IS  - 4
KW  - cyclopentolate
dekort
dexamethasone
dexamethasone sodium phosphate
dexasine
sikloplejin
triamcinolone
tropamid
tropicamide
aged
article
best corrected visual acuity
biomicroscopy
biopsy
bladder carcinoma
case report
cataract
clinical article
computer assisted tomography
conjunctival hyperemia
drug dose reduction
echooculography
eye fundus
eye inflammation
fluorescence angiography
foreign body
human
human tissue
hypopyon
ischemia
male
nuclear magnetic resonance imaging
optic disk
paraneoplastic syndrome
recurrent anterior uveitis
retina macula cystoid edema
transurethral resection
uveitis
vascular disease
visual impairment
vitritis
LA  - English
M3  - Article
N1  - L619266112
2017-11-21
2017-12-05
PY  - 2016
SN  - 2149-8709
SP  - 190-193
ST  - Unilateral recurrent anterior uveitis as the presenting sign of bladder carcinoma
T2  - Turkish Journal of Ophthalmology
TI  - Unilateral recurrent anterior uveitis as the presenting sign of bladder carcinoma
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L619266112&from=export
http://dx.doi.org/10.4274/tjo.92259
VL  - 46
ID  - 400
ER  - 

TY  - JOUR
AB  - A 79-year-old male patient was followed for unilateral uveitis with 3 attacks in 10 months, despite initial improvement with steroid therapy. The patient had visual acuity (VA) of counting fingers in right eye, hypopyon and vitritis with no chorioretinal lesions. The left eye was normal. The patient was evaluated for intraocular foreign body, intraocular lymphoma and associated systemic disease and malignancy. Computed tomography of the abdomen showed a mass in the bladder. Biopsy confirmed bladder carcinoma. After resection of the mass, intraocular inflammation improved completely and no attack was noted in the follow-up. In his last examination, two years after the operation, VA was light perception; seclusio pupilla and mature cataracts were seen on biomicroscopy. There was no sign of vitritis on ocular ultrasonography. Evidence is discussed that suggests a link and potential etiology between refractory uveitis with hypopyon and bladder carcinoma. This is the first case of unilateral recurrent uveitis with hypopyon as the initial presenting sign of bladder carcinoma.
AD  - G. Şatırtav, Necmettin Erbakan University Meram Faculty of Medicine, Department of Ophthalmology, Konya, Turkey
AU  - Şatırtav, G.
AU  - Donbaloğlu, M.
AU  - Oltulu, R.
AU  - Oltulu, P.
AU  - Kerimoğlu, H.
AU  - Özkağnıcı, A.
C1  - dekort(Deva,Turkey)
dexasine(Liba,Turkey)
sikloplejin(Abdi Ibrahim,Turkey)
tropamid(Bilim,Turkey)
C2  - Abdi Ibrahim(Turkey)
Bilim(Turkey)
Deva(Turkey)
Liba(Turkey)
DB  - Embase
DO  - 10.4274/tjo.92259
IS  - 4
KW  - dexamethasone
tropicamide
acute myeloid leukemia
aged
article
biomicroscopy
bladder biopsy
bladder carcinoma
case report
cataract
chronic myeloid leukemia
computer assisted tomography
echography
eye inflammation
fluorescence angiography
histopathology
human
hypopyon
intraocular foreign body
intraocular lymphoma
iridocyclitis
lymphatic leukemia
male
retina macula cystoid edema
steroid therapy
uveitis
dekort
dexasine
sikloplejin
tropamid
LA  - English
M3  - Article
N1  - L611871402
2016-09-01
2016-09-16
PY  - 2016
SN  - 1300-0659
SP  - 190-193
ST  - Unilateral recurrent anterior uveitis as the presenting sign of bladder carcinoma
T2  - Turk Oftalmoloiji Dergisi
TI  - Unilateral recurrent anterior uveitis as the presenting sign of bladder carcinoma
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L611871402&from=export
http://dx.doi.org/10.4274/tjo.92259
VL  - 46
ID  - 399
ER  - 

TY  - JOUR
AB  - Gastrointestinal stromal tumors (GIST) have a variety of appearances and can present as an intraluminal, extraluminal, solid or ulcerated mass. We present an unusual case of a patient presenting with pain, elevated white count, and computed topography (CT) findings suggesting an abscess containing bone. CT guided drainage was performed, and resulted in bowel perforation, leading to surgical intervention and the diagnosis of an ulcerated gastrointestinal stromal tumor containing bone. © 2006 The Authors.
AD  - Mayo Clinic Hospital, Department of Radiology, Phoenix, AZ, United States
Mayo Clinic College of Medicine, Department of Diagnostic Radiology, Scottsdale, AZ, United States
AU  - Kriegshauser, J. S.
AU  - Hara, A. K.
DB  - Scopus
DO  - 10.2484/rcr.v1i3.30
IS  - 3
M3  - Article
N1  - Cited By :3
Export Date: 10 November 2020
PY  - 2006
SP  - 83-86
ST  - Ulcerated Gastrointestinal Stromal Tumor (GIST) with Ingested Bone Foreign Body Mimicking a Perforation with Abscess
T2  - Radiology Case Reports
TI  - Ulcerated Gastrointestinal Stromal Tumor (GIST) with Ingested Bone Foreign Body Mimicking a Perforation with Abscess
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84964344320&doi=10.2484%2frcr.v1i3.30&partnerID=40&md5=7a60f353488ed5bcd7772ad23981cb74
VL  - 1
ID  - 1591
ER  - 

TY  - JOUR
AB  - Gastrointestinal stromal tumors (GIST) have a variety of appearances and can present as an intraluminal, extraluminal, solid or ulcerated mass. We present an unusual case of a patient presenting with pain, elevated white count, and computed topography (CT) findings suggesting an abscess containing bone. CT guided drainage was performed, and resulted in bowel perforation, leading to surgical intervention and the diagnosis of an ulcerated gastrointestinal stromal tumor containing bone.
AD  - J.S. Kriegshauser, Mayo Clinic Hospital, Department of Radiology, Phoenix, AZ, United States
AU  - Kriegshauser, J. S.
AU  - Hara, A. K.
DB  - Embase
DO  - 10.2484/rcr.v1i3.30
IS  - 3
KW  - abscess
adult
article
bone
case report
clinical article
female
foreign body
gastrointestinal stromal tumor
human
intestine perforation
male
pain
surgery
topography
LA  - English
M3  - Article
N1  - L610064875
2019-05-16
PY  - 2006
SN  - 1930-0433
SP  - 83-86
ST  - Ulcerated Gastrointestinal Stromal Tumor (GIST) with Ingested Bone Foreign Body Mimicking a Perforation with Abscess
T2  - Radiology Case Reports
TI  - Ulcerated Gastrointestinal Stromal Tumor (GIST) with Ingested Bone Foreign Body Mimicking a Perforation with Abscess
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L610064875&from=export
http://dx.doi.org/10.2484/rcr.v1i3.30
VL  - 1
ID  - 623
ER  - 

TY  - JOUR
AB  - Introduction: Intrathoracic textiloma is a rare complication possibly leading to misdiagnosis. It could present as haemoptysis, lung abscess, pseudo-tumour or a chronic cough. Case report: A 65-year-old patient with a history of multiple cardiac problems and needing long-term anticoagulation, complained since 2007 of recurrent haemoptysis of increasing abundance, the etiological investigation of which was negative. A thoracic CT-scan revealed a lesion in the lingula in contact with the pericardial plates of an implanted automatic defibrillator dating from 1989. In 2016, after two failures of arterial embolization, a diagnostic and therapeutic surgical exploration was undertaken on this patient who was a high operative risk. A segmental resection revealed an intra-pulmonary textiloma on pathological examination. Conclusion: The diagnosis of intrathoracic textiloma remains rare and its late presentation is non specific. Radiological imaging with a CT-scan and/or MRI could lead to the diagnosis. Surgery remains the reference treatment for the diagnosis and cure of intrathoracic textiloma with pathological examination, essential for confirmation. A means of prevention has to be developed because swab count is not totally reliable. © 2018 SPLF
AD  - Service de pneumologie, hôpital Larrey, CHU de Toulouse, Toulouse, 31000, France
Service de radiologie interventionnelle, CHU de Toulouse, Toulouse, 31000, France
Service de chirurgie thoracique, hôpital Larrey, CHU de Toulouse, Toulouse, 31000, France
Service de chirurgie cardiovasculaire, CHU de Toulouse, Toulouse, 31000, France
AU  - Lebas, L.
AU  - Dupuis, M.
AU  - Solovei, L.
AU  - Jaffro, M.
AU  - Grunenwald, E.
AU  - Pontier-Marchandise, S.
AU  - Dahan, M.
AU  - Didier, A.
DB  - Scopus
DO  - 10.1016/j.rmr.2018.04.009
IS  - 2
KW  - Bronchial artery embolization
Foreign body
Haemoptysis
Implantable defibrillator
Textiloma
Thoracic surgery
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2019
SP  - 214-218
ST  - Vingt ans après… Histoire d'un textilome intra-thoracique
T2  - Revue des Maladies Respiratoires
TI  - Twenty years later… A story of intra-thoracic textiloma
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85056395001&doi=10.1016%2fj.rmr.2018.04.009&partnerID=40&md5=25216dd7c8d44047df9e16fe9114b633
VL  - 36
ID  - 1022
ER  - 

TY  - JOUR
AB  - A 39-year-old housewife sustained inadvertent trauma to the right index finger about 6 years ago, whilst stitching clothes. A couple of weeks later, the site of trauma became hard and gritty. Ever since, it has progressed slowly, without any appreciable outward sign. It was not associated with any discomfort /pain. Consequent on an opinion from a surgeon, it was decided to operate on the right index finger. During the operation, under local anesthesia, a hard and gritty material was removed. The material was subjected to histopathologic study. Several stitches were applied to the wound. It failed to respond to antimicrobial therapy over a 4-week period, prompting the patient to seek another opinion. Examination of the skin surface revealed a plaque with an irregular configuration on and around the distal interphalangeal joint of the right index finger. It was erythematous and pigmented. The top of the plaque was irregular and had alternating elevations and depressions (Fig. 1). Diascopy was negative for apple jelly nodule. A bacillus Calmette-Guérin (BCG) vaccination scar was identified on the left deltoid. There was no regional lymphadenopathy or systemic abnormality. Mantoux test with intradermal injection of 0.1 mL SPAN's tuberculin (purified protein derivative/5 tuberculin units/0.1 mL) (Span Diagnostic Ltd., Murat, India) was negative after 72 h. Investigations, including total and differential leukocyte count, erythrocyte sedimentation rate, serum biochemistry, and renal and liver function tests, were within the normal range, as was a chest X-ray. Hematoxylin and eosin-stained sections prepared from the biopsy taken from the lesion revealed noteworthy changes in the epidermis and the dermis. The former was marked by the presence of hyperkeratosis, acanthosis, and papillomatosis, whilst the latter contained tubercle granulomas. Each of the granulomas was well formed and consisted of large numbers of lymphocytes, histiocytes, and foreign body (Langerhans') giant cells (Fig. 2). Caseation necrosis and acid-fast bacilli could not be demonstrated. The preceding revelations were fairly conducive to the diagnosis. Accordingly, antitubercular therapy (ATT), comprising 450 mg of rifampicin, 300 mg of isonicotinic acid hydrazide, and 800 mg of ethambutol, was recommended for oral administration each day for 60 days. The outcome of the treatment was satisfactory, resulting in perceptible regression of the skin lesion (Fig. 1b). The patient was advised to continue the treatment for another 30 days, after which 450 mg of rifampicin and 300 mg of isonicotinic acid hydrazide were to be continued for another 6 months. © 2004 The International Society of Dermatology.
AD  - Dermato-Venereology Skin/VD Centre, Sehgal Nursing Home, Panchwati, Azadpur, Delhi, India
Department of Dermatology, Lady Hardinge Medical College, New Delhi, India
Dept. of Dermatology STD and Leprosy, Univ. College of Medical Sciences, Associated GTB Hospital, Delhi, India
A/6 Panchwati, Azadpur, Delhi 110 033, India
AU  - Sehgal, V. N.
AU  - Sardana, K.
AU  - Bajaj, P.
AU  - Bhattacharya, S. N.
DB  - Scopus
DO  - 10.1111/j.1365-4632.2004.02019.x
IS  - 3
M3  - Article
N1  - Cited By :27
Export Date: 10 November 2020
PY  - 2005
SP  - 230-232
ST  - Tuberculosis verrucosa cutis: Antitubercular therapy, a well-conceived diagnostic criterion
T2  - International Journal of Dermatology
TI  - Tuberculosis verrucosa cutis: Antitubercular therapy, a well-conceived diagnostic criterion
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-15844427288&doi=10.1111%2fj.1365-4632.2004.02019.x&partnerID=40&md5=8e4ac2f9a627bd64f88a770592aa5b00
VL  - 44
ID  - 1612
ER  - 

TY  - JOUR
AB  - Foreign body-associated infectious disease is currently one of the most problematic hospital-acquired infections. Patients with placement of urinary catheters are especially susceptible to such infection, that is biofilm infection. In this study, we focused on the therapeutic efficacy of prulifloxacin (PUFX) against Pseudomonas aeruginosa OP 14-210, isolated from a patient with complicated urinary tract infection. This microbe formed a biofilm on the surface of a polyethylene tube (PT) placed in a rat bladder without surgical manipulation. In addition, we attempted to eradicate the biofilm by treatment with a combination of PUFX and fosfomycin (FOM). A single oral administration of PUFX at a dose of 20 mg/kg was effective against P. aeruginosa as a biofilm, yielding a significant reduction in CFU per PT of approximately 1 log10 CFU/PT compared with that in untreated controls. A similar therapeutic effect was also observed in levofloxacin-treated rats, and albeit slightly weaker, in ciprofloxacin-treated animals as well. Because 3 days' consecutive treatment with each fluoroquinolone did not further decrease the viable cell counts on the PT, we tested the efficacy of combining PUFX and FOM. These two drugs, administered once a day for 3 days, at doses of 20 and 100 mg/kg, respectively, resulted in significant decreases of viable cell counts on the PT of more than 1.5 log10 CFU/PT compared with PUFX alone (P &lt; 0.05). As seen by scanning electron microscopy, destruction and disappearance of multilayer biofilms occurred after treatment with this drug combination. Such combination therapy with PUFX and FOM may be advantageous for treating biofilm-related infectious diseases. © 2007 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases.
AD  - Pharmacology Research Labs., Pharmaceutical Research Center, Meiji Seika Kaisha, Ltd., Morooka-Cho 760, Kohoku-ku, Yokohama 222-8567, Japan
Department of Urology, Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
AU  - Mikuniya, T.
AU  - Kato, Y.
AU  - Ida, T.
AU  - Maebashi, K.
AU  - Monden, K.
AU  - Kariyama, R.
AU  - Kumon, H.
DB  - Scopus
DO  - 10.1007/s10156-007-0534-7
IS  - 5
KW  - Biofilm
Fosfomycin
Prulifloxacin
Pseudomonas aeruginosa
Urinary tract infection
M3  - Article
N1  - Cited By :40
Export Date: 10 November 2020
PY  - 2007
SP  - 285-290
ST  - Treatment of Pseudomonas aeruginosa biofilms with a combination of fluoroquinolones and fosfomycin in a rat urinary tract infection model
T2  - Journal of Infection and Chemotherapy
TI  - Treatment of Pseudomonas aeruginosa biofilms with a combination of fluoroquinolones and fosfomycin in a rat urinary tract infection model
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-35848934375&doi=10.1007%2fs10156-007-0534-7&partnerID=40&md5=8950263c306123c41cd739c97273e159
VL  - 13
ID  - 1572
ER  - 

TY  - JOUR
AB  - BACKGROUND. Pseudofolliculitis barbae (PFB) is a foreign body inflammatory condition that is caused by in-grown hairs of the face and body. An effective treatment to alleviate this condition without the risk of side effects has yet to be found. OBJECTIVE. The objective of this study was to evaluate the Lyra 1064-nm long-pulse ND:YAG laser in the treatment of PFB on skin types V and VI. METHODS. Twenty subjects (12 males and 8 females) were given two treatments approximately 3 to 4 weeks apart and were assessed by objective papule/pustule and hair counts at 1, 2, and 3 months after final treatment. Laser treatments with the Lyra Nd:YAG laser were applied onto 2 × 2-cm regions on the upper and lower mandible and neck regions. Contralateral controls were used to assess overall effectiveness. Subjective evaluations were also obtained from both subjects and investigators. Assessments of any abnormal side effects caused by laser treatment, including dyspigmentation and/or scarring, were also evaluated. RESULTS. A reduction in the quantity of papules/pustules and hairs when compared with baseline data was statistically significant for treatment of PFB in the mandibular and neck regions at the 1-, 2-, and 3-month follow-up evaluations. Subject evaluations ranged from satisfied to very satisfied. Side effects included transient hyperpigmentation, transient hypopigmentation, mild erythema, and itching. CONCLUSIONS. The use of the 1064-nm long-pulse Nd:YAG laser for the treatment and management of PFB on skin types V and VI is both safe and effective, with positive results lasting for up for to 3 months after two treatments.
AD  - Adv. Laser and Cosmetic Dermatology, Houston, TX, United States
4007 GG Bellaire Boulevard, Houston, TX 77025, United States
AU  - Weaver Iii, S. M.
AU  - Sagaral, E. C.
DB  - Scopus
DO  - 10.1111/j.1524-4725.2003.29387.x
IS  - 12
M3  - Article
N1  - Cited By :34
Export Date: 10 November 2020
PY  - 2003
SP  - 1187-1191
ST  - Treatment of Pseudofolliculitis Barbae Using the Long-Pulse Nd:YAG Laser on Skin Types V and VI
T2  - Dermatologic Surgery
TI  - Treatment of Pseudofolliculitis Barbae Using the Long-Pulse Nd:YAG Laser on Skin Types V and VI
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0346256856&doi=10.1111%2fj.1524-4725.2003.29387.x&partnerID=40&md5=7056e64750819cf9c8b89576c8cb6479
VL  - 29
ID  - 1639
ER  - 

TY  - JOUR
AB  - BACKGROUND. Pseudofolliculitis barbae (PFB) is a foreign body inflammatory condition that is caused by in-grown hairs of the face and body. An effective treatment to alleviate this condition without the risk of side effects has yet to be found. OBJECTIVE. The objective of this study was to evaluate the Lyra 1064-nm long-pulse ND:YAG laser in the treatment of PFB on skin types V and VI. METHODS. Twenty subjects (12 males and 8 females) were given two treatments approximately 3 to 4 weeks apart and were assessed by objective papule/pustule and hair counts at 1, 2, and 3 months after final treatment. Laser treatments with the Lyra Nd:YAG laser were applied onto 2 × 2-cm regions on the upper and lower mandible and neck regions. Contralateral controls were used to assess overall effectiveness. Subjective evaluations were also obtained from both subjects and investigators. Assessments of any abnormal side effects caused by laser treatment, including dyspigmentation and/or scarring, were also evaluated. RESULTS. A reduction in the quantity of papules/pustules and hairs when compared with baseline data was statistically significant for treatment of PFB in the mandibular and neck regions at the 1-, 2-, and 3-month follow-up evaluations. Subject evaluations ranged from satisfied to very satisfied. Side effects included transient hyperpigmentation, transient hypopigmentation, mild erythema, and itching. CONCLUSIONS. The use of the 1064-nm long-pulse Nd:YAG laser for the treatment and management of PFB on skin types V and VI is both safe and effective, with positive results lasting for up for to 3 months after two treatments.
AD  - S.M. Weaver III, 4007 GG Bellaire Boulevard, Houston, TX 77025, United States
AU  - Weaver Iii, S. M.
AU  - Sagaral, E. C.
DB  - Embase
Medline
DO  - 10.1111/j.1524-4725.2003.29387.x
IS  - 12
KW  - article
clinical article
clinical trial
controlled clinical trial
controlled study
erythema
female
foreign body
hair growth
human
hyperpigmentation
hypopigmentation
inflammatory disease
laser surgery
male
neodymium laser
papule
pigment disorder
postoperative complication
priority journal
pruritus
pseudofolliculitis barbae
pustule
scar formation
surgical technique
treatment outcome
LA  - English
M3  - Article
N1  - L38009916
2004-01-15
PY  - 2003
SN  - 1076-0512
SP  - 1187-1191
ST  - Treatment of Pseudofolliculitis Barbae Using the Long-Pulse Nd:YAG Laser on Skin Types V and VI
T2  - Dermatologic Surgery
TI  - Treatment of Pseudofolliculitis Barbae Using the Long-Pulse Nd:YAG Laser on Skin Types V and VI
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L38009916&from=export
http://dx.doi.org/10.1111/j.1524-4725.2003.29387.x
VL  - 29
ID  - 638
ER  - 

TY  - JOUR
AB  - AIM: To explore the traumatic endophthalmitis in young children and the outcome of pars plana vitrectomy (PPV). METHODS: Twenty-two eyes of 22 cases of young children consecutive pediatric traumatic endophthalmitis treated and followed up between September 2014 and May 2018 were included. Aqueous humor or vitreous samples were taken for bacterial culture and sensitivity tests. Intravitreal antibiotics (norvancomycin and ceftazidime) injection, combined with 23-gauge PPV, were administered in 22 eyes. Silicone oil (SO; 5000 centistoke) tamponade or perfluoropropane gas (C3F8) was used in all patients. Main outcome measures were best-corrected visual acuity (BCVA) and retinal attachment, the ratio of penetrating injury, and the existence of intraocular foreign body. RESULTS: The mean age of patients was 6.9±2.2 (range, 3-10)y. All injured eyes suffered from penetrating ocular injury with retained intraocular foreign body in one eye. Bacterial culture was positive in only 2 eyes. The mean follow-up time was 21.1±4.7 (range, 12-30)mo. In the primary PPV, intravitreal antibiotics was administrated in all eyes, SO in 18 eyes, and C3F8 in 4 eyes. The secondary operation of SO removal and C3F8 endotamponade was performed in 16 eyes and a second SO endotamponade due to emulsification of the oil and retinal detachment (RD) was operated in 7 eyes underwent 3 to 11.5mo after primary PPV. A third operation was done in 7 eyes. The final intraocular pressure (IOP) was 8.9±1.8 (range, 6.9-11.4) mm Hg. The final BCVAs were 20/200 or better in 5, counting fingers in 2, and light perception to hand movement in 8 eyes. Whose (66.7%) had retinal injury exhibited worse BCVA (P=0.019, Fisher's exact test). Eyes underwent SO tamponade exhibited worse final BCVA than that with C3F8 in the primary PPV (P=0.026, Fisher's exact test). CONCLUSION: Traumatic endophthalmitis in children is generally more severe and associated with more complicated surgical procedures. Most patients have retinal injury need multiple operations and the final BCVA is poor. Prevention of ocular trauma, especially in children, is still critical. © 2020 International Journal of Ophthalmology (c/o Editorial Office). All rights reserved.
AD  - Department of Ophthalmology, Ninth People's Hospital, Shanghai Jiao Tong University, School of Medicine, Shanghai, 200011, China
Shanghai Key Laboratory of Orbital Diseases and Ocular Oncology, Shanghai, 200011, China
AU  - Zhou, Y. L.
AU  - Wang, Y. X.
AU  - Yao, T. T.
AU  - Yang, Y.
AU  - Wang, Z. Y.
DB  - Scopus
DO  - 10.18240/ijo.2020.03.06
IS  - 3
KW  - Pars plana vitrectomy
Pediatric
Penetrating eye injury
Traumatic endophthalmitis
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2020
SP  - 406-411
ST  - Traumatic endophthalmitis and the outcome after vitrectomy in young children
T2  - International Journal of Ophthalmology
TI  - Traumatic endophthalmitis and the outcome after vitrectomy in young children
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085135203&doi=10.18240%2fijo.2020.03.06&partnerID=40&md5=f4ba510b2fd5c55308ab772954bd2143
VL  - 13
ID  - 971
ER  - 

TY  - JOUR
AB  - Trauma is the leading cause of death for people younger than age 45 in the United States. To help prevent death or disability, critically injured trauma patients must reach definitive care within the 'golden hour.'Often, the perioperative team has no more than 10 minutes to prepare the room before a patient who has suffered multiple, critical, traumatic injuries is rushed into the OR. For the trauma patient's safety, the perioperative team must be diligent and use creative measures to efficiently ensure that all surgical counts are completed. Foregoing surgical counts places the trauma patient at an increased risk for unintentionally retained foreign objects.
AN  - 105887323. Language: English. Entry Date: 20080418. Revision Date: 20200708. Publication Type: Journal Article
AU  - Murdock, D. B.
DB  - ccm
DO  - 10.1016/j.aorn.2007.07.008
DP  - EBSCOhost
IS  - 2
KW  - Perioperative Nursing
Retained Instruments
Surgical Count Procedure
Surgical Sponges
Trauma -- Surgery
Abdomen -- Surgery
Accidents, Traffic
Adult
Education, Continuing (Credit)
Female
Retained Instruments -- Complications
Retained Instruments -- Epidemiology
Retained Instruments -- Prevention and Control
Time Factors
N1  - case study; CEU. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0372403.
PMID: NLM18323023.
PY  - 2008
SN  - 0001-2092
SP  - 322-332
ST  - Trauma: when there's no time to count
T2  - AORN Journal
TI  - Trauma: when there's no time to count
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105887323&site=ehost-live&scope=site
VL  - 87
ID  - 758
ER  - 

TY  - JOUR
AB  - Trauma is the leading cause of death for people younger than age 45 in the United States. To help prevent death or disability, critically injured trauma patients must reach definitive care within the "golden hour."Often, the perioperative team has no more than 10 minutes to prepare the room before a patient who has suffered multiple, critical, traumatic injuries is rushed into the OR. For the trauma patient's safety, the perioperative team must be diligent and use creative measures to efficiently ensure that all surgical counts are completed. Foregoing surgical counts places the trauma patient at an increased risk for unintentionally retained foreign objects.
AD  - D. Murdock, Memorial Hermann Hospital, Houston, TX, USA.
AU  - Murdock, D.
DB  - Medline
DO  - 10.1016/j.aorn.2007.07.008
IS  - 2
KW  - abdominal injury
adolescent
case report
female
foreign body
human
medical error
multiple trauma
nursing
organization and management
patient care
perioperative nursing
review
surgical equipment
surgical sponge
time
LA  - English
M3  - Review
N1  - L352122051
2008-08-14
PY  - 2008
SN  - 0001-2092
SP  - 322-328
ST  - Trauma: when there's no time to count
T2  - AORN journal
TI  - Trauma: when there's no time to count
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L352122051&from=export
http://dx.doi.org/10.1016/j.aorn.2007.07.008
VL  - 87
ID  - 605
ER  - 

TY  - JOUR
AB  - Purpose: To evaluate the clinical outcomes of transscleral fixation of a foldable intraocular lens (IOL) in eyes that had pars plana lensectomy combined with pars plana vitrectomy for severe vitreoretinal disease. Setting: Seoul National University Hospital, Seoul, Korea. Methods: The medical records of 21 patients who had a transscleral fixation of a foldable IOL after previous vitrectomy combined with lensectomy for severe posterior segment pathology were reviewed. The underlying vitreoretinal diseases were complicated proliferative diabetic retinopathy (n = 9), proliferative vitreoretinopathy (n = 5), traumatic retinal detachment (n = 3), intraocular foreign body (n = 2), and uveitic retinal detachment (n = 2). The postoperative best corrected visual acuity (BCVA) was compared with the preoperative BCVA. Autorefractometry and keratometry measurements and central endothelial cell counts were evaluated 1 day preoperatively and 6 months postoperatively. Results: The mean age of the patients was 54.5 years. The preoperative aphakic period ranged from 2 to 22 months. The visual acuity reached the preoperative BCVA by 2 months after surgery and was better than the preoperative BCVA at 6 months (P = .006) and at the final visit (P = .003). Six months postoperatively, the mean myopic shift by cycloplegic autorefractometry was -1.0 diopter (D) and the mean scalar shift in surgically induced keratometric cylinder, 1.0 D. The mean central corneal endothelial loss at 6 months was 6.7% (range 2.4% to 22.2%). The only vitreoretinal complications were a transient vitreous hemorrhage and a reopened macular hole that was reattached after fluid-gas exchange. Conclusion: Transscleral fixation of a foldable IOL was safe and led to favorable visual outcomes in aphakic vitrectomized eyes with previous severe vitreoretinal disease. © 2003 ASCRS and ESCRS.
AD  - Department of Ophthalmology, Seoul National University Hospital, Clinical Research Institute, Seoul, South Korea
Seoul Artificial Eye Center, Seoul National University Hospital, Clinical Research Institute, Seoul, South Korea
Department of Ophthalmology, Seoul Natl. Univ. Coll. of Medicine, 28 Yongon-dong, Chongno-gu, Seoul 110-744, South Korea
AU  - Ahn, J. K.
AU  - Yu, H. G.
AU  - Chung, H.
AU  - Wee, W. R.
AU  - Lee, J. H.
DB  - Scopus
DO  - 10.1016/S0886-3350(03)00338-9
IS  - 12
M3  - Article
N1  - Cited By :28
Export Date: 10 November 2020
PY  - 2003
SP  - 2390-2396
ST  - Transscleral fixation of a foldable intraocular lens in aphakic vitrectomized eyes
T2  - Journal of Cataract and Refractive Surgery
TI  - Transscleral fixation of a foldable intraocular lens in aphakic vitrectomized eyes
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0346098251&doi=10.1016%2fS0886-3350%2803%2900338-9&partnerID=40&md5=318bfda9a1289ddb87a09041c234ba8d
VL  - 29
ID  - 1654
ER  - 

TY  - JOUR
AB  - Purpose: To evaluate the clinical outcomes of transscleral fixation of a foldable intraocular lens (IOL) in eyes that had pars plana lensectomy combined with pars plana vitrectomy for severe vitreoretinal disease. Setting: Seoul National University Hospital, Seoul, Korea. Methods: The medical records of 21 patients who had a transscleral fixation of a foldable IOL after previous vitrectomy combined with lensectomy for severe posterior segment pathology were reviewed. The underlying vitreoretinal diseases were complicated proliferative diabetic retinopathy (n = 9), proliferative vitreoretinopathy (n = 5), traumatic retinal detachment (n = 3), intraocular foreign body (n = 2), and uveitic retinal detachment (n = 2). The postoperative best corrected visual acuity (BCVA) was compared with the preoperative BCVA. Autorefractometry and keratometry measurements and central endothelial cell counts were evaluated 1 day preoperatively and 6 months postoperatively. Results: The mean age of the patients was 54.5 years. The preoperative aphakic period ranged from 2 to 22 months. The visual acuity reached the preoperative BCVA by 2 months after surgery and was better than the preoperative BCVA at 6 months (P = .006) and at the final visit (P = .003). Six months postoperatively, the mean myopic shift by cycloplegic autorefractometry was -1.0 diopter (D) and the mean scalar shift in surgically induced keratometric cylinder, 1.0 D. The mean central corneal endothelial loss at 6 months was 6.7% (range 2.4% to 22.2%). The only vitreoretinal complications were a transient vitreous hemorrhage and a reopened macular hole that was reattached after fluid-gas exchange. Conclusion: Transscleral fixation of a foldable IOL was safe and led to favorable visual outcomes in aphakic vitrectomized eyes with previous severe vitreoretinal disease. © 2003 ASCRS and ESCRS.
AD  - H.G. Yu, Department of Ophthalmology, Seoul Natl. Univ. Coll. of Medicine, 28 Yongon-dong, Chongno-gu, Seoul 110-744, South Korea
AU  - Ahn, J. K.
AU  - Yu, H. G.
AU  - Chung, H.
AU  - Wee, W. R.
AU  - Lee, J. H.
DB  - Embase
Medline
DO  - 10.1016/S0886-3350(03)00338-9
IS  - 12
KW  - adult
aged
aphakia
article
ciliary disk
clinical article
controlled study
cornea endothelium
diabetes mellitus
diabetic retinopathy
disease severity
eye refraction
female
gas
human
intraocular foreign body
keratometry
Korea
lens implant
lensectomy
liquid
male
medical record
posterior eye chamber
postoperative period
preoperative evaluation
priority journal
retina detachment
retina macula hole
review
safety
sclera
treatment outcome
university hospital
vitreoretinopathy
vitreous hemorrhage
LA  - English
M3  - Article
N1  - L38049739
2004-01-30
PY  - 2003
SN  - 0886-3350
SP  - 2390-2396
ST  - Transscleral fixation of a foldable intraocular lens in aphakic vitrectomized eyes
T2  - Journal of Cataract and Refractive Surgery
TI  - Transscleral fixation of a foldable intraocular lens in aphakic vitrectomized eyes
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L38049739&from=export
http://dx.doi.org/10.1016/S0886-3350(03)00338-9
VL  - 29
ID  - 639
ER  - 

TY  - JOUR
AB  - Rectal prolapse is not uncommon in the pediatric age group. Occurring more frequently in boys than girls and most often during the period of toilet training, the condition is usually self-limited. Treatment typically consists of nonoperative measures. There are patients, however, in whom operative intervention becomes necessary. Operative procedures described are based largely on adult experience and the most common repairs involve the use of a foreign body (Ripstein procedure) or colonic resection. These procedures are of considerable magnitude and may be attended by significant morbidity. As a result, there is reluctance to apply these techniques in children. There exists, then, a place for an efficacious method of repair for large prolapses that incurs minimal morbidity. This report recounts our experience with the treatment of four children with rectal prolapse using a transsacral rectopexy. The results indicate minimal perioperative morbidity, discharge within a few days, with the mechanisms of fecal continence being preserved. The longest follow-up is 17 years with a mean follow-up of 9 years. The overall treatment of rectal prolapse in children is reviewed with specific emphasis upon the indications for and technique of the transsacral approach.
AD  - The Department of Surgery, University of North Carolina School of Medicine, Chapel Hill, NC 27514
AU  - Chino, E. S.
AU  - Thomas Jr, C. G.
DB  - Embase
Medline
IS  - 2
KW  - case report
child
continence
epidemiology
human
large intestine
methodology
morbidity
proctopexy
rectum prolapse
therapy
LA  - English
M3  - Article
N1  - L14182574
1984-03-29
PY  - 1984
SN  - 0003-1348
SP  - 70-75
ST  - Transsacral approach to repair of rectal prolapse in children
T2  - American Surgeon
TI  - Transsacral approach to repair of rectal prolapse in children
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L14182574&from=export
VL  - 50
ID  - 678
ER  - 

TY  - JOUR
AB  - A surgical compress retained in the abdominal cavity following surgery is a serious problem. Here, we describe a 33-year-old female who was admitted with abdominal pain, vomiting, no passage of gas or feces, and abdominal distension for 3 days. She had a splenectomy at another medical center 4 years previously. An upright plain abdominal film revealed small bowel obstruction with marked small bowel air-fluid levels. The physical examination revealed muscular guarding and rebound tenderness in the periumbilical region. Therefore, a laparotomy was performed. A surgical compress was removed at enterotomy and the final diagnosis was gossypiboma. Because a retained surgical compress may lead to medicolegal problems, it is important to count the material used before and after a surgical procedure to reduce the risk of this problem. © 2009 Akbulut et al.; licensee Cases Network Ltd.
AD  - Department of Surgery, Diyarbakir Education and Research Hospital, Op. Dr. Seref Inaloz Caddesi 21400, Diyarbakir, Turkey
Department of Surgery, Istanbul Education and Research Hospital, K.M. Pasa, 34321, Istanbul, Turkey
AU  - Akbulut, S.
AU  - Sevinc, M. M.
AU  - Basak, F.
AU  - Aksoy, S.
AU  - Cakabay, B.
C7  - 7975
DB  - Scopus
DO  - 10.4076/1757-1626-2-7975
IS  - 7
M3  - Article
N1  - Cited By :3
Export Date: 10 November 2020
PY  - 2009
ST  - Transmural migration of a surgical compress into the stomach after splenectomy: A case report
T2  - Cases Journal
TI  - Transmural migration of a surgical compress into the stomach after splenectomy: A case report
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-77953371624&doi=10.4076%2f1757-1626-2-7975&partnerID=40&md5=9453da90b063ce17118d1f943cfc442a
VL  - 2
ID  - 1482
ER  - 

TY  - JOUR
AB  - A surgical compress retained in the abdominal cavity following surgery is a serious problem. Here, we describe a 33-year-old female who was admitted with abdominal pain, vomiting, no passage of gas or feces, and abdominal distension for 3 days. She had a splenectomy at another medical center 4 years previously. An upright plain abdominal film revealed small bowel obstruction with marked small bowel air-fluid levels. The physical examination revealed muscular guarding and rebound tenderness in the periumbilical region. Therefore, a laparotomy was performed. A surgical compress was removed at enterotomy and the final diagnosis was gossypiboma. Because a retained surgical compress may lead to medicolegal problems, it is important to count the material used before and after a surgical procedure to reduce the risk of this problem. © 2009 Akbulut et al.; licensee Cases Network Ltd.
AD  - S. Akbulut, Department of Surgery, Diyarbakir Education and Research Hospital, Op. Dr. Seref Inaloz Caddesi 21400, Diyarbakir, Turkey
AU  - Akbulut, S.
AU  - Sevinc, M. M.
AU  - Basak, F.
AU  - Aksoy, S.
AU  - Cakabay, B.
DB  - Embase
DO  - 10.4076/1757-1626-2-7975
IS  - 7
KW  - abdominal distension
abdominal pain
adult
article
case report
emergency surgery
female
gossypiboma
human
intestine surgery
laparotomy
phytobezoar
postoperative complication
small intestine obstruction
splenectomy
vomiting
L1  - internal-pdf://2442186215/1757-1626-2-7975.pdf
LA  - English
M3  - Article
N1  - L358197709
2010-03-01
2010-03-03
PY  - 2009
SN  - 1757-1626
ST  - Transmural migration of a surgical compress into the stomach after splenectomy: A case report
T2  - Cases Journal
TI  - Transmural migration of a surgical compress into the stomach after splenectomy: A case report
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L358197709&from=export
http://dx.doi.org/10.4076/1757-1626-2-7975
VL  - 2
ID  - 574
ER  - 

TY  - JOUR
AB  - The most common surgically retained foreign body is the laparotomy sponge. The clinical presentation of a retained sponge can vary from an incidental finding on plain radiograph to an intense inflammatory response with obstruction or perforation. In the case described here a patient reported abdominal pain 11 months after her hysterectomy. Although two sponge counts appeared in the operative record one laparotomy sponge had been overlooked. Apparently an inflammatory response created an abscess pocket around the sponge between the abdominal wall and the ileum resulting in perforation of the ileum. Through this opening the sponge migrated into the lumen of the small bowel, from which it was surgically removed. The patient recovered without complications. The case highlights the importance of a thorough exploration of all quadrants of the abdomen at the termination of surgical cases.
AD  - Department of Surgery, University of Kentucky, Lexington, KY, United States
University of Kentucky, 800 Rose Street, Lexington, KY 40536-0293, United States
AU  - Dhillon, J. S.
AU  - Park, A.
DB  - Scopus
IS  - 7
M3  - Article
N1  - Cited By :31
Export Date: 10 November 2020
PY  - 2002
SP  - 603-605
ST  - Transmural migration of a retained laparotomy sponge
T2  - American Surgeon
TI  - Transmural migration of a retained laparotomy sponge
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0036633515&partnerID=40&md5=ab24b794dda5ca15010594c028e4da9d
VL  - 68
ID  - 1655
ER  - 

TY  - JOUR
AB  - The most common surgically retained foreign body is the laparotomy sponge. The clinical presentation of a retained sponge can vary from an incidental finding on plain radiograph to an intense inflammatory response with obstruction or perforation. In the case described here a patient reported abdominal pain 11 months after her hysterectomy. Although two sponge counts appeared in the operative record one laparotomy sponge had been overlooked. Apparently an inflammatory response created an abscess pocket around the sponge between the abdominal wall and the ileum resulting in perforation of the ileum. Through this opening the sponge migrated into the lumen of the small bowel, from which it was surgically removed. The patient recovered without complications. The case highlights the importance of a thorough exploration of all quadrants of the abdomen at the termination of surgical cases.
AD  - J.S. Dhillon, Department of Surgery, University of Kentucky, Lexington 40536-0293, USA.
AU  - Dhillon, J. S.
AU  - Park, A.
DB  - Medline
IS  - 7
KW  - abdominal pain
adult
article
case report
female
foreign body
human
ileum
inflammation
injury
devices
intestine perforation
laparotomy
pathology
surgical sponge
LA  - English
M3  - Article
N1  - L35616555
2002-07-21
PY  - 2002
SN  - 0003-1348
SP  - 603-605
ST  - Transmural migration of a retained laparotomy sponge
T2  - The American surgeon
TI  - Transmural migration of a retained laparotomy sponge
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L35616555&from=export
VL  - 68
ID  - 646
ER  - 

TY  - JOUR
AB  - The most common surgically retained foreign body is the laparotomy sponge. The clinical presentation of a retained sponge can vary from an incidental finding on plain radiograph to an intense inflammatory response with obstruction or perforation. In the case described here a patient reported abdominal pain 11 months after her hysterectomy. Although two sponge counts appeared in the operative record one laparotomy sponge had been overlooked. Apparently an inflammatory response created an abscess pocket around the sponge between the abdominal wall and the ileum resulting in perforation of the ileum. Through this opening the sponge migrated into the lumen of the small bowel, from which it was surgically removed. The patient recovered without complications. The case highlights the importance of a thorough exploration of all quadrants of the abdomen at the termination of surgical cases.
AD  - A. Park, University of Kentucky, 800 Rose Street, Lexington, KY 40536-0293, United States
AU  - Dhillon, J. S.
AU  - Park, A.
DB  - Embase
IS  - 7
KW  - abdominal radiography
abdominal surgery
adult
anamnesis
article
case report
clinical feature
female
foreign body
hospital discharge
human
laparotomy
physical examination
small intestine perforation
surgical error
surgical sponge
LA  - English
M3  - Article
N1  - L44971251
2007-01-04
PY  - 2002
SN  - 0003-1348
SP  - 603-605
ST  - Transmural migration of a retained laparotomy sponge
T2  - American Surgeon
TI  - Transmural migration of a retained laparotomy sponge
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L44971251&from=export
VL  - 68
ID  - 644
ER  - 

TY  - JOUR
AB  - Purpose: To determine the efficacy of a novel technique for a 'transconjunctival 20-gauge vitrectomy' (T20V). Methods: In total, 12 eyes of 12 consecutive patients were included in a prospective study. The mean age was 58 years (range: 38-74 years); 4 patients were male and 8 were female. The T20V was indicated when short-duration vitrectomy was envisioned: macular surgery for macular hole and epiretinal membrane therapy, moderate vitreous hemorrhage due to retina vein occlusions or diabetic retinopathy, or neurotomy for central retinal vein occlusion. Results: The average time for each procedure was 35 ± 30 min (SD). The preoperative visual acuity ranged from 20/200 to hand motions, while postoperative vision was between 20/30 and counting fingers. The average intraocular pressure changed from 16.1 ± 5.6 mm Hg preoperatively to 15.8 ± 8.1 mm Hg in the first postoperative day, and 17.8 ± 9.4 mm Hg 1 week after surgery - these differences were not statistically significant (p > 0.05). Subjective postoperative pain and foreign body sensation at postoperative day 1 and week 1 were mild to moderate. The chemosis observed 1 h after surgery was minimal, and disappeared quickly during the 1-week follow-up. Conclusion: The T20V is suitable to perform short-duration vitrectomy surgery, and has a low rate of ocular complications, similar to 25- or 23-gauge sutureless vitrectomy systems. Copyright © 2008 S. Karger AG.
AD  - Retina Department, Hospital Regional Sao Jose, CEPON, Florianopolis, Brazil
Department of Ophthalmology, University of Bonn, Bonn, Germany
Av Trompowsky 420, apto 1005, Florianopolis, SC 88015-300, Brazil
AU  - Aguni, J. S.
AU  - Meyer, C. H.
AU  - Rodrigues, E. B.
DB  - Scopus
DO  - 10.1159/000161877
IS  - 1
KW  - Macular hole
Retina
Vitrectomy
M3  - Article
N1  - Cited By :5
Export Date: 10 November 2020
PY  - 2009
SP  - 12-16
ST  - Transconjunctival 20-gauge vitrectomy: A pilot study
T2  - Ophthalmologica
TI  - Transconjunctival 20-gauge vitrectomy: A pilot study
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-53449095000&doi=10.1159%2f000161877&partnerID=40&md5=7d6a3b03a1fbb275bad5767a02d805b5
VL  - 223
ID  - 1504
ER  - 

TY  - JOUR
AB  - Purpose: To determine the efficacy of a novel technique for a 'transconjunctival 20-gauge vitrectomy' (T20V). Methods: In total, 12 eyes of 12 consecutive patients were included in a prospective study. The mean age was 58 years (range: 38-74 years); 4 patients were male and 8 were female. The T20V was indicated when short-duration vitrectomy was envisioned: macular surgery for macular hole and epiretinal membrane therapy, moderate vitreous hemorrhage due to retina vein occlusions or diabetic retinopathy, or neurotomy for central retinal vein occlusion. Results: The average time for each procedure was 35 ± 30 min (SD). The preoperative visual acuity ranged from 20/200 to hand motions, while postoperative vision was between 20/30 and counting fingers. The average intraocular pressure changed from 16.1 ± 5.6 mm Hg preoperatively to 15.8 ± 8.1 mm Hg in the first postoperative day, and 17.8 ± 9.4 mm Hg 1 week after surgery - these differences were not statistically significant (p > 0.05). Subjective postoperative pain and foreign body sensation at postoperative day 1 and week 1 were mild to moderate. The chemosis observed 1 h after surgery was minimal, and disappeared quickly during the 1-week follow-up. Conclusion: The T20V is suitable to perform short-duration vitrectomy surgery, and has a low rate of ocular complications, similar to 25- or 23-gauge sutureless vitrectomy systems. Copyright © 2008 S. Karger AG.
AD  - E. B. Rodrigues, Av Trompowsky 420, apto 1005, Florianopolis, SC 88015-300, Brazil
AU  - Aguni, J. S.
AU  - Meyer, C. H.
AU  - Rodrigues, E. B.
DB  - Embase
Medline
DO  - 10.1159/000161877
IS  - 1
KW  - aged
article
central retina vein occlusion
chemosis
clinical article
clinical effectiveness
clinical trial
diabetic retinopathy
epiretinal membrane
female
foreign body
hand movement
human
hypotony maculopathy
intraocular pressure
male
operation duration
patient safety
pilot study
postoperative complication
postoperative pain
postoperative period
preoperative evaluation
prospective study
retina detachment
retina macula hole
retina vein occlusion
sclerotomy
surgical approach
visual acuity
vitrectomy
vitreous hemorrhage
LA  - English
M3  - Article
N1  - L50299473
2009-01-29
PY  - 2009
SN  - 0030-3755
SP  - 12-16
ST  - Transconjunctival 20-gauge vitrectomy: A pilot study
T2  - Ophthalmologica
TI  - Transconjunctival 20-gauge vitrectomy: A pilot study
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L50299473&from=export
http://dx.doi.org/10.1159/000161877
VL  - 223
ID  - 588
ER  - 

TY  - JOUR
AB  - An instrument or other surgical item left in the patient is a rare and yet devastating and preventable complication of surgery. Estimates based on claims data suggest the incidence of a retained foreign body to be between 1 in 9000 and 1 in 19,000 operations. The current approach in prevention has been to use the Association of periOperative Registered Nurses' manual counting method. While working at a large academic medical center, a sentinel event occurred where a patient left the operating room with a retained malleable retractor. This article will present the social, cultural, and systems issues that predisposed to that event, the lessons learned, and a summary of evidence concerning these incidents. © 2008 Elsevier Inc. All rights reserved.
AD  - Cape Cod Hospital, 27 Park Street, Hyannis, MA 02601, United States
AU  - King, C. A.
DB  - Scopus
DO  - 10.1016/j.cpen.2008.08.002
IS  - 4
KW  - Counts
Recommended practices
Retained foreign body
Surgery
M3  - Review
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2008
SP  - 395-400
ST  - To Count or Not to Count: A Surgical Misadventure
T2  - Perioperative Nursing Clinics
TI  - To Count or Not to Count: A Surgical Misadventure
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-55749087378&doi=10.1016%2fj.cpen.2008.08.002&partnerID=40&md5=51c485e43b20607a183aa1fb0ef12cf1
VL  - 3
ID  - 1508
ER  - 

TY  - JOUR
AB  - Background Medical errors such as retained foreign bodies (RFB) during surgery are not well studied. To define risk factors associated with this type of error, we performed retrospective study. Methods We reviewed medical records for unintentional foreign object remaining in the body during surgery such as gender, age, surgery ward, and incident reports referred to several forensic medicine administrations as well as adverse effects of retained foreign bodies and methods for detection of them over a 3-years period from January 2008 through May 2011. Results Thirty eight patients were involved in the study to have retained foreign bodies (73% sponges and 27% other instruments including 7 (18.42%) cases of other bandages, 2 cases (5.26%) of scissor and 1 case (2.63%) of forceps). The general surgery ward was most commonly involved (47%) followed by the gynecology surgery ward (34%). Men (58%) were more involved with RFB than women (42%). Conclusion Considering the most frequent type of retained foreign bodies and also more frequent involved surgery wards besides detection methods for RFB, a mixed of preventing protocols such as regular counting of devices, post-operative X-ray with radiopaque markers and exact evaluation of surgery site should be employed to reduce the occurrence of retained foreign bodies and its complications. © 2017
AD  - Legal Medicine Research Center, Legal Medicine Organization, Tehran and Member of Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
Legal Medicine Research Center, Legal Medicine OrganizationTehran, Iran
Department of Surgery, School of Medicine, Shiraz and Hormozgan University of Medical Sciences, Bandar Abbas, Iran
AU  - Zarenezhad, M.
AU  - Gholamzadeh, S.
AU  - Hedjazi, A.
AU  - Soltani, K.
AU  - Gharehdaghi, J.
AU  - Ghadipasha, M.
AU  - Hosseini, S. M. V.
AU  - Zare, A.
DB  - Scopus
DO  - 10.1016/j.amsu.2017.01.019
KW  - Medical error
Retained foreign body
Surgery
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2017
SP  - 22-25
ST  - Three years evaluation of retained foreign bodies after surgery in Iran
T2  - Annals of Medicine and Surgery
TI  - Three years evaluation of retained foreign bodies after surgery in Iran
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85012122767&doi=10.1016%2fj.amsu.2017.01.019&partnerID=40&md5=fde2702f8bec233e34767be840cc82b7
VL  - 15
ID  - 1140
ER  - 

TY  - JOUR
AB  - Background Medical errors such as retained foreign bodies (RFB) during surgery are not well studied. To define risk factors associated with this type of error, we performed retrospective study. Methods We reviewed medical records for unintentional foreign object remaining in the body during surgery such as gender, age, surgery ward, and incident reports referred to several forensic medicine administrations as well as adverse effects of retained foreign bodies and methods for detection of them over a 3-years period from January 2008 through May 2011. Results Thirty eight patients were involved in the study to have retained foreign bodies (73% sponges and 27% other instruments including 7 (18.42%) cases of other bandages, 2 cases (5.26%) of scissor and 1 case (2.63%) of forceps). The general surgery ward was most commonly involved (47%) followed by the gynecology surgery ward (34%). Men (58%) were more involved with RFB than women (42%). Conclusion Considering the most frequent type of retained foreign bodies and also more frequent involved surgery wards besides detection methods for RFB, a mixed of preventing protocols such as regular counting of devices, post-operative X-ray with radiopaque markers and exact evaluation of surgery site should be employed to reduce the occurrence of retained foreign bodies and its complications.
AD  - J. Gharehdaghi, Legal Medicine Research Center, Legal Medicine Organization, Iran
AU  - Zarenezhad, M.
AU  - Gholamzadeh, S.
AU  - Hedjazi, A.
AU  - Soltani, K.
AU  - Gharehdaghi, J.
AU  - Ghadipasha, M.
AU  - Hosseini, S. M. V.
AU  - Zare, A.
DB  - Embase
DO  - 10.1016/j.amsu.2017.01.019
KW  - abdominal abscess
adult
article
bandage
clinical article
clinical evaluation
female
fever
forceps
gynecologic surgery
human
intestine obstruction
intestine perforation
male
pain
priority journal
reoperation
retained foreign body
retained instrument
retrospective study
risk factor
scissors
surgical error
X ray
LA  - English
M3  - Article
N1  - L614341463
2017-02-17
2017-03-09
PY  - 2017
SN  - 2049-0801
SP  - 22-25
ST  - Three years evaluation of retained foreign bodies after surgery in Iran
T2  - Annals of Medicine and Surgery
TI  - Three years evaluation of retained foreign bodies after surgery in Iran
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L614341463&from=export
http://dx.doi.org/10.1016/j.amsu.2017.01.019
VL  - 15
ID  - 380
ER  - 

TY  - JOUR
AB  - Preventable medical errors in the operating room are most often caused by ineffective communication and suboptimal team dynamics. TeamSTEPPS is a government-funded, evidence-based program that provides tools and education to improve teamwork in medicine. The study hospital implemented TeamSTEPPS in the operating room and merged the program with a surgical safety checklist. Audits were performed to collect both quantitative and qualitative information on time out (brief) and debrief conversations, using a standardized audit tool. A total of 1610 audits over 6 months were performed by live auditors. Performance was sustained at desired levels or improved for all qualitative metrics using χ2 and linear regression analyses. Additionally, the absolute number of wrong site/side/person surgery and unintentionally retained foreign body counts decreased after TeamSTEPPS implementation. © 2016, © The Author(s) 2016.
AD  - The Mount Sinai Hospital, New York, NY, United States
FOJP Service Corporation, New York, NY, United States
AU  - Rhee, A. J.
AU  - Valentin-Salgado, Y.
AU  - Eshak, D.
AU  - Feldman, D.
AU  - Kischak, P.
AU  - Reich, D. L.
AU  - LoPachin, V.
AU  - Brodman, M.
DB  - Scopus
DO  - 10.1177/1062860616662703
IS  - 4
KW  - checklist
communication
perioperative
TeamSTEPPS
teamwork
M3  - Article
N1  - Cited By :10
Export Date: 10 November 2020
PY  - 2017
SP  - 369-375
ST  - Team Training in the Perioperative Arena: A Methodology for Implementation and Auditing Behavior
T2  - American Journal of Medical Quality
TI  - Team Training in the Perioperative Arena: A Methodology for Implementation and Auditing Behavior
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021694571&doi=10.1177%2f1062860616662703&partnerID=40&md5=da2ebf5441c10a39e8dcff01859b9927
VL  - 32
ID  - 1131
ER  - 

TY  - JOUR
AB  - Preventable medical errors in the operating room are most often caused by ineffective communication and suboptimal team dynamics. TeamSTEPPS is a government-funded, evidence-based program that provides tools and education to improve teamwork in medicine. The study hospital implemented TeamSTEPPS in the operating room and merged the program with a surgical safety checklist. Audits were performed to collect both quantitative and qualitative information on time out (brief) and debrief conversations, using a standardized audit tool. A total of 1610 audits over 6 months were performed by live auditors. Performance was sustained at desired levels or improved for all qualitative metrics using χ2 and linear regression analyses. Additionally, the absolute number of wrong site/side/person surgery and unintentionally retained foreign body counts decreased after TeamSTEPPS implementation.
AD  - The Mount Sinai Hospital, New York, NY
FOJP Service Corporation, New York, NY
AN  - 123886661. Language: English. Entry Date: 20171209. Revision Date: 20180604. Publication Type: journal article
AU  - Rhee, Amanda J.
AU  - Valentin-Salgado, Yessenia
AU  - Eshak, David
AU  - Feldman, David
AU  - Kischak, Pat
AU  - Reich, David L.
AU  - LoPachin, Vicki
AU  - Brodman, Michael
DB  - ccm
DO  - 10.1177/1062860616662703
DP  - EBSCOhost
IS  - 4
KW  - Audit -- Administration
Employee Orientation -- Administration
Perioperative Care -- Standards
Multidisciplinary Care Team -- Administration
Communication
Treatment Errors -- Prevention and Control
Operating Rooms -- Administration
Safety
Patient Safety -- Standards
Audit -- Standards
Quality Improvement -- Administration
Multidisciplinary Care Team -- Standards
Human
N1  - research; tables/charts. Journal Subset: Blind Peer Reviewed; Editorial Board Reviewed; Health Services Administration; Peer Reviewed; USA. NLM UID: 9300756.
PMID: NLM27516608.
PY  - 2017
SN  - 1062-8606
SP  - 369-375
ST  - Team Training in the Perioperative Arena: A Methodology for Implementation and Auditing Behavior
T2  - American Journal of Medical Quality
TI  - Team Training in the Perioperative Arena: A Methodology for Implementation and Auditing Behavior
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=123886661&site=ehost-live&scope=site
VL  - 32
ID  - 748
ER  - 

TY  - JOUR
AB  - Preventable medical errors in the operating room are most often caused by ineffective communication and suboptimal team dynamics. TeamSTEPPS is a government-funded, evidence-based program that provides tools and education to improve teamwork in medicine. The study hospital implemented TeamSTEPPS in the operating room and merged the program with a surgical safety checklist. Audits were performed to collect both quantitative and qualitative information on time out (brief) and debrief conversations, using a standardized audit tool. A total of 1610 audits over 6 months were performed by live auditors. Performance was sustained at desired levels or improved for all qualitative metrics using χ2 and linear regression analyses. Additionally, the absolute number of wrong site/side/person surgery and unintentionally retained foreign body counts decreased after TeamSTEPPS implementation.
AU  - Rhee, A. J.
AU  - Valentin-Salgado, Y.
AU  - Eshak, D.
AU  - Feldman, D.
AU  - Kischak, P.
AU  - Reich, D. L.
AU  - LoPachin, V.
AU  - Brodman, M.
DB  - Medline
DO  - 10.1177/1062860616662703
IS  - 4
KW  - checklist
clinical audit
human
in service training
interpersonal communication
medical error
operating room
organization and management
patient care
patient safety
perioperative period
prevention and control
safety
standards
total quality management
LA  - English
M3  - Article
N1  - L621863803
2018-05-02
PY  - 2017
SN  - 1555-824X
SP  - 369-375
ST  - Team Training in the Perioperative Arena: A Methodology for Implementation and Auditing Behavior
T2  - American journal of medical quality : the official journal of the American College of Medical Quality
TI  - Team Training in the Perioperative Arena: A Methodology for Implementation and Auditing Behavior
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L621863803&from=export
http://dx.doi.org/10.1177/1062860616662703
VL  - 32
ID  - 371
ER  - 

TY  - JOUR
AB  - As any perinatal nurse knows, retained vaginal sponges are an obstetrical and postpartum patient safety problem. As surgical sponge counts are not routine in some obstetrical units for vaginal births, our healthcare system chose to institute a rigorous process to eliminate retained sponges in all vaginal births. This article describes this process, along with the lessons learned, when Catholic Healthcare West implemented the Sponge ACCOUNTing System in its 32 hospitals in California, Arizona, and Nevada. Implementation of this process involved the standardization of practice for obstetricians, certified nurse midwives, nurses, obstetric technicians, radiologists, and radiology technicians in the management and accounting of surgical sponges. Copyright © 2011 Lippincott Williams & Wilkins.
AD  - Catholic Healthcare West, Rancho Cordova, CA, United States
Department of Surgery, UCSF, San Francisco, CA, United States
California HealthFirst Physicians, Camarillo, CA, United States
AU  - Chagolla, B. A.
AU  - Gibbs, V. C.
AU  - Keats, J. P.
AU  - Pelletreau, B.
DB  - Scopus
DO  - 10.1097/NMC.0b013e31822ab204
IS  - 5
KW  - Labor and delivery
Perinatal patient safety
Retained vaginal sponge
Vaginal birth
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2011
SP  - 312-317
ST  - A system-wide initiative to prevent retained vaginal sponges
T2  - MCN The American Journal of Maternal/Child Nursing
TI  - A system-wide initiative to prevent retained vaginal sponges
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-80052237513&doi=10.1097%2fNMC.0b013e31822ab204&partnerID=40&md5=888eb2c403cd9fb62d3a9b8b831d96ef
VL  - 36
ID  - 1407
ER  - 

TY  - JOUR
AB  - As any perinatal nurse knows, retained vaginal sponges are an obstetrical and postpartum patient safety problem. As surgical sponge counts are not routine in some obstetrical units for vaginal births, our healthcare system chose to institute a rigorous process to eliminate retained sponges in all vaginal births. This article describes this process, along with the lessons learned, when Catholic Healthcare West implemented the Sponge ACCOUNTing System in its 32 hospitals in California, Arizona, and Nevada. Implementation of this process involved the standardization of practice for obstetricians, certified nurse midwives, nurses, obstetric technicians, radiologists, and radiology technicians in the management and accounting of surgical sponges. Copyright © 2011 Lippincott Williams & Wilkins.
AD  - B.A. Chagolla, Catholic Healthcare West, Rancho Cordova, CA, United States
AU  - Chagolla, B. A.
AU  - Gibbs, V. C.
AU  - Keats, J. P.
AU  - Pelletreau, B.
DB  - Medline
DO  - 10.1097/NMC.0b013e31822ab204
IS  - 5
KW  - article
female
foreign body
human
medical error
methodology
nurse midwife
obstetrical nursing
obstetrics
pregnancy
radiology
safety
standard
surgical sponge
United States
LA  - English
M3  - Article
N1  - L362451143
2012-02-17
PY  - 2011
SN  - 0361-929X
SP  - 312-317
ST  - A system-wide initiative to prevent retained vaginal sponges
T2  - MCN The American Journal of Maternal/Child Nursing
TI  - A system-wide initiative to prevent retained vaginal sponges
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L362451143&from=export
http://dx.doi.org/10.1097/NMC.0b013e31822ab204
VL  - 36
ID  - 533
ER  - 

TY  - JOUR
AB  - Background: The aim of this study is to report a case of sympathetic ophthalmia with sensorineural hearing loss following penetrating trauma. This is an interventional case report. A 23-year-old male presented with bilateral, sudden, profound visual and hearing loss, disorientation, and dizziness. He had a past history of penetrating trauma with an iron rod in the right eye for which he underwent scleral tear repair, vitreo-retinal surgery with intraocular foreign body removal and silicon oil injection. His best corrected visual acuity in the right eye was counting fingers close to the face and was perception of light in the left eye. Clinical evaluation with slit biomicroscopy, indirect ophthalmoscopy, ultrasonography, and pure tone audiometry was suggestive of sympathetic ophthalmia with sensorineural hearing loss. Treatment was started with intravenous methyl prednisolone, oral corticosteroids, and immunosuppressants. Findings: Following treatment, signs of panuveitis showed resolution and improvement in visual, hearing, and neurological symptoms. Conclusions: Sympathetic ophthalmia associated with sensorineural deafness and neurological symptoms is a rare clinical syndrome. Prompt diagnosis and treatment with systemic corticosteroids and immunosuppressant medication may result in clinical improvement. © 2013 Venkatesh et al.
AD  - Eye Department, Dr Shroff Charity Eye Hospital, 5027, Kedarnath Road, Daryaganj, New Delhi 110002, India
ENT Department, Dr Shroff Charity Eye Hospital, 5027, Kedarnath Road, Daryaganj, New Delhi 110002, India
Uvea and Ocular Pathology Department, Sankara Nethralaya, 18, College Road, Numgambakkam, Chennai 600006, India
AU  - Venkatesh, R.
AU  - Agarwal, M.
AU  - Ramesh, V. J.
AU  - Singh, S.
AU  - Kantha, M.
AU  - Biswas, J.
C7  - 65
DB  - Scopus
DO  - 10.1186/1869-5760-3-65
IS  - 1
KW  - Corticosteroids
Deafness
Psychosis
Sympathetic ophthalmia
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2013
SP  - 1-3
ST  - Sympathetic ophthalmia with sensorineural deafness - report of a case
T2  - Journal of Ophthalmic Inflammation and Infection
TI  - Sympathetic ophthalmia with sensorineural deafness - report of a case
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84891394644&doi=10.1186%2f1869-5760-3-65&partnerID=40&md5=53b826e1bb4ebcd194cca785cfb876ad
VL  - 3
ID  - 1344
ER  - 

TY  - JOUR
AB  - Background: The aim of this study is to report a case of sympathetic ophthalmia with sensorineural hearing loss following penetrating trauma. This is an interventional case report. A 23-year-old male presented with bilateral, sudden, profound visual and hearing loss, disorientation, and dizziness. He had a past history of penetrating trauma with an iron rod in the right eye for which he underwent scleral tear repair, vitreo-retinal surgery with intraocular foreign body removal and silicon oil injection. His best corrected visual acuity in the right eye was counting fingers close to the face and was perception of light in the left eye. Clinical evaluation with slit biomicroscopy, indirect ophthalmoscopy, ultrasonography, and pure tone audiometry was suggestive of sympathetic ophthalmia with sensorineural hearing loss. Treatment was started with intravenous methyl prednisolone, oral corticosteroids, and immunosuppressants. Findings: Following treatment, signs of panuveitis showed resolution and improvement in visual, hearing, and neurological symptoms. Conclusions: Sympathetic ophthalmia associated with sensorineural deafness and neurological symptoms is a rare clinical syndrome. Prompt diagnosis and treatment with systemic corticosteroids and immunosuppressant medication may result in clinical improvement. © 2013 Venkatesh et al.
AD  - R. Venkatesh, Eye Department, Dr Shroff Charity Eye Hospital, 5027, Kedarnath Road, Daryaganj, New Delhi 110002, India
AU  - Venkatesh, R.
AU  - Agarwal, M.
AU  - Ramesh, V. J.
AU  - Singh, S.
AU  - Kantha, M.
AU  - Biswas, J.
DB  - Embase
DO  - 10.1186/1869-5760-3-65
IS  - 1
KW  - atropine
azathioprine
corticosteroid derivative
methylprednisolone
prednisolone acetate
silicone oil
adult
anterior eye chamber
article
auditory threshold
B scan
bilateral hearing loss
case report
clinical evaluation
corticosteroid therapy
disorientation
dizziness
human
immunosuppressive treatment
intervention study
intraocular foreign body
intraocular pressure
iridocyclitis
male
ophthalmoscopy
optic disk
perception deafness
perforating eye injury
pigment epithelium
priority journal
pure tone audiometry
retina detachment
retina fluorescein angiography
slit lamp
sympathetic ophthalmia
topical treatment
visual acuity
visual impairment
vitreoretinal surgery
vitritis
young adult
LA  - English
M3  - Article
N1  - L372023973
2014-01-08
2014-01-15
PY  - 2013
SN  - 1869-5760
SP  - 1-3
ST  - Sympathetic ophthalmia with sensorineural deafness - report of a case
T2  - Journal of Ophthalmic Inflammation and Infection
TI  - Sympathetic ophthalmia with sensorineural deafness - report of a case
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L372023973&from=export
http://dx.doi.org/10.1186/1869-5760-3-65
VL  - 3
ID  - 492
ER  - 

TY  - JOUR
AB  - This article presents the results of an audit of swab and instrument count practices in the operating department of a large hospital NHS Trust in South East England. A literature review of the subject is presented followed by the methodology used including questionnaires and observation of practice. Findings are discussed in terms of compliance with the department's swab and instrument count policy and observed practice mapped against the recommendations for best practice in the literature. The findings show that audit of practice is still treated with suspicion by many and that a number of practices of scrub and circulating personnel in operating theatres need to be improved. Recommendations are made related to improving staff development in the department and introducing clinical supervision as one way to provide support for colleagues to reflect on their practice and change to more evidence-based practices in the operating department. © 2014 MA Healthcare Ltd.
AD  - Croydon Health Services NHS Trust, London, United Kingdom
Faculty of Education and Health, University of Greenwich, London, United Kingdom
AU  - Smith, Y.
AU  - Burke, L.
DB  - Scopus
DO  - 10.12968/bjon.2014.23.11.590
IS  - 11
KW  - Clinical audit
Clinical supervision
Evidence-based practice
Operating department
Swab counts
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2014
SP  - 590-593
ST  - Swab and instrument count practice: Ways to enhance patient safety
T2  - British Journal of Nursing
TI  - Swab and instrument count practice: Ways to enhance patient safety
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84905725472&doi=10.12968%2fbjon.2014.23.11.590&partnerID=40&md5=8c28b7bbf1d84beac57d6699db5d9714
VL  - 23
ID  - 1278
ER  - 

TY  - JOUR
AB  - This article presents the results of an audit of swab and instrument count practices in the operating department of a large hospital NHS Trust in South East England. A literature review of the subject is presented followed by the methodology used including questionnaires and observation of practice. Findings are discussed in terms of compliance with the department’s swab and instrument count policy and observed practice mapped against the recommendations for best practice in the literature. The findings show that audit of practice is still treated with suspicion by many and that a number of practices of scrub and circulating personnel in operating theatres need to be improved. Recommendations are made related to improving staff development in the department and introducing clinical supervision as one way to provide support for colleagues to reflect on their practice and change to more evidence-based practices in the operating department.
AD  - Endoscopy Unit Service Manager, Croydon Health Services NHS Trust, London
Pro Vice Chancellor, Faculty of Education and Health, University of Greenwich, London
AN  - 96557131. Language: English. Entry Date: 20140618. Revision Date: 20190620. Publication Type: Article
AU  - Smith, Yvonne
AU  - Burke, Linda
DB  - ccm
DO  - 10.12968/bjon.2014.23.11.590
DP  - EBSCOhost
IS  - 11
KW  - Surgical Count Procedure
Retained Instruments -- Prevention and Control
England
Operating Rooms
Audit
Human
Literature Review
Observational Methods
Staff Development
Clinical Supervision
Perioperative Nursing
Communication
Surveys
Questionnaires
Health Care Errors
Hospital Policies
Professional Compliance
Surgeons
Patient Safety
Nonexperimental Studies
N1  - research. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland. Special Interest: Patient Safety; Perioperative Care. NLM UID: 9212059.
PY  - 2014
SN  - 0966-0461
SP  - 590-593
ST  - Swab and instrument count practice: ways to enhance patient safety
T2  - British Journal of Nursing
TI  - Swab and instrument count practice: ways to enhance patient safety
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=96557131&site=ehost-live&scope=site
VL  - 23
ID  - 723
ER  - 

TY  - JOUR
AU  - Woodcroft, R.
DB  - Scopus
IS  - 12
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 1972
SP  - 7-19
ST  - Survey into counting precautions in New South Wales operating theatres
T2  - The Lamp
TI  - Survey into counting precautions in New South Wales operating theatres
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0015464262&partnerID=40&md5=520f146ad3e88a4828f253a983a921f8
VL  - 29
ID  - 1785
ER  - 

TY  - JOUR
AD  - R. Woodcroft
AU  - Woodcroft, R.
DB  - Medline
IS  - 12
KW  - article
Australia
bandage
foreign body
needle
questionnaire
surgery
surgical equipment
LA  - English
M3  - Article
N1  - L93315639
1973-04-24
PY  - 1972
SN  - 0047-3936
SP  - 7-19
ST  - Survey into counting precautions in New South Wales operating theatres
T2  - The Lamp
TI  - Survey into counting precautions in New South Wales operating theatres
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L93315639&from=export
VL  - 29
ID  - 690
ER  - 

TY  - JOUR
AB  - The aim of the study was to conduct a qualitative exploration of the sociotechnical processes underlying retained surgical swabs, and to explore the fundamental reasons why the swab count procedure and related protocols fail in practice. Data was collected through a set of 27 semistructured qualitative interviews with scrub nurses from a large, multi-site teaching hospital. Interview transcripts were analysed using established constant comparative methods, moving between inductive and deductive reasoning. Key findings were associated with interprofessional perspectives, team processes and climate and responsibility for the swab count. The analysis of risk factors revealed that perceived social and interprofessional issues played a significant role in the reliability of measures to prevent retained swabs. This work highlights the human, psychological and organisational factors that impact upon the reliability of the process and gives rise to recommendations to address contextual factors and improve perioperative practice and training.
AU  - D'Lima, D.
AU  - Sacks, M.
AU  - Blackman, W.
AU  - Benn, J.
DB  - Scopus
DO  - 10.1177/175045891402400503
IS  - 5
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2014
SP  - 103-111
ST  - Surgical swab counting: a qualitative analysis from the perspective of the scrub nurse
T2  - Journal of perioperative practice
TI  - Surgical swab counting: a qualitative analysis from the perspective of the scrub nurse
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84903768535&doi=10.1177%2f175045891402400503&partnerID=40&md5=948fefd9ca4f5b80d45a420c9447509b
VL  - 24
ID  - 1273
ER  - 

TY  - JOUR
AB  - The aim of the study was to conduct a qualitative exploration of the sociotechnical processes underlying retained surgical swabs, and to explore the fundamental reasons why the swab count procedure and related protocols fail in practice. Data was collected through a set of 27 semistructured qualitative interviews with scrub nurses from a large, multi-site teaching hospital. Interview transcripts were analysed using established constant comparative methods, moving between inductive and deductive reasoning. Key findings were associated with interprofessional perspectives, team processes and climate and responsibility for the swab count. The analysis of risk factors revealed that perceived social and interprofessional issues played a significant role in the reliability of measures to prevent retained swabs. This work highlights the human, psychological and organisational factors that impact upon the reliability of the process and gives rise to recommendations to address contextual factors and improve perioperative practice and training.
AD  - D. D'Lima
AU  - D'Lima, D.
AU  - Sacks, M.
AU  - Blackman, W.
AU  - Benn, J.
DB  - Medline
DO  - 10.1177/175045891402400503
IS  - 5
KW  - article
clinical nursing research
clinical protocol
foreign body
human
organization
organization and management
perioperative nursing
public relations
surgical equipment
LA  - English
M3  - Article
N1  - L373452737
2014-07-11
PY  - 2014
SN  - 1750-4589
SP  - 103-111
ST  - Surgical swab counting: a qualitative analysis from the perspective of the scrub nurse
T2  - Journal of perioperative practice
TI  - Surgical swab counting: a qualitative analysis from the perspective of the scrub nurse
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L373452737&from=export
http://dx.doi.org/10.1177/175045891402400503
VL  - 24
ID  - 459
ER  - 

TY  - JOUR
AB  - Introduction Retained surgical sponge or other items in patients’ bodies happens more frequently than is reported. Healthcare personnel can forget to remove textile material or instruments during complicated, extended, or emergency surgery. In addition, changes in the operating team can influence the occurrence of such errors. Presentation of case We present a case with a symptomatic gossypiboma nine years after a previous cesarean section. A 34-year-old woman was admitted to the emergency room having experienced abdominal pain and fever for the previous month. An abdominal computed tomography revealed an abscess in the lower abdomen. A laparotomy was performed, and a resection and block were carried out. A surgical sponge was extracted from an omental abscess. Discussion Surgical sponges are the most common foreign materials retained (70%) in the abdominal cavity because of their frequent usage and small size. Moreover, a blood-soaked sponge in a hemorrhagic abdomen can be difficult to distinguish from blood. Conclusion Whenever the accounting for material depends on humans, mistakes will continue to be committed. A falsely correct sponge count was reported in 71.42% of cases [14]; therefore, a new count system must be developed for post-surgical situations. © 2016 The Authors
AD  - Department of Surgery, Assuta Medical Center, Tel Aviv, Israel
Assia Medical Group, Tel Aviv, Israel
Department of Nutrition and Diet, Assuta Medical Center, Tel Aviv, Israel
AU  - Susmallian, S.
AU  - Raskin, B.
AU  - Barnea, R.
DB  - Scopus
DO  - 10.1016/j.ijscr.2016.10.026
KW  - Abdomen
Bowel
Patient safety
Retained foreign body
Surgery
M3  - Article
N1  - Cited By :3
Export Date: 10 November 2020
PY  - 2016
SP  - 296-299
ST  - Surgical sponge forgotten for nine years in the abdomen: A case report
T2  - International Journal of Surgery Case Reports
TI  - Surgical sponge forgotten for nine years in the abdomen: A case report
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84992520708&doi=10.1016%2fj.ijscr.2016.10.026&partnerID=40&md5=ddb1474882d29a0664e3626d7247423c
VL  - 28
ID  - 1198
ER  - 

TY  - JOUR
AB  - Introduction Retained surgical sponge or other items in patients’ bodies happens more frequently than is reported. Healthcare personnel can forget to remove textile material or instruments during complicated, extended, or emergency surgery. In addition, changes in the operating team can influence the occurrence of such errors. Presentation of case We present a case with a symptomatic gossypiboma nine years after a previous cesarean section. A 34-year-old woman was admitted to the emergency room having experienced abdominal pain and fever for the previous month. An abdominal computed tomography revealed an abscess in the lower abdomen. A laparotomy was performed, and a resection and block were carried out. A surgical sponge was extracted from an omental abscess. Discussion Surgical sponges are the most common foreign materials retained (70%) in the abdominal cavity because of their frequent usage and small size. Moreover, a blood-soaked sponge in a hemorrhagic abdomen can be difficult to distinguish from blood. Conclusion Whenever the accounting for material depends on humans, mistakes will continue to be committed. A falsely correct sponge count was reported in 71.42% of cases [14]; therefore, a new count system must be developed for post-surgical situations.
AD  - S. Susmallian, Department of Surgery, Assuta Medical Center, Tel Aviv, Israel
AU  - Susmallian, S.
AU  - Raskin, B.
AU  - Barnea, R.
DB  - Embase
DO  - 10.1016/j.ijscr.2016.10.026
KW  - abdomen
abdominal abscess
abdominal pain
abdominal radiography
abdominal tenderness
abdominal tumor
adult
article
case report
cesarean section
computer assisted tomography
device removal
emergency ward
female
fever
foreign body
gossypiboma
human
laboratory test
laparotomy
pelvis abscess
peritoneum
physical examination
postoperative pain
priority journal
retained instrument
surgical infection
surgical sponge
surgical technique
tumor volume
LA  - English
M3  - Article
N1  - L612879436
2016-11-03
2016-11-16
PY  - 2016
SN  - 2210-2612
SP  - 296-299
ST  - Surgical sponge forgotten for nine years in the abdomen: A case report
T2  - International Journal of Surgery Case Reports
TI  - Surgical sponge forgotten for nine years in the abdomen: A case report
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L612879436&from=export
http://dx.doi.org/10.1016/j.ijscr.2016.10.026
VL  - 28
ID  - 418
ER  - 

TY  - JOUR
AB  - Background: Posterior segment metallic intraocular foreign bodies (IOFBs) are a leading cause of visual morbidity and blindness, especially among young and middle-aged working populations. Here, we aimed to evaluate the surgical outcomes of the removal of such IOFBs that result from injuries. Methods: In this retrospective study, 39 patients injured by metallic posterior segment IOFBs and who underwent primary repair procedures, vitrectomies, and IOFBs removal with or without procedures for traumatic cataract removal, scleral buckling and intraoperative tamponade application from January, 2008 to January, 2019. We analyzed the preoperative, intraoperative and postoperative related factors that affect the final visual outcomes. Results: The mean age of the 39 patients was 40.51 ± 12.48 years with the male being predominent (100%).The mean preoperative vision measured 1.50 [Snellen Equivalent (SE), 20/645] ± 1.12 logMAR with the mean final vision measuring 0.93 (SE, 20/172) ± 1.09 logMAR. The related factors that were determined to affect the final visual outcomes included preoperative vision (P = 0.025), IOFB-related macula injuries (P = 0.001) and the development of postoperative complications (P = 0.005) especially retinal detachment (P = 0.002) with the mean final vision measuring 2.12 (SE, counting finger to hand motion) ±1.23 logMAR. Concerning the preoperative signs, the patients with preoperative endophthalmitis also obtained poor mean final vision measuring 1.30 (SE,20/400) ± 1.40 logMAR. Conclusion: IOFB-related macula injuries and postoperative retinal detachment were important related factors of poor final visual prognoses in cases involving posterior segment metallic IOFBs. Removing IOFB as early as possible may prevent preoperative endophthalmitis which could lead poor final visions even without significance. © 2020 The Author(s).
AD  - Department of Ophthalmology, Kaohsiung Veterans General Hospital, 386, Ta-Chung 1st Road, Kaohsiung, 813, Taiwan
School of Medicine, National Yang-Ming University, Taipei, Taiwan
AU  - Peng, K. L.
AU  - Kung, Y. H.
AU  - Hsu, P. S.
AU  - Wu, T. T.
C7  - 267
DB  - Scopus
DO  - 10.1186/s12886-020-01535-5
IS  - 1
KW  - Endophthalmitis
Metallic intraocular foreign bodies
Posterior segment
Retinal detachment
Scleral buckling
Tamponade
Vitrectomy
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
ST  - Surgical outcomes of the removal of posterior segment metallic intraocular foreign bodies
T2  - BMC Ophthalmology
TI  - Surgical outcomes of the removal of posterior segment metallic intraocular foreign bodies
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85087738432&doi=10.1186%2fs12886-020-01535-5&partnerID=40&md5=4e28e3f0ec02f92f8b9b4d6b851c9d86
VL  - 20
ID  - 958
ER  - 

TY  - JOUR
AB  - BACKGROUND: Posterior segment metallic intraocular foreign bodies (IOFBs) are a leading cause of visual morbidity and blindness, especially among young and middle-aged working populations. Here, we aimed to evaluate the surgical outcomes of the removal of such IOFBs that result from injuries. METHODS: In this retrospective study, 39 patients injured by metallic posterior segment IOFBs and who underwent primary repair procedures, vitrectomies, and IOFBs removal with or without procedures for traumatic cataract removal, scleral buckling and intraoperative tamponade application from January, 2008 to January, 2019. We analyzed the preoperative, intraoperative and postoperative related factors that affect the final visual outcomes. RESULTS: The mean age of the 39 patients was 40.51 ± 12.48 years with the male being predominent (100%).The mean preoperative vision measured 1.50 [Snellen Equivalent (SE), 20/645] ± 1.12 logMAR with the mean final vision measuring 0.93 (SE, 20/172) ± 1.09 logMAR. The related factors that were determined to affect the final visual outcomes included preoperative vision (P = 0.025), IOFB-related macula injuries (P = 0.001) and the development of postoperative complications (P = 0.005) especially retinal detachment (P = 0.002) with the mean final vision measuring 2.12 (SE, counting finger to hand motion) ±1.23 logMAR. Concerning the preoperative signs, the patients with preoperative endophthalmitis also obtained poor mean final vision measuring 1.30 (SE,20/400) ± 1.40 logMAR. CONCLUSION: IOFB-related macula injuries and postoperative retinal detachment were important related factors of poor final visual prognoses in cases involving posterior segment metallic IOFBs. Removing IOFB as early as possible may prevent preoperative endophthalmitis which could lead poor final visions even without significance.
AU  - Peng, K. L.
AU  - Kung, Y. H.
AU  - Hsu, P. S.
AU  - Wu, T. T.
DB  - Medline
DO  - 10.1186/s12886-020-01535-5
IS  - 1
KW  - adult
article
cataract extraction
clinical article
complication
controlled study
endophthalmitis
finger
human
intraocular foreign body
male
motion
postoperative complication
prevention
prognosis
retina detachment
retina macula lutea
retrospective study
sclera buckling procedure
surgery
traumatic cataract
visual acuity
vitrectomy
LA  - English
M3  - Article
N1  - L632295566
2020-07-20
PY  - 2020
SN  - 1471-2415
SP  - 267
ST  - Surgical outcomes of the removal of posterior segment metallic intraocular foreign bodies
T2  - BMC ophthalmology
TI  - Surgical outcomes of the removal of posterior segment metallic intraocular foreign bodies
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L632295566&from=export
http://dx.doi.org/10.1186/s12886-020-01535-5
VL  - 20
ID  - 272
ER  - 

TY  - JOUR
AB  - Background: Posterior segment metallic intraocular foreign bodies (IOFBs) are a leading cause of visual morbidity and blindness, especially among young and middle-aged working populations. Here, we aimed to evaluate the surgical outcomes of the removal of such IOFBs that result from injuries.Methods: In this retrospective study, 39 patients injured by metallic posterior segment IOFBs and who underwent primary repair procedures, vitrectomies, and IOFBs removal with or without procedures for traumatic cataract removal, scleral buckling and intraoperative tamponade application from January, 2008 to January, 2019. We analyzed the preoperative, intraoperative and postoperative related factors that affect the final visual outcomes.Results: The mean age of the 39 patients was 40.51 ± 12.48 years with the male being predominent (100%).The mean preoperative vision measured 1.50 [Snellen Equivalent (SE), 20/645] ± 1.12 logMAR with the mean final vision measuring 0.93 (SE, 20/172) ± 1.09 logMAR. The related factors that were determined to affect the final visual outcomes included preoperative vision (P = 0.025), IOFB-related macula injuries (P = 0.001) and the development of postoperative complications (P = 0.005) especially retinal detachment (P = 0.002) with the mean final vision measuring 2.12 (SE, counting finger to hand motion) ±1.23 logMAR. Concerning the preoperative signs, the patients with preoperative endophthalmitis also obtained poor mean final vision measuring 1.30 (SE,20/400) ± 1.40 logMAR.Conclusion: IOFB-related macula injuries and postoperative retinal detachment were important related factors of poor final visual prognoses in cases involving posterior segment metallic IOFBs. Removing IOFB as early as possible may prevent preoperative endophthalmitis which could lead poor final visions even without significance.
AD  - Department of Ophthalmology, Kaohsiung Veterans General Hospital, 386, Ta-Chung 1st Road, 813, Kaohsiung, Taiwan, Republic of China
School of Medicine, National Yang-Ming University, Taipei, Taiwan, Republic of China
AN  - 144403779. Language: English. Entry Date: In Process. Revision Date: 20200711. Publication Type: journal article. Journal Subset: Biomedical
AU  - Peng, Kai-Ling
AU  - Kung, Ya-Hsin
AU  - Hsu, Pyn-Sing
AU  - Wu, Tsung-Tien
DB  - ccm
DO  - 10.1186/s12886-020-01535-5
DP  - EBSCOhost
IS  - 1
N1  - Europe; UK & Ireland. NLM UID: 100967802.
PMID: NLM32631275.
PY  - 2020
SN  - 1471-2415
SP  - 1-6
ST  - Surgical outcomes of the removal of posterior segment metallic intraocular foreign bodies
T2  - BMC Ophthalmology
TI  - Surgical outcomes of the removal of posterior segment metallic intraocular foreign bodies
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=144403779&site=ehost-live&scope=site
VL  - 20
ID  - 707
ER  - 

TY  - JOUR
AB  - The surgical count plays a vital role in enabling perioperative nurses to provide a safe environment to surgical patients. Counting errors are preventable. Although national standards of care provide excellent guidelines for developing effective count protocols, counting procedures are often modified according to individual health care policy. This article will discuss the risk factors for retained items, rate of occurrence, what objects are being left in patients, role of x-rays and consequences of leaving an object in a patient. It will also highlight points to be considered when implementing new count policies.
AD  - Health Sciences Centre, Winnipeg, MB.
AU  - Porteous, J.
DB  - Scopus
IS  - 4
M3  - Review
N1  - Cited By :6
Export Date: 10 November 2020
PY  - 2004
SP  - 6-8, 10, 12
ST  - Surgical counts can be risky business!
T2  - Canadian operating room nursing journal
TI  - Surgical counts can be risky business!
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-14844318029&partnerID=40&md5=0b3fc3f3e45c2a045ab3633ecd89f203
VL  - 22
ID  - 1633
ER  - 

TY  - JOUR
AB  - The surgical count plays a vital role in enabling perioperative nurses to provide a safe environment to surgical patients. Counting errors are preventable. Although national standards of care provide excellent guidelines for developing effective count protocols, counting procedures are often modified according to individual health care policy. This article will discuss the risk factors for retained items, rate of occurrence, what objects are being left in patients, role of x-rays and consequences of leaving an object in a patient. It will also highlight points to be considered when implementing new count policies.
AD  - Clinical Educator, OR, Health Sciences Centre, Winnipeg, MB
AN  - 106621277. Language: English. Entry Date: 20050429. Revision Date: 20150820. Publication Type: Journal Article
AU  - Porteous, J.
DB  - ccm
DP  - EBSCOhost
IS  - 4
KW  - Perioperative Nursing
Surgical Count Procedure
Operating Room Nurses Association of Canada
Retained Instruments -- Epidemiology
Retained Instruments -- Mortality
Retained Instruments -- Radiography
Retained Instruments -- Risk Factors
N1  - pictorial. Journal Subset: Blind Peer Reviewed; Canada; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed. NLM UID: 8406632.
PMID: NLM15709630.
PY  - 2004
SN  - 0712-6778
SP  - 6-12
ST  - Surgical counts can be risky business!
T2  - Canadian Operating Room Nursing Journal
TI  - Surgical counts can be risky business!
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106621277&site=ehost-live&scope=site
VL  - 22
ID  - 849
ER  - 

TY  - JOUR
AB  - The surgical count plays a vital role in enabling perioperative nurses to provide a safe environment to surgical patients. Counting errors are preventable. Although national standards of care provide excellent guidelines for developing effective count protocols, counting procedures are often modified according to individual health care policy. This article will discuss the risk factors for retained items, rate of occurrence, what objects are being left in patients, role of x-rays and consequences of leaving an object in a patient. It will also highlight points to be considered when implementing new count policies.
AD  - J. Porteous, Health Sciences Centre, Winnipeg, MB.
AU  - Porteous, J.
DB  - Medline
IS  - 4
KW  - Canada
case report
foreign body
human
male
medical error
middle aged
nurse attitude
nursing
operating room
operating room personnel
organization and management
peroperative complication
policy
practice guideline
radiography
review
risk factor
safety
statistics
surgical sponge
United States
LA  - English
M3  - Review
N1  - L40336669
2005-03-21
PY  - 2004
SN  - 0712-6778
SP  - 6-8, 10, 12
ST  - Surgical counts can be risky business!
T2  - Canadian operating room nursing journal
TI  - Surgical counts can be risky business!
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L40336669&from=export
VL  - 22
ID  - 632
ER  - 

TY  - JOUR
AB  - The Australian College of Perioperative Nurses (ACORN) have developed a set of standards to guide clinical practice within the perioperative setting. The ACORN standard 'Management of accountable items used during surgery and procedures' (ACORN 2016) details a process for perioperative nurses to follow when undertaking a surgical count.
AU  - Warwick, V.
AU  - Gillespie, B.
DB  - Scopus
IS  - 10
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2017
SP  - 39
ST  - SURGICAL COUNTING: A PERIOPERATIVE NURSE'S PERSPECTIVE
T2  - Australian nursing & midwifery journal
TI  - SURGICAL COUNTING: A PERIOPERATIVE NURSE'S PERSPECTIVE
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85040669284&partnerID=40&md5=263298ea4c80b08597295b9fd4e6322d
VL  - 24
ID  - 1135
ER  - 

TY  - JOUR
AB  - The Australian College of Perioperative Nurses (ACORN) have developed a set of standards to guide clinical practice within the perioperative setting. The ACORN standard 'Management of accountable items used during surgery and procedures' (ACORN 2016) details a process for perioperative nurses to follow when undertaking a surgical count.
AU  - Warwick, V.
AU  - Gillespie, B.
DB  - Medline
IS  - 10
KW  - foreign body
human
medical error
nurse attitude
operating room personnel
patient safety
prevention and control
LA  - English
M3  - Article
N1  - L620284709
2018-01-29
PY  - 2017
SN  - 2202-7114
SP  - 39
ST  - SURGICAL COUNTING: A PERIOPERATIVE NURSE'S PERSPECTIVE
T2  - Australian nursing & midwifery journal
TI  - SURGICAL COUNTING: A PERIOPERATIVE NURSE'S PERSPECTIVE
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L620284709&from=export
VL  - 24
ID  - 378
ER  - 

TY  - JOUR
AB  - Objective: To analyze the surgical count process according to reports of nurses working in surgical centers of a city in the state of São Paulo. Methods: Cross-sectional study with a sample of 55 nurses. Data collection occurred from August to December 2013, with application of an instrument submitted to face and content validation, composed of data on variables regarding characteristics of nurses, hospital, and surgical count process. Results: Fifty-two (94.5%) nurses reported that the surgical count process was carried out in their workplaces. A statistically significant association was found between the surgical count process and the type of institution (P=0.046), and between the presence of a surgical technologist and the processes for counting surgical instruments (P<0.001) and sponges (P=0.016). Conclusion: The results found contributed to understand how, by whom, and when the surgical count process was carried out in the studied hospital.
Objetivo: Analizar el procedimiento de recuento quirúrgico según el relato de los enfermeros que trabajan en unidades de centros quirúrgicos de un municipio del estado de São Paulo. Métodos: Estudio transversal con una muestra de 55 enfermeros. La recolección de datos ocurrió entre agosto y diciembre de 2013 con la aplicación de instrumento sometido a la validación de cara y contenido, compuesto de los datos sobre las variables relacionadas a la caracterización del enfermero, hospital y procedimiento de recuento quirúrgico. Resultados: 52 (94,5%) enfermeros respondieron que el procedimiento de recuento quirúrgico se llevó a cabo en el lugar de trabajo. Se observó una asociación estadísticamente significativa del procedimiento de recuento quirúrgico con el tipo de institución (P=0,046); la presencia de matorral con los procedimientos de recuento de los instrumentos quirúrgicos (P <0,001) y de compresas (P=0,016). Conclusión: Los resultados encontrados ayudan en la comprensión acerca de cómo, por quién y cuándo el procedimiento de recuento quirúrgico se llevó a cabo en el ámbito hospitalario.
Objetivo: Analisar o processo de contagem cirúrgica segundo relato de enfermeiros que atuam em unidades de centro cirúrgico de município do estado de São Paulo. Métodos: Estudo transversal, com amostra de 55 enfermeiros. A coleta de dados ocorreu de agosto a dezembro de 2013, com aplicação de instrumento submetido à validade de face e conteúdo, composto de dados sobre variáveis relativas à caracterização do enfermeiro, hospital e processo de contagem cirúrgica. Resultados: 52 (94,5%) enfermeiros responderam que o processo de contagem cirúrgica era realizado no seu local de trabalho. Houve associação estatisticamente significante do processo de contagem cirúrgica com o tipo de instituição (P=0,046), da presença do instrumentador com os processos de contagem de instrumentos cirúrgicos (P<0,001) e de compressas (P=0,016). Conclusão: Os resultados evidenciados fornecem subsídios para a compreensão de como, por quem e quando o processo de contagem cirúrgica era realizado no contexto hospitalar.
AD  - Universidade Federal de Alfenas (UNIFAL), Escola de Enfermagem. Alfenas, Minas Gerais, Brasil.
Universidade de São Paulo (USP), Escola de Enfermagem de Ribeirão Preto. Ribeirão Preto, São Paulo, Brasil.
AN  - 124860144. Language: English. Entry Date: 20180228. Revision Date: 20180228. Publication Type: Article
AU  - Freitas, Patrícia Scotini
AU  - Sasso Mendes, Karina Dal
AU  - Galvão, Cristina Maria
DB  - ccm
DO  - 10.1590/1983-1447.2016.04.66877
DP  - EBSCOhost
IS  - 4
KW  - Surgical Count Procedure
Surgicenters -- Brazil
Patient Safety
Human
Brazil
Nurses
Cross Sectional Studies
Female
Male
Data Analysis Software
Adult
Middle Age
N1  - research; tables/charts. Journal Subset: Mexico & Central/South America; Nursing; Peer Reviewed. NLM UID: 8504882.
PY  - 2016
SN  - 0102-6933
SP  - 1-8
ST  - Surgical count process: evidence for patient safety
T2  - Revista Gaucha de Enfermagem
TI  - Surgical count process: evidence for patient safety
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124860144&site=ehost-live&scope=site
VL  - 37
ID  - 772
ER  - 

TY  - JOUR
AB  - Objective: To analyze the surgical count process according to reports of nurses working in surgical centers of a city in the state of São Paulo. Methods: Cross-sectional study with a sample of 55 nurses. Data collection occurred from August to December 2013, with application of an instrument submitted to face and content validation, composed of data on variables regarding characteristics of nurses, hospital, and surgical count process. Results: Fifty-two (94.5%) nurses reported that the surgical count process was carried out in their workplaces. A statistically significant association was found between the surgical count process and the type of institution (P=0.046), and between the presence of a surgical technologist and the processes for counting surgical instruments (P<0.001) and sponges (P=0.016). Conclusion: The results found contributed to understand how, by whom, and when the surgical count process was carried out in the studied hospital.
AD  - Universidade de São Paulo (USP), Escola de Enfermagem de Ribeirão Preto. Ribeirão Preto, Brasil, São Paulo, Brazil
AU  - Freitas, P. S.
AU  - Mendes, K. D.
AU  - Galvão, C. M.
DB  - Scopus
DO  - 10.1590/1983-1447.2016.04.66877
IS  - 4
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2017
SP  - e66877
ST  - Processo de contagem cirúrgica: evidências para a segurança do paciente
T2  - Revista gaucha de enfermagem
TI  - Surgical count process: evidence for patient safety
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85037562628&doi=10.1590%2f1983-1447.2016.04.66877&partnerID=40&md5=55ccbfc424fc71066b410eb2a6664f0e
VL  - 37
ID  - 1142
ER  - 

TY  - JOUR
AU  - Freitas, P. S.
AU  - Mendes, K. D.
AU  - Galvão, C. M.
DB  - Medline
DO  - 10.1590/1983-1447.2016.04.66877
IS  - 4
KW  - cross-sectional study
foreign body
human
patient safety
statistics and numerical data
surgical equipment
LA  - English
Portuguese
M3  - Article
N1  - L619649474
2017-12-15
PY  - 2017
SN  - 0102-6933
SP  - e66877
ST  - Surgical count process: evidence for patient safety
T2  - Revista gaucha de enfermagem
TI  - Surgical count process: evidence for patient safety
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L619649474&from=export
http://dx.doi.org/10.1590/1983-1447.2016.04.66877
VL  - 37
ID  - 381
ER  - 

TY  - JOUR
AB  - Aims and objectives To analyse the evidence reported in the literature concerning the surgical count process for surgical sponges, surgical instruments and sharps and to identify knowledge gaps for future research on the surgical count process. Background The surgical count process stands out among the practices advocated by the World Health Organization to ensure surgical safety. The literature indicates that this practice should be performed in all surgical processes. However, surgical items are still retained. Design Integrative review. Methods The literature search was conducted in the PubMed, CINAHL and LILACS databases and included studies on the surgical count process published in English, Spanish and Portuguese from January 2003-December 2013. Results A total of 28 primary studies were included in the sample, allowing the knowledge on the surgical count process to be summarised and grouped into three categories: risk factors for retained surgical items, how the surgical count process should be performed in the intraoperative period and the accompanying technologies that collaborate to improving the manual count process. Conclusions The correct implementation of the surgical count process by the perioperative nurse may contribute to preventing retained surgical items, thereby improving surgical patient safety. Relevance to clinical practice Nurses can use this review to assist in decision-making directed towards preparing, updating and implementing a reliable system for the surgical count process based on recent evidence because the perioperative nurse plays a key role in the implementation of this practice in health services.
AD  - Pythagoras University of Poços de Caldas, Poços de Caldas SP, Brazil
University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto SP, Brazil
Faculty of Nursing, University of Alberta, Edmonton AB, Canada
AN  - 115831112. Language: English. Entry Date: 20160610. Revision Date: 20190429. Publication Type: Article
AU  - Freitas, Patrícia Scotini
AU  - Silveira, Renata Cristina de Campos Pereira
AU  - Clark, Alexander Michael
AU  - Galvão, Cristina Maria
DB  - ccm
DO  - 10.1111/jocn.13216
DP  - EBSCOhost
IS  - 13-14
KW  - Surgical Count Procedure
Retained Instruments -- Prevention and Control
Perioperative Nursing
Human
Systematic Review
PubMed
CINAHL Database
Surgical Instruments
Surgical Sponges
Research Methodology -- Evaluation
Retained Instruments -- Risk Factors
Surgical Count Procedure -- Methods
N1  - research; systematic review; tables/charts. Journal Subset: Peer Reviewed. Special Interest: Evidence-Based Practice; Patient Safety; Perioperative Care.
PY  - 2016
SN  - 0962-1067
SP  - 1835-1847
ST  - Surgical count process for prevention of retained surgical items: an integrative review
T2  - Journal of Clinical Nursing (John Wiley & Sons, Inc.)
TI  - Surgical count process for prevention of retained surgical items: an integrative review
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115831112&site=ehost-live&scope=site
VL  - 25
ID  - 761
ER  - 

TY  - JOUR
AB  - Aims and objectives: To analyse the evidence reported in the literature concerning the surgical count process for surgical sponges, surgical instruments and sharps and to identify knowledge gaps for future research on the surgical count process. Background: The surgical count process stands out among the practices advocated by the World Health Organization to ensure surgical safety. The literature indicates that this practice should be performed in all surgical processes. However, surgical items are still retained. Design: Integrative review. Methods: The literature search was conducted in the PubMed, CINAHL and LILACS databases and included studies on the surgical count process published in English, Spanish and Portuguese from January 2003-December 2013. Results: A total of 28 primary studies were included in the sample, allowing the knowledge on the surgical count process to be summarised and grouped into three categories: risk factors for retained surgical items, how the surgical count process should be performed in the intraoperative period and the accompanying technologies that collaborate to improving the manual count process. Conclusions: The correct implementation of the surgical count process by the perioperative nurse may contribute to preventing retained surgical items, thereby improving surgical patient safety. Relevance to clinical practice: Nurses can use this review to assist in decision-making directed towards preparing, updating and implementing a reliable system for the surgical count process based on recent evidence because the perioperative nurse plays a key role in the implementation of this practice in health services. © 2016 John Wiley & Sons Ltd.
AD  - Pythagoras University of Poços de Caldas, Poços de Caldas, SP, Brazil
University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, SP, Brazil
Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
AU  - Freitas, P. S.
AU  - Silveira, R. C. C. P.
AU  - Clark, A. M.
AU  - Galvão, C. M.
DB  - Scopus
DO  - 10.1111/jocn.13216
IS  - 13-14
KW  - Brazil
Evidence-based practice
Integrative review
Patient safety
Perioperative nursing
Retained surgical items
Sharps
Surgical count process
Surgical instruments
Surgical sponges
M3  - Review
N1  - Cited By :4
Export Date: 10 November 2020
PY  - 2016
SP  - 1835-1847
ST  - Surgical count process for prevention of retained surgical items: An integrative review
T2  - Journal of Clinical Nursing
TI  - Surgical count process for prevention of retained surgical items: An integrative review
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84971370423&doi=10.1111%2fjocn.13216&partnerID=40&md5=3e1b7903b2e041770724ee2c84c3f44c
VL  - 25
ID  - 1177
ER  - 

TY  - JOUR
AB  - AIMS AND OBJECTIVES: To analyse the evidence reported in the literature concerning the surgical count process for surgical sponges, surgical instruments and sharps and to identify knowledge gaps for future research on the surgical count process. BACKGROUND: The surgical count process stands out among the practices advocated by the World Health Organization to ensure surgical safety. The literature indicates that this practice should be performed in all surgical processes. However, surgical items are still retained. DESIGN: Integrative review. METHODS: The literature search was conducted in the PubMed, CINAHL and LILACS databases and included studies on the surgical count process published in English, Spanish and Portuguese from January 2003-December 2013. RESULTS: A total of 28 primary studies were included in the sample, allowing the knowledge on the surgical count process to be summarised and grouped into three categories: risk factors for retained surgical items, how the surgical count process should be performed in the intraoperative period and the accompanying technologies that collaborate to improving the manual count process. CONCLUSIONS: The correct implementation of the surgical count process by the perioperative nurse may contribute to preventing retained surgical items, thereby improving surgical patient safety. RELEVANCE TO CLINICAL PRACTICE: Nurses can use this review to assist in decision-making directed towards preparing, updating and implementing a reliable system for the surgical count process based on recent evidence because the perioperative nurse plays a key role in the implementation of this practice in health services.
AU  - Freitas, P. S.
AU  - Silveira, R. C.
AU  - Clark, A. M.
AU  - Galvão, C. M.
DB  - Medline
DO  - 10.1111/jocn.13216
IS  - 13-14
KW  - foreign body
human
medical error
nursing
patient safety
perioperative nursing
practice guideline
prevention and control
surgery
LA  - English
M3  - Review
N1  - L616731245
2017-06-14
PY  - 2016
SN  - 1365-2702
SP  - 1835-1847
ST  - Surgical count process for prevention of retained surgical items: an integrative review
T2  - Journal of clinical nursing
TI  - Surgical count process for prevention of retained surgical items: an integrative review
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L616731245&from=export
http://dx.doi.org/10.1111/jocn.13216
VL  - 25
ID  - 402
ER  - 

TY  - JOUR
AB  - Validating existing count practices and reducing individual practice variance are necessary to decrease the risk for retained surgical items. A quality improvement project was undertaken at one large city hospital to identify best practice and eliminate variability in count practices. The project included an analysis of 20 surgical count policies from hospitals across the country and a review of count practices among nurses and surgical technologists at the facility. Assessment of the policies and practices indicated that clinical practice requirements in the policies varied greatly, and there was a high degree of count practice variability among staff members. The facility OR manager and OR quality coordinator collaborated with staff nurses and surgical technologists to identify practices that created variability and then addressed each one to create a new count policy and reduce the risk of retained surgical items. © 2012 AORN, Inc.
AD  - St Luke's Episcopal Hospital, Houston, TX, United States
AU  - Edel, E. M.
DB  - Scopus
DO  - 10.1016/j.aorn.2011.02.014
IS  - 2
KW  - Perioperative counts
Policies and procedures for counts
Retained surgical items
Surgical counts
M3  - Article
N1  - Cited By :4
Export Date: 10 November 2020
PY  - 2012
SP  - 228-238
ST  - Surgical Count Practice Variability and the Potential for Retained Surgical Items
T2  - AORN Journal
TI  - Surgical Count Practice Variability and the Potential for Retained Surgical Items
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84856270367&doi=10.1016%2fj.aorn.2011.02.014&partnerID=40&md5=67a1a08f496a3846d4aa15d84e98f61c
VL  - 95
ID  - 1380
ER  - 

TY  - JOUR
AB  - Validating existing count practices and reducing individual practice variance are necessary to decrease the risk for retained surgical items. A quality improvement project was undertaken at one large city hospital to identify best practice and eliminate variability in count practices. The project included an analysis of 20 surgical count policies from hospitals across the country and a review of count practices among nurses and surgical technologists at the facility. Assessment of the policies and practices indicated that clinical practice requirements in the policies varied greatly, and there was a high degree of count practice variability among staff members. The facility OR manager and OR quality coordinator collaborated with staff nurses and surgical technologists to identify practices that created variability and then addressed each one to create a new count policy and reduce the risk of retained surgical items.
AD  - Ambulatory Surgery at St Luke's Episcopal Hospital, Houston, Texas
AN  - 104518936. Language: English. Entry Date: 20120323. Revision Date: 20200708. Publication Type: Journal Article
AU  - Edel, Elizabeth Morell
DB  - ccm
DO  - 10.1016/j.aorn.2011.02.014
DP  - EBSCOhost
IS  - 2
KW  - Perioperative Nursing
Retained Instruments -- Prevention and Control
Surgical Count Procedure
Audit
Collaboration
Communication
Documentation
Hospital Policies
Human
Interviews
Nurse Managers
Professional Compliance
Quality Improvement
Registered Nurses
Staff Nurses
Surgical Technologists
Validity
N1  - research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Patient Safety; Perioperative Care; Quality Assurance. NLM UID: 0372403.
PMID: NLM22283914.
PY  - 2012
SN  - 0001-2092
SP  - 228-238
ST  - Surgical count practice variability and the potential for retained surgical items
T2  - AORN Journal
TI  - Surgical count practice variability and the potential for retained surgical items
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104518936&site=ehost-live&scope=site
VL  - 95
ID  - 739
ER  - 

TY  - JOUR
AB  - Validating existing count practices and reducing individual practice variance are necessary to decrease the risk for retained surgical items. A quality improvement project was undertaken at one large city hospital to identify best practice and eliminate variability in count practices. The project included an analysis of 20 surgical count policies from hospitals across the country and a review of count practices among nurses and surgical technologists at the facility. Assessment of the policies and practices indicated that clinical practice requirements in the policies varied greatly, and there was a high degree of count practice variability among staff members. The facility OR manager and OR quality coordinator collaborated with staff nurses and surgical technologists to identify practices that created variability and then addressed each one to create a new count policy and reduce the risk of retained surgical items. © 2012 AORN, Inc.
AD  - E.M. Edel, St Luke's Episcopal Hospital, Houston, TX, United States
AU  - Edel, E. M.
DB  - Medline
DO  - 10.1016/j.aorn.2011.02.014
IS  - 2
KW  - article
foreign body
hospital
human
medical error
methodology
needle
nursing
patient safety
perioperative nursing
practice guideline
standard
surgery
surgical equipment
LA  - English
M3  - Article
N1  - L364156051
2012-05-24
PY  - 2012
SN  - 0001-2092
SP  - 228-238
ST  - Surgical Count Practice Variability and the Potential for Retained Surgical Items
T2  - AORN Journal
TI  - Surgical Count Practice Variability and the Potential for Retained Surgical Items
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L364156051&from=export
http://dx.doi.org/10.1016/j.aorn.2011.02.014
VL  - 95
ID  - 523
ER  - 

TY  - JOUR
AB  - Gossypiboma or retained surgical sponge is an infrequently encountered surgical complication, more so in the head and neck region. A literature search did not reveal a previously reported case of retained or concealed surgical sponge after microscopic ear surgery. We present a unique and previously unreported case of a 25-year-old male who presented with a cystic swelling in the right supra-aural region 5 months post-modified radical mastoidectomy of the right ear. Surgical excision of the swelling revealed a retained surgical sponge. We emphasise the importance of counting surgical sponges after every surgical step to minimise the incidence of such retained surgical items.
AD  - Dr. Shroff's Charity Eye Hospital, Department of ENT, New Delhi, India
AU  - Chawla, N.
AU  - Gupta, N.
AU  - Dhawan, N.
DB  - Scopus
DO  - 10.1308/rcsann.2016.0234
IS  - 8
KW  - Gossypiboma
Retained surgical item
Supra-aural
Surgical sponge
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2016
SP  - e186-e188
ST  - Supra-aural gossypiboma: Case report of a retained textile surgical sponge in an unusual location
T2  - Annals of the Royal College of Surgeons of England
TI  - Supra-aural gossypiboma: Case report of a retained textile surgical sponge in an unusual location
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84995693999&doi=10.1308%2frcsann.2016.0234&partnerID=40&md5=ac4cfcd1d07338d096aee1e5fc348b48
VL  - 98
ID  - 1200
ER  - 

TY  - JOUR
AB  - Gossypiboma or retained surgical sponge is an infrequently encountered surgical complication, more so in the head and neck region. A literature search did not reveal a previously reported case of retained or concealed surgical sponge after microscopic ear surgery. We present a unique and previously unreported case of a 25-year-old male who presented with a cystic swelling in the right supra-aural region 5 months post-modified radical mastoidectomy of the right ear. Surgical excision of the swelling revealed a retained surgical sponge. We emphasise the importance of counting surgical sponges after every surgical step to minimise the incidence of such retained surgical items.
AU  - Chawla, N.
AU  - Gupta, N.
AU  - Dhawan, N.
DB  - Medline
IS  - 8
KW  - adult
adverse event
case report
foreign body
human
inner ear
male
mastoid
medical error
surgical sponge
LA  - English
M3  - Article
N1  - L614334315
2017-02-10
PY  - 2016
SN  - 1478-7083
SP  - e186-e188
ST  - Supra-aural gossypiboma: case report of a retained textile surgical sponge in an unusual location
T2  - Annals of the Royal College of Surgeons of England
TI  - Supra-aural gossypiboma: case report of a retained textile surgical sponge in an unusual location
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L614334315&from=export
VL  - 98
ID  - 391
ER  - 

TY  - JOUR
AB  - Retained surgical material needs to be a possible differential diagnosis for patients presenting with unspecific abdominal pain after especially cavitary emergency surgery. Even though international standard checklists concerning sponge handling and counting exist, RSM could never be ruled out completely. © 2019 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.
AD  - Departement of Visceral-, Thoracic- and Vascular Surgery, University Hospital Dresden, Dresden, Germany
Departement of General Surgery, Cantonal Hospital Lucerne, Luzern, Switzerland
AU  - Oehme, F.
AU  - Rühle, A.
AU  - Stickel, M.
AU  - Metzger, J.
AU  - Gass, J. M.
DB  - Scopus
DO  - 10.1002/ccr3.2074
IS  - 4
KW  - Gossypiboma
remained surgical material
small bowel obstruction
vaginal hysterectomy
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2019
SP  - 753-757
ST  - The sucked surgical sponge: Rare case of Gossypiboma after vaginal hysterectomy
T2  - Clinical Case Reports
TI  - The sucked surgical sponge: Rare case of Gossypiboma after vaginal hysterectomy
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85063985672&doi=10.1002%2fccr3.2074&partnerID=40&md5=b6e305881cecc391332ba4b7090c7f09
VL  - 7
ID  - 1019
ER  - 

TY  - JOUR
AB  - Retained surgical material needs to be a possible differential diagnosis for patients presenting with unspecific abdominal pain after especially cavitary emergency surgery. Even though international standard checklists concerning sponge handling and counting exist, RSM could never be ruled out completely.
AD  - F. Oehme, Departement of Visceral-, Thoracic- and Vascular Surgery, University Hospital Dresden, Dresden, Germany
AU  - Oehme, F.
AU  - Rühle, A.
AU  - Stickel, M.
AU  - Metzger, J.
AU  - Gass, J. M.
DB  - Embase
DO  - 10.1002/ccr3.2074
IS  - 4
KW  - surgical sponge
C reactive protein
abdominal pain
adult
aged
article
blood pressure
cancer chemotherapy
case report
clinical article
clinical examination
clinical outcome
computer assisted tomography
differential diagnosis
echography
female
follow up
foreign body
gossypiboma
human
intestine sound
leukocytosis
mastectomy
priority journal
temperature
vaginal hysterectomy
very elderly
LA  - English
M3  - Article
N1  - L627069565
2019-04-12
2019-04-15
PY  - 2019
SN  - 2050-0904
SP  - 753-757
ST  - The sucked surgical sponge: Rare case of Gossypiboma after vaginal hysterectomy
T2  - Clinical Case Reports
TI  - The sucked surgical sponge: Rare case of Gossypiboma after vaginal hysterectomy
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L627069565&from=export
http://dx.doi.org/10.1002/ccr3.2074
VL  - 7
ID  - 319
ER  - 

TY  - JOUR
AB  - The postoperatively retained foreign body (PORFB) can induce complications leading to the need for follow-up surgery to ensure its removal, to treat or prevent the formation of an abscess, and to minimize the risk of death for the patient and liability for the surgeon and hospital. The most common cause of PORFB complications is the surgical sponge. Previously, PORFB prevention was focused on improved efficiency in RFB counting; however, because of the inability to entirely eliminate human error, cost, and the potentially unproven patient outcome improvement, new approaches have been sought. We examined the use of a novel bioengineered, biodegradable sponge (BSS) to reduce the risk of complications due to PORFBs, thus potentially improving patient outcomes. © 2012-IOS Press and the authors. All rights reserved.
AD  - Department of Surgery, Johns Hopkins University, School of Medicine, 4940 Eastern Avenue, Baltimore, MD 21224, United States
AU  - Asiyanbola, B.
DB  - Scopus
DO  - 10.3233/THC-2012-00700
IS  - 5
KW  - automated data identification capture
Biodegradable surgical sponge
retained surgical sponge
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2012
SP  - 387-393
ST  - A study of the bioengineered surgical sponge
T2  - Technology and Health Care
TI  - A study of the bioengineered surgical sponge
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84874354857&doi=10.3233%2fTHC-2012-00700&partnerID=40&md5=ac8501c15aaf6c2c53ffd94a6d145d79
VL  - 20
ID  - 1347
ER  - 

TY  - JOUR
AB  - The postoperatively retained foreign body (PORFB) can induce complications leading to the need for follow-up surgery to ensure its removal, to treat or prevent the formation of an abscess, and to minimize the risk of death for the patient and liability for the surgeon and hospital. The most common cause of PORFB complications is the surgical sponge. Previously, PORFB prevention was focused on improved efficiency in RFB counting; however, because of the inability to entirely eliminate human error, cost, and the potentially unproven patient outcome improvement, new approaches have been sought. We examined the use of a novel bioengineered, biodegradable sponge (BSS) to reduce the risk of complications due to PORFBs, thus potentially improving patient outcomes.
AD  - B. Asiyanbola, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21224, USA.
AU  - Asiyanbola, B.
DB  - Medline
IS  - 5
KW  - animal
article
biomedical engineering
cost benefit analysis
disease model
economics
foreign body
human
methodology
postoperative complication
surgical sponge
pig
time
LA  - English
M3  - Article
N1  - L366395954
2013-04-10
PY  - 2012
SN  - 1878-7401
SP  - 387-393
ST  - A study of the bioengineered surgical sponge
T2  - Technology and health care : official journal of the European Society for Engineering and Medicine
TI  - A study of the bioengineered surgical sponge
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L366395954&from=export
VL  - 20
ID  - 499
ER  - 

TY  - JOUR
DB  - Scopus
IS  - 3
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2008
ST  - Study examines counts, retained items
T2  - OR manager
TI  - Study examines counts, retained items
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-43549110066&partnerID=40&md5=4b7e00ad437d94f1e6dfeaadabfe03d2
VL  - 24
ID  - 1533
ER  - 

TY  - JOUR
AB  - PURPOSE:: The aim of this study was to report three cases of stromal rejection after deep anterior lamellar keratoplasty using big bubble technique in keratoconus. METHODS:: Deep anterior lamellar keratoplasty was performed in 3 cases of keratoconus (11-19 years of age) using the "big bubble" technique. All of them presented 4 to 19 months after uneventful surgeries with variable decrease of vision (1/200-20/200) along with foreign body sensation, mild pain, and corneal edema. Suture infiltrates were present in all eyes. Ultrasound pachymetry showed variable increase in central corneal thickness (711-894 μm). These patients with stromal rejection were administered pulse intravenous methylprednisolone, 500 mg in 150 mL of 5% dextrose and were started on 1% prednisolone acetate eye drops 1 hourly, moxifloxacin hydrochloride 0.5% 4 times a day along with homatropine 2% eye drops 4 times a day. RESULTS:: Complete recovery of the stromal rejections was attained with clear graft and recovery of visual acuity (≥20/40) in all eyes. Central corneal thickness returned to prerejection values in all the eyes after 7 days. There was no significant change in specular count. CONCLUSIONS:: Deep anterior lamellar keratoplasty does not eliminate the risk of stromal rejection. Suture-related factors in the form of suture infiltrates and loose suture are an important risk factor for graft rejection. Graft rejection if treated promptly is reversible. © 2013 Lippincott Williams & Wilkins.
AD  - Department of Ophthalmology, Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India
AU  - Sharma, N.
AU  - Kandar, A. K.
AU  - Singh Titiyal, J.
DB  - Scopus
DO  - 10.1097/ICL.0b013e31824ccb91
IS  - 2
M3  - Review
N1  - Cited By :9
Export Date: 10 November 2020
PY  - 2013
SP  - 194-198
ST  - Stromal rejection after big bubble deep anterior lamellar keratoplasty: Case series and review of literature
T2  - Eye and Contact Lens
TI  - Stromal rejection after big bubble deep anterior lamellar keratoplasty: Case series and review of literature
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84874947151&doi=10.1097%2fICL.0b013e31824ccb91&partnerID=40&md5=077f81d8c6ee0712e49735450b3c787a
VL  - 39
ID  - 1330
ER  - 

TY  - JOUR
AB  - PURPOSE:: The aim of this study was to report three cases of stromal rejection after deep anterior lamellar keratoplasty using big bubble technique in keratoconus. METHODS:: Deep anterior lamellar keratoplasty was performed in 3 cases of keratoconus (11-19 years of age) using the "big bubble" technique. All of them presented 4 to 19 months after uneventful surgeries with variable decrease of vision (1/200-20/200) along with foreign body sensation, mild pain, and corneal edema. Suture infiltrates were present in all eyes. Ultrasound pachymetry showed variable increase in central corneal thickness (711-894 μm). These patients with stromal rejection were administered pulse intravenous methylprednisolone, 500 mg in 150 mL of 5% dextrose and were started on 1% prednisolone acetate eye drops 1 hourly, moxifloxacin hydrochloride 0.5% 4 times a day along with homatropine 2% eye drops 4 times a day. RESULTS:: Complete recovery of the stromal rejections was attained with clear graft and recovery of visual acuity (≥20/40) in all eyes. Central corneal thickness returned to prerejection values in all the eyes after 7 days. There was no significant change in specular count. CONCLUSIONS:: Deep anterior lamellar keratoplasty does not eliminate the risk of stromal rejection. Suture-related factors in the form of suture infiltrates and loose suture are an important risk factor for graft rejection. Graft rejection if treated promptly is reversible. © 2013 Lippincott Williams & Wilkins.
AD  - N. Sharma, Cornea and Refractive Surgery Services, Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India
AU  - Sharma, N.
AU  - Kandar, A. K.
AU  - Singh Titiyal, J.
C1  - pred acetate(Allergan,India)
solu medrol(Pfizer,India)
vigamox(Alcon,India)
C2  - Alcon(India)
Allergan(India)
Pfizer(India)
DB  - Embase
Medline
DO  - 10.1097/ICL.0b013e31824ccb91
IS  - 2
KW  - betamethasone
dexamethasone
fluorometholone
homatropine
methylprednisolone sodium succinate
moxifloxacin
povidone iodine
pred acetate
prednisolone acetate
steroid
unclassified drug
adult
big bubble technique
case report
central corneal thickness
child
cornea edema
deep anterior lamellar keratoplasty
eye discomfort
eye pain
eye redness
female
graft rejection
human
inflammatory infiltrate
intraocular foreign body
keratoconus
keratoplasty
male
medical literature
medical procedures
nylon suture
pachymetry
priority journal
review
risk factor
school child
slit lamp
Staphylococcus aureus
suture
visual acuity
visual disorder
solu medrol
vigamox
LA  - English
M3  - Review
N1  - L52443692
2013-02-20
2013-03-27
PY  - 2013
SN  - 1542-2321
1542-233X
SP  - 194-198
ST  - Stromal rejection after big bubble deep anterior lamellar keratoplasty: Case series and review of literature
T2  - Eye and Contact Lens
TI  - Stromal rejection after big bubble deep anterior lamellar keratoplasty: Case series and review of literature
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L52443692&from=export
http://dx.doi.org/10.1097/ICL.0b013e31824ccb91
VL  - 39
ID  - 488
ER  - 

TY  - JOUR
AB  - Two cases of starch granulomatous peritonitis, one symptomatic and one asymptomatic, are presented. Although starch glove powder is usually innocuous, the number of cases of starch peritonitis reported in the literature indicates that it is not always so. The typical syndrome consists of abdominal pain, fever, and signs of peritonitis. The leukocyte count is usually within the normal range, but sometimes eosinophilia is present. Signs and symptoms characteristically develop 10 to 40 days after an uneventful operation. The diagnosis can be confirmed by finding starch granules in the tissue and in foreign body giant cells. Reoperation may be avoided by suspecting the syndrome and searching for starch in ascitic fluid obtained by paracentesis. Therapy consists of steroids or an anti-inflammatory agent such as indomethacin. © 1974 Southern Medical Association.
AD  - University of Texas System Cancer Center, M. D. Anderson Hospital and Tumor Institute, Departments of Gynecology and Pathology, Houston, TX, United States
AU  - Ehrlich, C. E.
AU  - Wharton, J. T.
AU  - Gallager, H. S.
DB  - Scopus
DO  - 10.1097/00007611-197404000-00016
IS  - 4
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 1974
SP  - 443-446
ST  - Starch granulomatous peritonitis
T2  - Southern Medical Journal
TI  - Starch granulomatous peritonitis
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0016375220&doi=10.1097%2f00007611-197404000-00016&partnerID=40&md5=20b4bba8fdd7648bf9124bb8c4bca90e
VL  - 67
ID  - 1777
ER  - 

TY  - JOUR
AB  - BACKGROUND: Pneumothorax is one of the respiratory toxic effects of cocaine inhalation. The literature counts several cases, some associated to other respiratory conditions such as pneumomediastinum, haemoptysis and others not requiring surgical treatment. AIM: We present a series of nonHIV cocaine-inhaler subjects who underwent video-assisted thoracoscopic surgery (VATS) for isolated spontaneous pneumothorax. DESIGN: Nine subjects, with a mean age of 24 ± 4 years, admitting cocaine inhalation, developed spontaneous pneumothorax and underwent 10 surgical treatments by means of VATS, at our Institution. RESULTS: Previous pneumothorax occurred in six cases episodes ranged from 0 to 5 (mean 1.6 ± 1.6). Chest computed tomography (CT) scan showed abnormalities in seven cases. All subjects underwent lung apicectomy, apical pleurectomy and mechanical pleurodesis. Seven subjects had also bullectomy. In all cases the visceral pleura was partially covered by fibrinous exudate. Histology of the lung showed small foreign body granulomatous inflammation in fibrotic and/or emphysematous pulmonary parenchyma. Relapse of pneumothorax occurred in one subject at 60 days and it was surgically treated. Mean follow-up was 150 ± 38 months (range 120-239). All subjects are now well, with no evidence of pneumothorax. CONCLUSIONS: Spontaneous pneumothorax in cocaine-inhaler subjects is a reality of which physicians need to be aware. Chest CT scan might not reveal abnormalities. Macroscopically the lung might presents bullae and/or peculiar visceral pleura. Foreign body granulomas observed in the specimens suggest that the particulate component of inhaled substances can injure the lung. Surgical treatment of the bullous disease and mechanical pleurodesis can provide a long-term follow-up without relapse of pneumothorax. © The Author(s) 2019. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For permissions, please email: journals.permissions@oup.com.
AD  - Department of Thoracic Surgery
Department of Pathology, Scientific Institute and University Vita-Salute San Raffaele, Ospedale San Raffaele, Milan, Italy
AU  - Ciriaco, P.
AU  - Rossetti, F.
AU  - Carretta, A.
AU  - Sant'Angelo, M.
AU  - Arrigoni, G.
AU  - Negri, G.
DB  - Scopus
DO  - 10.1093/qjmed/hcz070
IS  - 7
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2019
SP  - 519-522
ST  - Spontaneous pneumothorax in cocaine users
T2  - QJM : monthly journal of the Association of Physicians
TI  - Spontaneous pneumothorax in cocaine users
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85069273419&doi=10.1093%2fqjmed%2fhcz070&partnerID=40&md5=f561d08f9cb7f0955239231e743aff47
VL  - 112
ID  - 1005
ER  - 

TY  - JOUR
AB  - BACKGROUND: Pneumothorax is one of the respiratory toxic effects of cocaine inhalation. The literature counts several cases, some associated to other respiratory conditions such as pneumomediastinum, haemoptysis and others not requiring surgical treatment. AIM: We present a series of nonHIV cocaine-inhaler subjects who underwent video-assisted thoracoscopic surgery (VATS) for isolated spontaneous pneumothorax. DESIGN: Nine subjects, with a mean age of 24 ± 4 years, admitting cocaine inhalation, developed spontaneous pneumothorax and underwent 10 surgical treatments by means of VATS, at our Institution. RESULTS: Previous pneumothorax occurred in six cases episodes ranged from 0 to 5 (mean 1.6 ± 1.6). Chest computed tomography (CT) scan showed abnormalities in seven cases. All subjects underwent lung apicectomy, apical pleurectomy and mechanical pleurodesis. Seven subjects had also bullectomy. In all cases the visceral pleura was partially covered by fibrinous exudate. Histology of the lung showed small foreign body granulomatous inflammation in fibrotic and/or emphysematous pulmonary parenchyma. Relapse of pneumothorax occurred in one subject at 60 days and it was surgically treated. Mean follow-up was 150 ± 38 months (range 120-239). All subjects are now well, with no evidence of pneumothorax. CONCLUSIONS: Spontaneous pneumothorax in cocaine-inhaler subjects is a reality of which physicians need to be aware. Chest CT scan might not reveal abnormalities. Macroscopically the lung might presents bullae and/or peculiar visceral pleura. Foreign body granulomas observed in the specimens suggest that the particulate component of inhaled substances can injure the lung. Surgical treatment of the bullous disease and mechanical pleurodesis can provide a long-term follow-up without relapse of pneumothorax.
AU  - Ciriaco, P.
AU  - Rossetti, F.
AU  - Carretta, A.
AU  - Sant'Angelo, M.
AU  - Arrigoni, G.
AU  - Negri, G.
DB  - Medline
DO  - 10.1093/qjmed/hcz070
IS  - 7
KW  - cocaine
adult
cocaine dependence
complication
female
foreign body
human
inhalational drug administration
Italy
male
pathology
pneumothorax
recurrent disease
retrospective study
treatment outcome
video assisted thoracoscopic surgery
x-ray computed tomography
young adult
LA  - English
M3  - Article
N1  - L626972830
2019-04-03
PY  - 2019
SN  - 1460-2393
SP  - 519-522
ST  - Spontaneous pneumothorax in cocaine users
T2  - QJM : monthly journal of the Association of Physicians
TI  - Spontaneous pneumothorax in cocaine users
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L626972830&from=export
http://dx.doi.org/10.1093/qjmed/hcz070
VL  - 112
ID  - 311
ER  - 

TY  - JOUR
AN  - 103039039. Language: English. Entry Date: 20150611. Revision Date: 20190308. Publication Type: Article
DB  - ccm
DP  - EBSCOhost
IS  - 2
KW  - Retained Instruments -- Prevention and Control
Surgical Count Procedure
Surgical Sponges
United States Centers for Medicare and Medicaid Services
Surgery, Elective -- Economics
N1  - brief item. Journal Subset: Biomedical; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 7810150.
PY  - 2015
SN  - 0190-5066
SP  - 20-20
ST  - Sponges retained in patients during surgery are reduced by 93% in study
T2  - Same-Day Surgery
TI  - Sponges retained in patients during surgery are reduced by 93% in study
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103039039&site=ehost-live&scope=site
VL  - 39
ID  - 820
ER  - 

TY  - JOUR
AU  - Tammeleo, A. D.
DB  - Scopus
IS  - 5
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 1985
SP  - 4
ST  - Sponge count botched--discovery & silence. Case in point: Simon v. Smith (470 So. 2d 941 - LA)
T2  - The Regan report on nursing law
TI  - Sponge count botched--discovery & silence. Case in point: Simon v. Smith (470 So. 2d 941 - LA)
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0022142930&partnerID=40&md5=2ccb69b7db7602cba9983bd32cf07fde
VL  - 26
ID  - 1751
ER  - 

TY  - JOUR
AB  - Background: Textile products commonly used in surgery (e.g., sponges or gauze) have been known to cause complications after spinal surgery. Associated complications usually arise months or even years after the primary surgery. In case of spine surgery, these bodies are often detected during neuroradiological evaluations to investigate reported back pain; however, this complication often remains asymptomatic. Aims: The research is intended to increase awareness among both spinal surgeons and neuroradiologists of this potential complication. Study Design: Retrospective study. Methods: This study is a retrospective case series of three patients with retained surgical textile products who had been misdiagnosed with spinal tumour. The medical records of the patients were reviewed and demographic data, clinical aspects, initial diagnosis, surgical procedures, time interval between previous operation and onset of symptoms, laboratory findings, radiological findings, treatment, and outcome were analysed. Results: The three patients included two women and one man aged between 64 and 67 years. All patients had a previous surgery for lumbar disc herniation. The time from the previous surgical procedures to presentation ranged from 3 to 17 years. All patients presented with non-specific lower back pain and/or radiculopathy without clinical findings of infection. Laboratory parameters were otherwise normal. All three cases had been misdiagnosed as a spinal tumor based on magnetic resonance imaging findings. During new surgical procedures, gauze bandages, i.e., surgical textiles left during a previous operation, were found. Conclusion: Textiloma is an important and rarely mentioned potential neurosurgical complication that may remain asymptomatic for years. They are more common in obese patients, after emergency surgery, and with unplanned changes in surgical procedure such as bleeding and unintended neurosurgical complications. Neuroradiological findings are variable and non-specific; thus, patients could be misdiagnosed with a spinal tumor or abscess. Likewise, in patients with a history of spinal surgery, spinal abscesses, haematomas, hypertrophic scars, fibrosarcomas, rhabdomyosarcomas, and schwannomas should definitely be considered in the differential diagnosis and considered when planning diagnostic procedures. Appropriate antibiotic therapy is recommended when a suppurative complication is present or suspected. Textiloma is a medico-legal complication that can be prevented by the education of surgical staff, the counting method (preoperatively, at closure, and at the end), and use of products with radiopaque barcodes. © Trakya University Faculty of Medicine.
AD  - Department of Neurosurgery, Kocaeli Derince Research and Teaching Hospital, Kocaeli, Turkey
Department of Neurosurgery, Gülhane Military Academy Haydarpaşa Training Hospital, Istanbul, Turkey
Department of Neurosurgery, Ümraniye Research and Teaching Hospital, Istanbul, Turkey
AU  - Şahin, S.
AU  - Atabey, C.
AU  - Şimşek, M.
AU  - Naderi, S.
DB  - Scopus
DO  - 10.5152/balkanmedj.2013.8732
IS  - 4
KW  - Foreign body granuloma
Gauze bandage
Gossypiboma
Lumbar spine
Spinal tumour
Surgical textile products
M3  - Article
N1  - Cited By :9
Export Date: 10 November 2020
PY  - 2013
SP  - 422-428
ST  - Spinal textiloma (gossypiboma): A report of three cases misdiagnosed as tumour
T2  - Balkan Medical Journal
TI  - Spinal textiloma (gossypiboma): A report of three cases misdiagnosed as tumour
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84891601369&doi=10.5152%2fbalkanmedj.2013.8732&partnerID=40&md5=e90c44ec27b97aa590bf6fac5bf554c8
VL  - 30
ID  - 1340
ER  - 

TY  - JOUR
AB  - Background: Textile products commonly used in surgery (e.g., sponges or gauze) have been known to cause complications after spinal surgery. Associated complications usually arise months or even years after the primary surgery. In case of spine surgery, these bodies are often detected during neuroradiological evaluations to investigate reported back pain; however, this complication often remains asymptomatic. Aims: The research is intended to increase awareness among both spinal surgeons and neuroradiologists of this potential complication. Study Design: Retrospective study. Methods: This study is a retrospective case series of three patients with retained surgical textile products who had been misdiagnosed with spinal tumour. The medical records of the patients were reviewed and demographic data, clinical aspects, initial diagnosis, surgical procedures, time interval between previous operation and onset of symptoms, laboratory findings, radiological findings, treatment, and outcome were analysed. Results: The three patients included two women and one man aged between 64 and 67 years. All patients had a previous surgery for lumbar disc herniation. The time from the previous surgical procedures to presentation ranged from 3 to 17 years. All patients presented with non-specific lower back pain and/or radiculopathy without clinical findings of infection. Laboratory parameters were otherwise normal. All three cases had been misdiagnosed as a spinal tumor based on magnetic resonance imaging findings. During new surgical procedures, gauze bandages, i.e., surgical textiles left during a previous operation, were found. Conclusion: Textiloma is an important and rarely mentioned potential neurosurgical complication that may remain asymptomatic for years. They are more common in obese patients, after emergency surgery, and with unplanned changes in surgical procedure such as bleeding and unintended neurosurgical complications. Neuroradiological findings are variable and non-specific; thus, patients could be misdiagnosed with a spinal tumor or abscess. Likewise, in patients with a history of spinal surgery, spinal abscesses, haematomas, hypertrophic scars, fibrosarcomas, rhabdomyosarcomas, and schwannomas should definitely be considered in the differential diagnosis and considered when planning diagnostic procedures. Appropriate antibiotic therapy is recommended when a suppurative complication is present or suspected. Textiloma is a medico-legal complication that can be prevented by the education of surgical staff, the counting method (preoperatively, at closure, and at the end), and use of products with radiopaque barcodes. © Trakya University Faculty of Medicine.
AD  - S. Şahin, Department of Neurosurgery, Kocaeli Derince Research and Teaching Hospital, Kocaeli, Turkey
AU  - Şahin, S.
AU  - Atabey, C.
AU  - Şimşek, M.
AU  - Naderi, S.
DB  - Embase
DO  - 10.5152/balkanmedj.2013.8732
IS  - 4
KW  - abscess
adult
aged
article
bone biopsy
case report
clinical feature
diagnostic error
diagnostic imaging
differential diagnosis
erythrocyte sedimentation rate
female
gossypiboma
histopathology
human
laminectomy
low back pain
lumbar disk hernia
male
medical history
nuclear magnetic resonance imaging
peroperative care
postoperative complication
postoperative pain
spine tumor
LA  - English
M3  - Article
N1  - L372042619
2014-01-10
2014-01-30
PY  - 2013
SN  - 2146-3131
2146-3123
SP  - 422-428
ST  - Spinal textiloma (gossypiboma): A report of three cases misdiagnosed as tumour
T2  - Balkan Medical Journal
TI  - Spinal textiloma (gossypiboma): A report of three cases misdiagnosed as tumour
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L372042619&from=export
http://dx.doi.org/10.5152/balkanmedj.2013.8732
VL  - 30
ID  - 493
ER  - 

TY  - JOUR
AD  - State Volunteer Mutual Insurance Company, Brentwood, United States
AU  - Avery, J. K.
DB  - Scopus
IS  - 9
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2009
SP  - 45
ST  - So who's counting?
T2  - Tennessee medicine : journal of the Tennessee Medical Association
TI  - So who's counting?
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-70350495845&partnerID=40&md5=92133c506e552c1f3cbfc2e2709e1b5e
VL  - 102
ID  - 1501
ER  - 

TY  - JOUR
AD  - J.K. Avery, State Volunteer Mutual Insurance Company, Brentwood, USA.
AU  - Avery, J. K.
DB  - Medline
IS  - 9
KW  - adult
article
case report
economics
female
foreign body
human
legal liability
malpractice
pelvis pain syndrome
postoperative complication
surgical equipment
surgical sponge
LA  - English
M3  - Article
N1  - L355508803
2009-11-04
PY  - 2009
SN  - 1088-6222
SP  - 45
ST  - So who's counting?
T2  - Tennessee medicine : journal of the Tennessee Medical Association
TI  - So who's counting?
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L355508803&from=export
VL  - 102
ID  - 578
ER  - 

TY  - JOUR
AN  - 20014514
AU  - Avery, J. K.
DA  - Dec
DP  - NLM
ET  - 2009/12/18
IS  - 7
KW  - Adult
Female
Foreign Bodies/*surgery
Humans
*Malpractice
Medical Errors/*legislation & jurisprudence/prevention & control
Pelvic Pain/*surgery
Tennessee
LA  - eng
N1  - Avery, J Kelley
Case Reports
Journal Article
Legal Case
United States
J Ark Med Soc. 2009 Dec;106(7):126.
PY  - 2009
SN  - 0004-1858 (Print)
0004-1858
SP  - 126
ST  - So who's counting?
T2  - J Ark Med Soc
TI  - So who's counting?
VL  - 106
ID  - 96
ER  - 

TY  - JOUR
AB  - A 73-year-old man presented to the surgical assessment unit with recurrent episodes of central abdominal pain and vomiting for 18 months. He has the past medical history (PMH) of hypertension and has been using his denture for 35 years; he had no past surgical history; he drinks alcohol socially and not a smoker. This patient was investigated for iron defi ciency anaemia with upper and lower gastrointestional endoscopy, as the patient had positive faecal occult blood; rectal biopsy showed no sign of inflammation and no evidence of malignancy; blood investigation showed Hb 9.8 g/dl, white cell count 14.8, mean cell volume 86.3, mean cell haemoglobin 26.9 and C reactive protein 13. This patient underwent a CT scan of the chest, abdomen and pelvis; the latest one showed that there is a short segment of the middle part of the small bowel that looks thickened and within which there is a high-density calcified shadow which is reported as an ingested foreign body or a tooth fragment; the patient underwent laparotomy and the histology results revealed 30 mm well differentiated/moderately differentiated adenocarcinoma.
AD  - Department of General Surgery, University Hospital of Leicester, Leicester, United Kingdom
Department of General Surgery, Kettering General Hospital, Kettering, United Kingdom
AU  - Eltweri, A. M.
AU  - Bowrey, D.
AU  - Taylor, M.
DB  - Scopus
DO  - 10.1136/bcr.02.2012.5915
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2012
ST  - Small bowel adenocarcinoma: A case of atypical CT scan appearance
T2  - BMJ Case Reports
TI  - Small bowel adenocarcinoma: A case of atypical CT scan appearance
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84864712250&doi=10.1136%2fbcr.02.2012.5915&partnerID=40&md5=8de6d16f7c72b0bfee7c0563adf1c664
ID  - 1361
ER  - 

TY  - JOUR
AB  - A 73-year-old man presented to the surgical assessment unit with recurrent episodes of central abdominal pain and vomiting for 18 months. He has the past medical history (PMH) of hypertension and has been using his denture for 35 years; he had no past surgical history; he drinks alcohol socially and not a smoker. This patient was investigated for iron defi ciency anaemia with upper and lower gastrointestional endoscopy, as the patient had positive faecal occult blood; rectal biopsy showed no sign of inflammation and no evidence of malignancy; blood investigation showed Hb 9.8 g/dl, white cell count 14.8, mean cell volume 86.3, mean cell haemoglobin 26.9 and C reactive protein 13. This patient underwent a CT scan of the chest, abdomen and pelvis; the latest one showed that there is a short segment of the middle part of the small bowel that looks thickened and within which there is a high-density calcified shadow which is reported as an ingested foreign body or a tooth fragment; the patient underwent laparotomy and the histology results revealed 30 mm well differentiated/moderately differentiated adenocarcinoma.
AD  - A.M. Eltweri, Department of General Surgery, University Hospital of Leicester, Leicester, United Kingdom
AU  - Eltweri, A. M.
AU  - Bowrey, D.
AU  - Taylor, M.
DB  - Embase
Medline
DO  - 10.1136/bcr.02.2012.5915
KW  - C reactive protein
ferrous sulfate
hemoglobin
abdominal pain
abdominal tenderness
aged
article
blood analysis
cancer adjuvant therapy
cancer staging
case report
cell volume
computer assisted tomography
disease duration
foreign body
gastrointestinal endoscopy
histopathology
human
human tissue
image analysis
intestine anastomosis
iron deficiency anemia
laparotomy
leukocyte count
male
occult blood
physical examination
priority journal
rectum biopsy
recurrent disease
small intestine adenocarcinoma
small intestine carcinoma
small intestine resection
tumor differentiation
tumor perforation
tumor volume
vomiting
LA  - English
M3  - Article
N1  - L365390115
2012-08-15
2012-09-07
PY  - 2012
SN  - 1757-790X
ST  - Small bowel adenocarcinoma: A case of atypical CT scan appearance
T2  - BMJ Case Reports
TI  - Small bowel adenocarcinoma: A case of atypical CT scan appearance
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L365390115&from=export
http://dx.doi.org/10.1136/bcr.02.2012.5915
http://casereports.bmj.com/content/2012/bcr.02.2012.5915.full.pdf+html?sid=a88884dd-4be1-459c-9c28-67d0142951cf
ID  - 508
ER  - 

TY  - JOUR
AB  - After surgery, the most common foreign bodies retained in the abdominal cavity are the surgical sponges. The aim of the present study was to emphasize the importance of gossypiboma, which is a serious and medicolegal problem. The records of 12 patients with a confirmed diagnosis of gossypiboma after abdominal surgery at Dicle University Hospital were retrospectively reviewed between January 1994 and December 2009. Eight of the 12 patients were females, and 4 were males. Previously, 7 patients had been operated on electively, and 5 had undergone operations on an emergency basis. Abdominal ultrasonography clearly demonstrated gossypibomas in 5 patients, and computed tomography demonstrated a more precise image of retained surgical sponges in 3 patients. One patient died because of ventricular fibrillation; the other 11 patients were discharged in good health. To eliminate the risk of gossypibomas, all sponges should be counted at least twice (once preoperatively and once postoperatively); use of small sponges should be avoided during laparotomy, and only sponges with radiopaque markers should be used. The surgeon should explore the abdomen before closure. In cases in which the sponge count is uncertain, an abdominal x-ray should be performed before closure. Copyright © 2012 Lippincott Williams & Wilkins.
AD  - Department of General Surgery, Medical Faculty, Dicle University, Yenişehir 21280, Diyarbakir, Turkey
Department of Radiology, Medical Faculty, Dicle University, Diyarbakir, Turkey
AU  - Gümüş, M.
AU  - Gümüş, H.
AU  - Kapan, M.
AU  - Önder, A.
AU  - Tekbaş, G.
AU  - Baç, B.
DB  - Scopus
DO  - 10.1097/PAF.0b013e31821c09fe
IS  - 1
KW  - gossypiboma
intra-abdominal
surgical sponges
M3  - Article
N1  - Cited By :17
Export Date: 10 November 2020
PY  - 2012
SP  - 54-57
ST  - A serious medicolegal problem after surgery: Gossypiboma
T2  - American Journal of Forensic Medicine and Pathology
TI  - A serious medicolegal problem after surgery: Gossypiboma
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84857923576&doi=10.1097%2fPAF.0b013e31821c09fe&partnerID=40&md5=3707a21e826e7218667b7c6c7ddbaf72
VL  - 33
ID  - 1375
ER  - 

TY  - JOUR
AB  - After surgery, the most common foreign bodies retained in the abdominal cavity are the surgical sponges. The aim of the present study was to emphasize the importance of gossypiboma, which is a serious and medicolegal problem. The records of 12 patients with a confirmed diagnosis of gossypiboma after abdominal surgery at Dicle University Hospital were retrospectively reviewed between January 1994 and December 2009. Eight of the 12 patients were females, and 4 were males. Previously, 7 patients had been operated on electively, and 5 had undergone operations on an emergency basis. Abdominal ultrasonography clearly demonstrated gossypibomas in 5 patients, and computed tomography demonstrated a more precise image of retained surgical sponges in 3 patients. One patient died because of ventricular fibrillation; the other 11 patients were discharged in good health. To eliminate the risk of gossypibomas, all sponges should be counted at least twice (once preoperatively and once postoperatively); use of small sponges should be avoided during laparotomy, and only sponges with radiopaque markers should be used. The surgeon should explore the abdomen before closure. In cases in which the sponge count is uncertain, an abdominal x-ray should be performed before closure.
AD  - M. Gümüş, Department of General Surgery, Medical Faculty, Dicle University, Diyarbakir, Turkey.
AU  - Gümüş, M.
AU  - Gümüş, H.
AU  - Kapan, M.
AU  - Onder, A.
AU  - Tekbaş, G.
AU  - Baç, B.
DB  - Medline
IS  - 1
KW  - abdominal radiography
adult
aged
article
computer assisted tomography
echography
female
foreign body
human
male
medical error
middle aged
retrospective study
surgery
surgical sponge
LA  - English
M3  - Article
N1  - L364914218
2012-06-07
PY  - 2012
SN  - 1533-404X
SP  - 54-57
ST  - A serious medicolegal problem after surgery: gossypiboma
T2  - The American journal of forensic medicine and pathology
TI  - A serious medicolegal problem after surgery: gossypiboma
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L364914218&from=export
VL  - 33
ID  - 519
ER  - 

TY  - JOUR
AB  - Background: A retained surgical sponge is a serious medical error that results in negative patient outcomes. Radiofrequency (RF) technology has recently been introduced to evaluate for the presence of a retained sponge. The aim of this study was to evaluate the sensitivity and specificity of the detection of surgical sponges embedded with an RF chip through the torsos of subjects of varying body habitus, including the morbidly obese. Methods: A prospective, crossover, and observer blinded study design was used. Subjects served as their own controls. With the subject supine, 4 surgical sponges were sequentially placed behind the subject's torso in locations approximating abdominal quadrants. Results: Two hundred ten subjects were enrolled in the study. Nearly half (n = 101) were morbidly obese. Eight hundred forty readings were taken. There were no false-positive or false-negative readings. The sensitivity and specificity of detection of the RF sponges through the torsos of subjects of varying body habitus were 100%. Conclusions: The sensitivity and specificity of RF sponge technology are much higher than published reports of surgical counts or published findings of intraoperative radiographs for retained sponges. Copyright © 2011 Published by Elsevier Inc.
AD  - Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Iowa City, IA, United States
Center for Research in the Implementation of Innovative Strategies in Practice, Veterans Affairs Medical Center, Iowa City, IA, United States
AU  - Steelman, V. M.
DB  - Scopus
DO  - 10.1016/j.amjsurg.2010.05.001
IS  - 2
KW  - Morbid obesity
Operating room
Radio waves
Safety
Safety management
Surgical sponge
M3  - Article
N1  - Cited By :25
Export Date: 10 November 2020
PY  - 2011
SP  - 233-237
ST  - Sensitivity of detection of radiofrequency surgical sponges: A prospective, cross-over study
T2  - American Journal of Surgery
TI  - Sensitivity of detection of radiofrequency surgical sponges: A prospective, cross-over study
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-79251471748&doi=10.1016%2fj.amjsurg.2010.05.001&partnerID=40&md5=05fde6ac7c0aae96a6ea1ae66ca572b4
VL  - 201
ID  - 1429
ER  - 

TY  - JOUR
AB  - Background: A retained surgical sponge is a serious medical error that results in negative patient outcomes. Radiofrequency (RF) technology has recently been introduced to evaluate for the presence of a retained sponge. The aim of this study was to evaluate the sensitivity and specificity of the detection of surgical sponges embedded with an RF chip through the torsos of subjects of varying body habitus, including the morbidly obese. Methods: A prospective, crossover, and observer blinded study design was used. Subjects served as their own controls. With the subject supine, 4 surgical sponges were sequentially placed behind the subject's torso in locations approximating abdominal quadrants. Results: Two hundred ten subjects were enrolled in the study. Nearly half (n = 101) were morbidly obese. Eight hundred forty readings were taken. There were no false-positive or false-negative readings. The sensitivity and specificity of detection of the RF sponges through the torsos of subjects of varying body habitus were 100%. Conclusions: The sensitivity and specificity of RF sponge technology are much higher than published reports of surgical counts or published findings of intraoperative radiographs for retained sponges. Copyright © 2011 Published by Elsevier Inc.
AD  - V. M. Steelman, Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Iowa City, IA, United States
AU  - Steelman, V. M.
DB  - Embase
Medline
DO  - 10.1016/j.amjsurg.2010.05.001
IS  - 2
KW  - adult
aged
article
clinical trial
controlled clinical trial
controlled study
crossover procedure
diagnostic accuracy
diagnostic test accuracy study
false negative result
false positive result
female
human
major clinical study
male
morbid obesity
multicenter study
priority journal
radiofrequency
retained instrument
sensitivity and specificity
single blind procedure
supine position
surgical sponge
trunk
Blair-Port Wand
LA  - English
M3  - Article
N1  - L361168104
2011-02-02
2011-02-11
PY  - 2011
SN  - 0002-9610
SP  - 233-237
ST  - Sensitivity of detection of radiofrequency surgical sponges: A prospective, cross-over study
T2  - American Journal of Surgery
TI  - Sensitivity of detection of radiofrequency surgical sponges: A prospective, cross-over study
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L361168104&from=export
http://dx.doi.org/10.1016/j.amjsurg.2010.05.001
VL  - 201
ID  - 547
ER  - 

TY  - JOUR
AB  - Intraoperative imaging has immense value for teaching and training surgeons by providing part of a future digital medical record of the patient and supportive evidence of good practice and an open attitude to patient safety. We report a case in which intraoperative video recording of an operation allowed us, after an incorrect count, to confidently assert that there was no equipment left behind in the patient. © 2009 The Society of Thoracic Surgeons.
AD  - Cardiothoracic Unit, Great Ormond St. Hospital for Children, London, United Kingdom
AU  - Hoschtitzky, J. A.
AU  - Trivedi, D. B.
AU  - Elliott, M. J.
DB  - Scopus
DO  - 10.1016/j.athoracsur.2008.07.111
IS  - 3
M3  - Article
N1  - Cited By :7
Export Date: 10 November 2020
PY  - 2009
SP  - 940-941
ST  - Saved By the Video: Added Value of Recording Surgical Procedures on Video
T2  - Annals of Thoracic Surgery
TI  - Saved By the Video: Added Value of Recording Surgical Procedures on Video
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-60449096026&doi=10.1016%2fj.athoracsur.2008.07.111&partnerID=40&md5=0c2087c9b95be9b4b15ba983c7eb4174
VL  - 87
ID  - 1500
ER  - 

TY  - JOUR
AB  - Research from the United States which explores events related to the surgical count has identified that there are opportunities to review our practice in order to reduce risks to surgical patients. The Safe Surgery Saves Lives Campaign highlights this aspect of perioperative patient safety, ensuring that poor processes and poor communication, often the reasons for retained surgical items, become part of the team 'sign-out' at the end of every operation.
AD  - KMW (Healthcare Consultants) Ltd.
AU  - Woodhead, K.
DB  - Scopus
DO  - 10.1177/175045890901901010
IS  - 10
M3  - Article
N1  - Cited By :3
Export Date: 10 November 2020
PY  - 2009
SP  - 358-361
ST  - Safe surgery: reducing the risk of retained items
T2  - Journal of perioperative practice
TI  - Safe surgery: reducing the risk of retained items
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-73449129409&doi=10.1177%2f175045890901901010&partnerID=40&md5=24bd446b11021a1d544f1fe6c02e4d8c
VL  - 19
ID  - 1505
ER  - 

TY  - JOUR
AB  - Research from the United States which explores events related to the surgical count has identified that there are opportunities to review our practice in order to reduce risks to surgical patients. The Safe Surgery Saves Lives Campaign highlights this aspect of perioperative patient safety, ensuring that poor processes and poor communication, often the reasons for retained surgical items, become part of the team 'sign-out' at the end of every operation.
AD  - K. Woodhead, KMW (Healthcare Consultants) Ltd.
AU  - Woodhead, K.
DB  - Medline
DO  - 10.1177/175045890901901010
IS  - 10
KW  - article
checklist
human
medical error
risk management
safety
United Kingdom
United States
LA  - English
M3  - Article
N1  - L355855586
2010-01-12
PY  - 2009
SN  - 1750-4589
SP  - 358-361
ST  - Safe surgery: reducing the risk of retained items
T2  - Journal of perioperative practice
TI  - Safe surgery: reducing the risk of retained items
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L355855586&from=export
http://dx.doi.org/10.1177/175045890901901010
VL  - 19
ID  - 575
ER  - 

TY  - JOUR
AB  - Background and purpose — Biological patches can be used to augment rotator cuff tendon repair in an attempt to improve healing and reduce rates of re-rupture. However, little is known about the in vivo tissue response to these patches. We assessed native rotator cuff tissue response after surgical repair and augmentation with 2 commercially available extracellular matrix (ECM) patches. Patients and methods — Patients underwent a rotator cuff repair augmented with either GraftJacket (Wright Medical), Permacol (Zimmer Biomet), or no patch (Control), applied using an onlay technique. A sample of supraspinatus tendon was collected intraoperatively and 4 weeks post-surgery, using ultrasound-guided biopsy. Histology and immunohistochemistry were performed on all samples. Results — The Permacol group (n = 3) and GraftJacket group (n = 4) demonstrated some changes in native tendon ECM compared with the control group (n = 3). Significant disruption of the extracellular matrix of the repaired native supraspinatus, underlying both patches, was observed. The patches did not generally increase cellularity, foreign body giant cell count, or vascularity compared to the control group. 1 patient in the Permacol group had an adverse tissue immune response characterized by extensive infiltration of IRF5+, CD68+, and CD206+ cells, suggesting involvement of macrophages with a pro-inflammatory phenotype. No significant differences in protein expression of CD4, CD45, CD68, CD206, BMP7, IRF5, TGFβ, and PDPN were observed among the groups. Interpretation — Histological and immunohistochemical analysis of native tendon tissue after patch augmentation in rotator cuff repair raises some concerns about a lack of benefit and potential for harm from these materials. © 2020, © 2020 The Author(s). Published by Taylor & Francis on behalf of the Nordic Orthopedic Federation.
AD  - Nuffield Department of Orthopaedics, Rheumatology, Musculoskeletal Sciences (NDORMS), Botnar Research Centre, and, Oxford, United Kingdom
AU  - Rashid, M. S.
AU  - Smith, R. D. J.
AU  - Nagra, N.
AU  - Wheway, K.
AU  - Watkins, B.
AU  - Snelling, S.
AU  - Dakin, S. G.
AU  - Carr, A. J.
DB  - Scopus
DO  - 10.1080/17453674.2020.1793613
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
ST  - Rotator cuff repair with biological graft augmentation causes adverse tissue outcomes
T2  - Acta Orthopaedica
TI  - Rotator cuff repair with biological graft augmentation causes adverse tissue outcomes
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85088251992&doi=10.1080%2f17453674.2020.1793613&partnerID=40&md5=5feafcd6a447c986515f2b385aec063c
ID  - 986
ER  - 

TY  - JOUR
AB  - Background and purpose — Biological patches can be used to augment rotator cuff tendon repair in an attempt to improve healing and reduce rates of re-rupture. However, little is known about the in vivo tissue response to these patches. We assessed native rotator cuff tissue response after surgical repair and augmentation with 2 commercially available extracellular matrix (ECM) patches. Patients and methods — Patients underwent a rotator cuff repair augmented with either GraftJacket (Wright Medical), Permacol (Zimmer Biomet), or no patch (Control), applied using an onlay technique. A sample of supraspinatus tendon was collected intraoperatively and 4 weeks post-surgery, using ultrasound-guided biopsy. Histology and immunohistochemistry were performed on all samples. Results — The Permacol group (n = 3) and GraftJacket group (n = 4) demonstrated some changes in native tendon ECM compared with the control group (n = 3). Significant disruption of the extracellular matrix of the repaired native supraspinatus, underlying both patches, was observed. The patches did not generally increase cellularity, foreign body giant cell count, or vascularity compared to the control group. 1 patient in the Permacol group had an adverse tissue immune response characterized by extensive infiltration of IRF5+, CD68+, and CD206+ cells, suggesting involvement of macrophages with a pro-inflammatory phenotype. No significant differences in protein expression of CD4, CD45, CD68, CD206, BMP7, IRF5, TGFβ, and PDPN were observed among the groups. Interpretation — Histological and immunohistochemical analysis of native tendon tissue after patch augmentation in rotator cuff repair raises some concerns about a lack of benefit and potential for harm from these materials.
AD  - M.S. Rashid, Nuffield Department of Orthopaedics, Rheumatology, Musculoskeletal Sciences (NDORMS), Botnar Research Centre, and, Oxford, United Kingdom
AU  - Rashid, M. S.
AU  - Smith, R. D. J.
AU  - Nagra, N.
AU  - Wheway, K.
AU  - Watkins, B.
AU  - Snelling, S.
AU  - Dakin, S. G.
AU  - Carr, A. J.
DB  - Embase
Medline
DO  - 10.1080/17453674.2020.1793613
KW  - adult
article
case report
cell count
clinical article
extracellular matrix
female
giant cell
histopathology
human
human cell
human tissue
immune response
immunohistochemistry
macrophage
male
phenotype
protein expression
rotator cuff
surgical mesh
tendon
tissue reaction
ultrasound
vascularization
CD4 antigen
CD68 antigen
endogenous compound
mannose receptor
osteogenic protein 1
receptor type tyrosine protein phosphatase C
transforming growth factor beta
LA  - English
M3  - Article in Press
N1  - L2005630619
PY  - 2020
SN  - 1745-3682
1745-3674
ST  - Rotator cuff repair with biological graft augmentation causes adverse tissue outcomes
T2  - Acta Orthopaedica
TI  - Rotator cuff repair with biological graft augmentation causes adverse tissue outcomes
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L2005630619&from=export
http://dx.doi.org/10.1080/17453674.2020.1793613
ID  - 294
ER  - 

TY  - JOUR
AB  - Objective: To prospectively evaluate the ability of radio frequency detection (RFD) system-embedded sponges to mitigate the incidence of retained surgical sponges (RSS) after emergency surgery. Background: Emergency surgery patients are at high risk for retained foreign bodies. Methods: All emergent trauma and nontrauma cavitary operations over a 5-year period (January 2010-December 2014) were prospectively enrolled. For damage-control procedures, only the definitive closure was included. RFD sponges were used exclusively throughout the study period. Before closure, the sponge and instrument count was followed by RFD scanning and x-ray evaluation for retained sponges. RSS and near-misses averted using the RFD system were analyzed. Results: In all, 2051 patients [median (range)], aged 41 (1-101) years, 72.2% male, 46.8% trauma patients, underwent 2148 operations (1824 laparotomy, 100 thoracotomy, 30 sternotomy, and 97 combined). RFD detected retained sponges in 11 (0.5%) patients (81.8%laparotomy, 18.2% sternotomy) before cavitary closure. All postclosure x-rays were negative. No retained sponges were missed by the RFD system. Body mass index was 29 (23-43), estimated blood loss 1.0L (0-23), and operating room time 160 minutes (71-869). Procedures started after 18:00 to 06:00 hours in 45.5% of the patients. The sponge count was incorrect in 36.4%, not performed due to time constraints in 45.5%, and correct in 18.2%. The additional cost of using RFD-embedded disposables was $0.17 for a 4X18 laparotomy sponge and $0.46 for a 10 pack of 12ply, 4X8. Conclusions: Emergent surgical procedures are high-risk for retained sponges, even when sponge counts are performed and found to be correct. Implementation of a RFD system was effective in preventing this complication and should be considered for emergent operations in an effort to improve patient safety.
AD  - K. Inaba, Los Angeles County Medical Center, University of Southern California, Division of Trauma Surgery and Surgical Critical Care, LAC + USC Medical Center, 2051 Marengo Street, Inpatient Tower (C), Los Angeles, CA, United States
AU  - Inaba, K.
AU  - Okoye, O.
AU  - Aksoy, H.
AU  - Skiada, D.
AU  - Ault, G.
AU  - Sener, S.
AU  - Lam, L.
AU  - Benjamin, E.
AU  - Demetriades, D.
DB  - Embase
Medline
DO  - 10.1097/SLA.0000000000001872
IS  - 4
KW  - adolescent
adult
aged
child
conference paper
emergency surgery
female
foreign body
human
injury
laparotomy
major clinical study
male
observational study
patient safety
priority journal
prospective study
radio frequency identification device
sternotomy
surgical patient
surgical sponge
thoracotomy
very elderly
X ray
LA  - English
M3  - Conference Paper
N1  - L611321271
2016-07-26
2016-10-04
PY  - 2016
SN  - 1528-1140
0003-4932
SP  - 599-604
ST  - The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: A prospective evaluation in patients undergoing emergency surgery
T2  - Annals of Surgery
TI  - The role of radio frequency detection system embedded surgical sponges in preventing retained surgical sponges: A prospective evaluation in patients undergoing emergency surgery
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L611321271&from=export
http://dx.doi.org/10.1097/SLA.0000000000001872
VL  - 264
ID  - 417
ER  - 

TY  - JOUR
AB  - Background Retained surgical items (RSI) are designated as completely preventable "never events". Despite numerous case reports, clinical series, and expert opinions few studies provide quantitative insight into RSI risk factors and their relative contributions to the overall RSI risk profile. Existing case-control studies lack the ability to reliably detect clinically important differences within the long list of proposed risks. This meta-analysis examines the best available data for RSI risk factors, seeking to provide a clinically relevant risk stratification system. Methods Nineteen candidate studies were considered for this meta-analysis. Three retrospective, case-control studies of RSI-related risk factors contained suitable group comparisons between patients with and without RSI, thus qualifying for further analysis. Comprehensive Meta-Analysis 2.0 (BioStat, Inc, Englewood, NJ) software was used to analyze the following "common factor" variables compiled from the above studies: body-mass index, emergency procedure, estimated operative blood loss >500 mL, incorrect surgical count, lack of surgical count, >1 subprocedure, >1 surgical team, nursing staff shift change, operation "afterhours" (i.e., between 5 PM and 7 AM), operative time, trainee presence, and unexpected intraoperative factors. We further stratified resulting RSI risk factors into low, intermediate, and high risk. Results Despite the fact that only between three and six risk factors were associated with increased RSI risk across the three studies, our analysis of pooled data demonstrates that seven risk factors are significantly associated with increased RSI risk. Variables found to elevate the RSI risk include intraoperative blood loss >500 mL (odds ratio [OR] 1.6); duration of operation (OR 1.7); >1 subprocedure (OR 2.1); lack of surgical counts (OR 2.5); >1 surgical team (OR 3.0); unexpected intraoperative factors (OR 3.4); and incorrect surgical count (OR 6.1). Changes in nursing staff, emergency surgery, body-mass index, and operation "afterhours" were not significantly associated with increased RSI risk. Conclusions Among the "common risk factors" reported by all three case-control studies, seven synergistically show elevated RSI risk across the pooled data. Based on these results, we propose a risk stratification scheme and issue a call to arms for large, prospective, and multicenter studies evaluating effects of specific changes at the institutional level (i.e., universal surgical counts, radiographic verification of the absence of RSI, and radiofrequency labeling of surgical instruments and sponges) on the risk of RSI. Overall, our findings provide a meaningful foundation for future patient safety initiatives and clinical studies of RSI occurrence and prevention. © 2014 Elsevier Inc. All rights reserved.
AD  - Department of Surgery, Ohio State University, 130 Doan Hall, 410 West 10th Avenue, Columbus, OH 43210, United States
AU  - Moffatt-Bruce, S. D.
AU  - Cook, C. H.
AU  - Steinberg, S. M.
AU  - Stawicki, S. P.
DB  - Scopus
DO  - 10.1016/j.jss.2014.05.044
IS  - 2
KW  - Meta-analysis
Retained foreign body
Risk stratification
M3  - Article
N1  - Cited By :30
Export Date: 10 November 2020
PY  - 2014
SP  - 429-436
ST  - Risk factors for retained surgical items: A meta-analysis and proposed risk stratification system
T2  - Journal of Surgical Research
TI  - Risk factors for retained surgical items: A meta-analysis and proposed risk stratification system
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84904253157&doi=10.1016%2fj.jss.2014.05.044&partnerID=40&md5=e5a57106a01109f55ec28530e50dc83d
VL  - 190
ID  - 1268
ER  - 

TY  - JOUR
AB  - Background Retained surgical items (RSI) are designated as completely preventable "never events". Despite numerous case reports, clinical series, and expert opinions few studies provide quantitative insight into RSI risk factors and their relative contributions to the overall RSI risk profile. Existing case-control studies lack the ability to reliably detect clinically important differences within the long list of proposed risks. This meta-analysis examines the best available data for RSI risk factors, seeking to provide a clinically relevant risk stratification system. Methods Nineteen candidate studies were considered for this meta-analysis. Three retrospective, case-control studies of RSI-related risk factors contained suitable group comparisons between patients with and without RSI, thus qualifying for further analysis. Comprehensive Meta-Analysis 2.0 (BioStat, Inc, Englewood, NJ) software was used to analyze the following "common factor" variables compiled from the above studies: body-mass index, emergency procedure, estimated operative blood loss >500 mL, incorrect surgical count, lack of surgical count, >1 subprocedure, >1 surgical team, nursing staff shift change, operation "afterhours" (i.e., between 5 PM and 7 AM), operative time, trainee presence, and unexpected intraoperative factors. We further stratified resulting RSI risk factors into low, intermediate, and high risk. Results Despite the fact that only between three and six risk factors were associated with increased RSI risk across the three studies, our analysis of pooled data demonstrates that seven risk factors are significantly associated with increased RSI risk. Variables found to elevate the RSI risk include intraoperative blood loss >500 mL (odds ratio [OR] 1.6); duration of operation (OR 1.7); >1 subprocedure (OR 2.1); lack of surgical counts (OR 2.5); >1 surgical team (OR 3.0); unexpected intraoperative factors (OR 3.4); and incorrect surgical count (OR 6.1). Changes in nursing staff, emergency surgery, body-mass index, and operation "afterhours" were not significantly associated with increased RSI risk. Conclusions Among the "common risk factors" reported by all three case-control studies, seven synergistically show elevated RSI risk across the pooled data. Based on these results, we propose a risk stratification scheme and issue a call to arms for large, prospective, and multicenter studies evaluating effects of specific changes at the institutional level (i.e., universal surgical counts, radiographic verification of the absence of RSI, and radiofrequency labeling of surgical instruments and sponges) on the risk of RSI. Overall, our findings provide a meaningful foundation for future patient safety initiatives and clinical studies of RSI occurrence and prevention. © 2014 Elsevier Inc. All rights reserved.
AD  - S.D. Moffatt-Bruce, Department of Surgery, Ohio State University, 130 Doan Hall, 410 West 10th Avenue, Columbus, OH 43210, United States
AU  - Moffatt-Bruce, S. D.
AU  - Cook, C. H.
AU  - Steinberg, S. M.
AU  - Stawicki, S. P.
DB  - Embase
Medline
DO  - 10.1016/j.jss.2014.05.044
IS  - 2
KW  - article
body mass
case control study
emergency surgery
human
meta analysis
nursing staff
operation duration
operative blood loss
patient safety
priority journal
retrospective study
risk assessment
risk factor
surgical risk
LA  - English
M3  - Article
N1  - L53199679
2014-06-26
2014-07-30
PY  - 2014
SN  - 1095-8673
0022-4804
SP  - 429-436
ST  - Risk factors for retained surgical items: A meta-analysis and proposed risk stratification system
T2  - Journal of Surgical Research
TI  - Risk factors for retained surgical items: A meta-analysis and proposed risk stratification system
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L53199679&from=export
http://dx.doi.org/10.1016/j.jss.2014.05.044
VL  - 190
ID  - 461
ER  - 

TY  - JOUR
AB  - Introduction: Retained surgical items (RSI) are designated as completely preventable “never events”. Despite numerous case reports, clinical series, and expert opinions, few studies provide quantitative insight into RSI risk factors and their relative contributions to the overall RSI risk profile. This meta-analysis examines the best available data for RSI risk factors thereby seeking to provide a clinically relevant risk stratification system. Methods: Twenty relevant studies were considered for this meta-analysis. Three retrospective, case-control studies of RSI related risk factors (Gawande et al, Lincourt et al, Stawicki et al) contained suitable group comparisons between patients with/without RSI, thus qualifying for further analysis. The following “common factor” variables compiled fromthe above studies: body-mass index (BMI), emergency procedure, estimated operative blood loss >500 mL, incorrect surgical count, lack of surgical count, >1 sub-procedure, >1 surgical team, nursing/staff shift change, operation “after hours” (i.e., between 5pm-7am), operative time, trainee presence, and unexpected intraoperative factors were analyzed. Results: Our analysis of pooled data demonstrates that 9 risk factors are significantly associated with increased RSI risk, and 1 factor (trainee presence) was associated with lower RSI risk (OR 0.46). Variables found to be synergistically associated with increased RSI risk include duration of operation (1.6); BMI (OR 1.7); intraoperative blood loss >500 mL (OR 1.7); >1 sub-procedure (OR 2.1); emergency procedure (OR 2.4); lack of surgical counts (OR 2.5); >1 surgical team (OR 3.0); unexpected intraoperative factors (OR 3.3); and incorrect surgical count (OR 4.1). Changes in nursing staff and operation “after hours” were not significantly associated with RSI risk in the current meta-analysis. Based on the current analysis, we stratified RSI risk factors into low, intermediate, and high-risk groups (Figure). Conclusions: This analysis demonstrated that among the “common risk factors” reported by all three case-control studies, 9 synergistically show elevated RSI risk across the pooled data. Based on these results, the authors propose a risk stratification scheme and a “call to arms” for large, prospective, multi-center studies evaluating effects of specific changes at the institutional level on the risk of RSI. Overall, our findings provide a meaningful foundation for future patient safety initiatives and clinical studies of RSFB occurrence and prevention.
AD  - S.D. Moffatt- Bruce, Ohio State University Wexner Medical Center, Surgery, Columbus, OH, United States
AU  - Moffatt- Bruce, S. D.
AU  - Cook, C.
AU  - Steinberg, S.
AU  - Stawicki, S. P.
DB  - Embase
DO  - 10.1016/j.jss.2013.11.387
IS  - 2
KW  - meta analysis
risk
stratification
surgery
society
university
surgeon
human
risk factor
meta analysis (topic)
procedures
student
case control study
emergency
non profit organization
multicenter study
arm
high risk population
nursing staff
patient
bleeding
operation duration
operative blood loss
patient safety
prevention
clinical study
body mass
case report
LA  - English
M3  - Conference Abstract
N1  - L71304275
2014-01-31
PY  - 2014
SN  - 0022-4804
SP  - 531
ST  - Risk factors for retained surgical items: A meta-analysis and proposed risk stratification system
T2  - Journal of Surgical Research
TI  - Risk factors for retained surgical items: A meta-analysis and proposed risk stratification system
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L71304275&from=export
http://dx.doi.org/10.1016/j.jss.2013.11.387
VL  - 186
ID  - 454
ER  - 

TY  - JOUR
AB  - BACKGROUND: Risk factors for medical errors remain poorly understood. We performed a case-control study of retained foreign bodies in surgical patients in order to identify risk factors for this type of error. METHODS: We reviewed the medical records associated with all claims or incident reports of a retained surgical sponge or instrument filed between 1985 and 2001 with a large malpractice insurer representing one third of the physicians in Massachusetts. For each case, we identified an average of four randomly selected controls who underwent the same type of operation during the same six-month period. RESULTS: Our study included 54 patients with a total of 61 retained foreign bodies (of which 69 percent were sponges and 31 percent instruments) and 235 control patients. Thirty-seven of the patients with retained foreign bodies (69 percent) required reoperation, and one died. Patients with retained foreign bodies were more likely than controls to have had emergency surgery (33 percent vs. 7 percent, P<0.001) or an unexpected change in surgical procedure (34 percent vs. 9 percent, P<0.001). Patients with retained foreign bodies also had a higher mean body-mass index and were less likely to have had counts of sponges and instruments performed. In multivariate analysis, factors associated with a significantly increased risk of retention of a foreign body were emergency surgery (risk ratio, 8.8 [95 percent confidence interval, 2.4 to 31.91]), unplanned change in the operation (risk ratio, 4.1 [95 percent confidence interval, 1.4 to 12.4]), and body-mass index (risk ratio for each one-unit increment, 1.1 [95 percent confidence interval, 1.0 to 1.2]). CONCLUSIONS: The risk of retention of a foreign body after surgery significantly increases in emergencies, with unplanned changes in procedure, and with higher body-mass index. Case-control analysis of medical-malpractice claims may identify and quantify risk factors for specific types of errors.
AU  - Gawande, A. A.
AU  - Studdert, D. M.
AU  - Orav, E. J.
AU  - Brennan, T. A.
AU  - Zinner, M. J.
DB  - Scopus
DO  - 10.1056/NEJMsa021721
IS  - 3
M3  - Article
N1  - Cited By :606
Export Date: 10 November 2020
PY  - 2003
SP  - 229-235
ST  - Risk factors for retained instruments and sponges after surgery
T2  - New England Journal of Medicine
TI  - Risk factors for retained instruments and sponges after surgery
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0037448346&doi=10.1056%2fNEJMsa021721&partnerID=40&md5=57b1a5c2dfab0926fc1ba2da69089671
VL  - 348
ID  - 1646
ER  - 

TY  - JOUR
AB  - BACKGROUND: Risk factors for medical errors remain poorly understood. We performed a case-control study of retained foreign bodies in surgical patients in order to identify risk factors for this type of error. METHODS: We reviewed the medical records associated with all claims or incident reports of a retained surgical sponge or instrument filed between 1985 and 2001 with a large malpractice insurer representing one third of the physicians in Massachusetts. For each case, we identified an average of four randomly selected controls who underwent the same type of operation during the same six-month period. RESULTS: Our study included 54 patients with a total of 61 retained foreign bodies (of which 69 percent were sponges and 31 percent instruments) and 235 control patients. Thirty-seven of the patients with retained foreign bodies (69 percent) required reoperation, and one died. Patients with retained foreign bodies were more likely than controls to have had emergency surgery (33 percent vs. 7 percent, P<0.001) or an unexpected change in surgical procedure (34 percent vs. 9 percent, P<0.001). Patients with retained foreign bodies also had a higher mean body-mass index and were less likely to have had counts of sponges and instruments performed. In multivariate analysis, factors associated with a significantly increased risk of retention of a foreign body were emergency surgery (risk ratio, 8.8 [95 percent confidence interval, 2.4 to 31.91]), unplanned change in the operation (risk ratio, 4.1 [95 percent confidence interval, 1.4 to 12.4]), and body-mass index (risk ratio for each one-unit increment, 1.1 [95 percent confidence interval, 1.0 to 1.2]). CONCLUSIONS: The risk of retention of a foreign body after surgery significantly increases in emergencies, with unplanned changes in procedure, and with higher body-mass index. Case-control analysis of medical-malpractice claims may identify and quantify risk factors for specific types of errors.
AU  - Gawande, A. A.
AU  - Studdert, D. M.
AU  - Orav, E. J.
AU  - Brennan, T. A.
AU  - Zinner, M. J.
DB  - Embase
Medline
DO  - 10.1056/NEJMsa021721
IS  - 3
KW  - adult
article
body mass
case control study
controlled study
emergency surgery
female
foreign body
human
iatrogenic disease
major clinical study
male
malpractice
multivariate analysis
postoperative complication
priority journal
reoperation
risk factor
statistical analysis
surgical equipment
surgical sponge
LA  - English
M3  - Article
N1  - L36077919
2003-01-23
PY  - 2003
SN  - 0028-4793
SP  - 229-235
ST  - Risk factors for retained instruments and sponges after surgery
T2  - New England Journal of Medicine
TI  - Risk factors for retained instruments and sponges after surgery
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L36077919&from=export
http://dx.doi.org/10.1056/NEJMsa021721
VL  - 348
ID  - 643
ER  - 

TY  - JOUR
AB  - Incorrect surgical counts after surgery are a perplexing problem for nurses working in the perioperative environment. To determine factors associated with an incorrect surgical count, this cross-sectional, correlational study examined explanatory variables (eg, patient and nurse characteristics, intraoperative circumstances, staff involvement) by using data abstracted from perioperative medical records and primary data collected from perioperative nurses. In the final multivariate analysis, six variables were significantly associated with an incorrect surgical count: a higher surgical risk, a lower body mass index, a complicated procedure, an unplanned procedure, an increased number of perioperative personnel involved, and an increased number of specialty teams involved. © 2012 AORN, Inc.
AD  - School of Nursing, West Virginia University, Morgantown, United States
AU  - Rowlands, A.
DB  - Scopus
DO  - 10.1016/j.aorn.2012.06.012
IS  - 3
KW  - Incorrect surgical counts
Patient safety
Perioperative nursing
Retained foreign bodies
Retained surgical items
M3  - Article
N1  - Cited By :11
Export Date: 10 November 2020
PY  - 2012
SP  - 272-284
ST  - Risk factors associated with incorrect surgical counts
T2  - AORN Journal
TI  - Risk factors associated with incorrect surgical counts
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84865535550&doi=10.1016%2fj.aorn.2012.06.012&partnerID=40&md5=54206f78a8a873ee44497b8e33991a66
VL  - 96
ID  - 1358
ER  - 

TY  - JOUR
AB  - The article reports on a 2011 decision which the Rhode Island Department of Health made to fine Rhode Island Hospital in Providence, Rhode Island $300,000 for what the state says is a pattern of significant surgical errors. Factors which led to the department's decision, including the case of a patient who underwent surgery and was left with a piece of a broken drill bit in his skull, are discussed.
AN  - 59011347. Language: English. Entry Date: 20110308. Revision Date: 20110311. Publication Type: Article
DB  - ccm
DP  - EBSCOhost
IS  - 2
KW  - Health Care Errors -- Rhode Island
Surgical Equipment and Supplies
Surgical Count Procedure -- Standards
Rhode Island
Hospital Policies
Wrong Site Surgery
N1  - brief item. Journal Subset: Biomedical; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Perioperative Care. NLM UID: 7810150.
PY  - 2011
SN  - 0190-5066
SP  - 20-21
ST  - RI fines hospital for surgical errors
T2  - Same-Day Surgery
TI  - RI fines hospital for surgical errors
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=59011347&site=ehost-live&scope=site
VL  - 35
ID  - 899
ER  - 

TY  - JOUR
AD  - Perioperative Educator, Epworth Eastern, Box Hill, VIC
AN  - 103067575. Language: English. Entry Date: 20150610. Revision Date: 20190301. Publication Type: Article
AU  - Thomas, Jane
AU  - Adcock, Fiona
DB  - ccm
DP  - EBSCOhost
IS  - 1
KW  - Surgical Count Procedure -- Evaluation -- Victoria
Surgical Count Procedure -- Standards -- Victoria
Health Care Errors -- Prevention and Control
Surgical Instruments -- Standards
Victoria
Patient Safety
Audit
Questionnaires
Retained Instruments -- Prevention and Control
Organizational Culture
Organizational Change
Sentinel Event -- Prevention and Control
N1  - forms; research; tables/charts. Journal Subset: Australia & New Zealand; Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed.
PY  - 2014
SN  - 1448-7535
SP  - 20-26
ST  - A review of existing count practice in the operating suite to achieve best practice and safe patient care
T2  - ACORN: The Journal of Perioperative Nursing in Australia
TI  - A review of existing count practice in the operating suite to achieve best practice and safe patient care
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103067575&site=ehost-live&scope=site
VL  - 27
ID  - 727
ER  - 

TY  - JOUR
AB  - With a heightened emphasis on patient safety and a lowered tolerance for the occurrence of "never events" there is a need for improved practices. Evidence-based knowledge bridges this gap by providing direction for best practices that ensure consistent and sustained safe patient care and optimal outcomes. Perioperative nursing has a long-standing and well-respected position of advocating for safe patient care. With intimate knowledge of the counting process, perioperative nurses, as key stakeholders in the multidisciplinary approach, must contribute to the body of evidence regarding best practices for effective surgical counts. © 2010 Elsevier Inc. All rights reserved.
AD  - Im Spycher 2, CH 8124 Maur, Switzerland
AU  - Halvorson, C. K.
DB  - Scopus
DO  - 10.1016/j.cpen.2009.11.003
IS  - 1
KW  - Best practices
Evidence-based practice
Never-events
Retained foreign objects
Sharp/needle
Sponge/swab
Surgical instrument counts
M3  - Review
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2010
SP  - 27-44
ST  - Review of Best Practices and Literature on Instrument Counts
T2  - Perioperative Nursing Clinics
TI  - Review of Best Practices and Literature on Instrument Counts
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-75849138811&doi=10.1016%2fj.cpen.2009.11.003&partnerID=40&md5=a604bb3d7c47e2fc6ce25a5573dad35a
VL  - 5
ID  - 1467
ER  - 

TY  - JOUR
AB  - Retained surgical sponges (RSS) are an avoidable complication following surgical operations. RSS can elicit either an early exudative-type reaction or a late aseptic fibrous tissue reaction. They may remain asymptomatic for long time; when present, symptomatology varies substantially and includes septic complications (abscess formation, peritonitis) or fibrous reaction resulting in adhesion formation or fistulation into adjacent hollow organs or externally. Plain radiograph may be useful for the diagnosis; however, computed tomography is the method of choice to establish correct diagnosis preoperatively. Removal of RSS is always indicated to prevent further complications. This is usually accomplished by open surgery; rarely, endoscopic or laparoscopic removal may be successful. Prevention is of key importance to avoid not only morbidity and even mortality but also medicolegal consequences. Preventive measures include careful counting, use of sponges marked with a radiopaque marker, avoidance of use of small sponges during abdominal procedures, careful examination of the abdomen by the operating surgeon before closure, radiograph in the operating theater (either routinely or selectively), and recently, usage of barcode and radiofrequency identification technology. © Springer-Verlag 2010.
AD  - 4th Department of Surgery, Athens University, Attikon U. Hospital, Arkadias 19-21, 115 26 Athens, Greece
AU  - Sakorafas, G. H.
AU  - Sampanis, D.
AU  - Lappas, C.
AU  - Papantoni, E.
AU  - Christodoulou, S.
AU  - Mastoraki, A.
AU  - Safioleas, M.
DB  - Scopus
DO  - 10.1007/s00423-010-0684-4
IS  - 8
KW  - Complications
Fistula
Foreign bodies
Instruments
Morbidity
Retained
Sponges
Surgery
M3  - Article
N1  - Cited By :16
Export Date: 10 November 2020
PY  - 2010
SP  - 1001-1007
ST  - Retained surgical sponges: What the practicing clinician should know
T2  - Langenbeck's Archives of Surgery
TI  - Retained surgical sponges: What the practicing clinician should know
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-79952786574&doi=10.1007%2fs00423-010-0684-4&partnerID=40&md5=07cd2765ceacdaf3d85d8ba3979f2998
VL  - 395
ID  - 1474
ER  - 

TY  - JOUR
AB  - Retained surgical sponges (RSS) are an avoidable complication following surgical operations. RSS can elicit either an early exudative-type reaction or a late aseptic fibrous tissue reaction. They may remain asymptomatic for long time; when present, symptomatology varies substantially and includes septic complications (abscess formation, peritonitis) or fibrous reaction resulting in adhesion formation or fistulation into adjacent hollow organs or externally. Plain radiograph may be useful for the diagnosis; however, computed tomography is the method of choice to establish correct diagnosis preoperatively. Removal of RSS is always indicated to prevent further complications. This is usually accomplished by open surgery; rarely, endoscopic or laparoscopic removal may be successful. Prevention is of key importance to avoid not only morbidity and even mortality but also medicolegal consequences. Preventive measures include careful counting, use of sponges marked with a radiopaque marker, avoidance of use of small sponges during abdominal procedures, careful examination of the abdomen by the operating surgeon before closure, radiograph in the operating theater (either routinely or selectively), and recently, usage of barcode and radiofrequency identification technology. © 2010 Springer-Verlag.
AD  - G.H. Sakorafas, 4th Department of Surgery, Athens University, Medical School, ATTIKON U. Hospital, Arkadias 19-21, Athens, 115 26, Greece
AU  - Sakorafas, G. H.
AU  - Sampanis, D.
AU  - Lappas, C.
AU  - Papantoni, E.
AU  - Christodoulou, S.
AU  - Mastoraki, A.
AU  - Safioleas, M.
DB  - Embase
Medline
DO  - 10.1007/s00423-010-0684-4
KW  - marker
surgical sponge
surgery
morbidity
fistula
foreign body
X ray film
diagnosis
surgeon
operating room
radiofrequency
technology
tissue reaction
symptomatology
adhesion
computer assisted tomography
prevention
peritonitis
mortality
examination
abdomen
abscess
LA  - English
M3  - Article in Press
N1  - L51004789
2010-08-11
PY  - 2010
SN  - 1435-2443
1435-2451
SP  - 1-7
ST  - Retained surgical sponges: what the practicing clinician should know
T2  - Langenbeck's Archives of Surgery
TI  - Retained surgical sponges: what the practicing clinician should know
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L51004789&from=export
http://dx.doi.org/10.1007/s00423-010-0684-4
ID  - 563
ER  - 

TY  - JOUR
AB  - Background Retained surgical items (RSIs) are serious events with a high potential to harm patients. It is estimated that as many as 1 in 5,500 operations result in an RSI, and sponges are most commonly involved. The adverse outcomes, additional medical care needed, and medico-legal costs associated with these events are substantial. The objective of this analysis was to advance our understanding of the occurrence of RSIs, the methods of prevention, and the costs involved. Study Design Incident reports entered into the University HealthSystem Consortium (UHC) Safety Intelligence database on incorrect surgical counts and RSIs were analyzed. Reported cases of retained surgical sponges at organizations that use radiofrequency (RF) technology and those that do not were compared. A cost-benefit analysis on adopting RF technology was conducted. Results Five organizations that implemented RF technology between 2008 and 2012 collectively demonstrated a 93% reduction in the rate of reported retained surgical sponges. By comparison, there was a 77% reduction in the rate of retained sponges at 5 organizations that do not use RF technology. The UHC cost-benefit analysis showed that the savings in x-rays and time spent in the operating room and in the medical and legal costs that were avoided outweighed the expenses involved in using RF technology. Conclusions Current standards for manual counting of sponges and the use of radiographs are not sufficient to prevent the occurrence of retained surgical sponges; our data support the use of adjunct technology. We recommend that hospitals evaluate and consider the use of an adjunct technology. © 2014 by the American College of Surgeons.
AD  - University HealthSystem Consortium (UHC), Patient Safety, 155 N Wacker Dr, Chicago, IL 60606, United States
University of Iowa College of Nursing, Iowa City, IA, United States
University of Kentucky, UK HealthCare, Lexington, KY, United States
AU  - Williams, T. L.
AU  - Tung, D. K.
AU  - Steelman, V. M.
AU  - Chang, P. K.
AU  - Szekendi, M. K.
DB  - Scopus
DO  - 10.1016/j.jamcollsurg.2014.03.052
IS  - 3
KW  - Abbreviations and Acronyms
Centers for Medicare and Medicaid Services
CMS
operating room
OR
Patient Safety Organization
PSO
radiofrequency
radiofrequency identification systems
retained surgical item
retained surgical sponge
RF
RFID
RSI
RSS
M3  - Article
N1  - Cited By :20
Export Date: 10 November 2020
PY  - 2014
SP  - 354-364
ST  - Retained surgical sponges: Findings from incident reports and a cost-benefit analysis of radiofrequency technology
T2  - Journal of the American College of Surgeons
TI  - Retained surgical sponges: Findings from incident reports and a cost-benefit analysis of radiofrequency technology
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84906934193&doi=10.1016%2fj.jamcollsurg.2014.03.052&partnerID=40&md5=464df6b03766c3b59d2321049bad082f
VL  - 219
ID  - 1276
ER  - 

TY  - JOUR
AB  - Background: Retained surgical items (RSIs) are serious events with a high potential to harm patients. It is estimated that as many as 1 in 5,500 operations result in an RSI, and sponges are most commonly involved. The adverse outcomes, additional medical care needed, and medico-legal costs associated with these events are substantial. The objective of this analysis was to advance our understanding of the occurrence of RSIs, the methods of prevention, and the costs involved. Study Design: Incident reports entered into the University HealthSystem Consortium (UHC) Safety Intelligence database on incorrect surgical counts and RSIs were analyzed. Reported cases of retained surgical sponges at organizations that use radiofrequency (RF) technology and those that do not were compared. A cost-benefit analysis on adopting RF technology was conducted. Results: Five organizations that implemented RF technology between 2008 and 2012 collectively demonstrated a 93% reduction in the rate of reported retained surgical sponges. By comparison, there was a 77% reduction in the rate of retained sponges at 5 organizations that do not use RF technology. The UHC cost-benefit analysis showed that the savings in x-rays and time spent in the operating room and in the medical and legal costs that were avoided outweighed the expenses involved in using RF technology. Conclusions: Current standards for manual counting of sponges and the use of radiographs are not sufficient to prevent the occurrence of retained surgical sponges; our data support the use of adjunct technology. We recommend that hospitals evaluate and consider the use of an adjunct technology.
AD  - T.L. Williams, University HealthSystem Consortium (UHC), Patient Safety, 155 N Wacker Dr, Chicago, IL, United States
AU  - Williams, T. L.
AU  - Tung, D. K.
AU  - Steelman, V. M.
AU  - Chang, P. K.
AU  - Szekendi, M. K.
DB  - Embase
DO  - 10.1016/j.jamcollsurg.2014.03.052
IS  - 3
KW  - radio frequency identification device
adverse outcome
article
controlled study
cost benefit analysis
cost control
health care cost
human
incidence
incident report
intraoperative period
law suit
malpractice
medicolegal aspect
operation duration
predictive value
prevention and control
radiofrequency
radiography
reoperation
retained instrument
retrospective study
risk reduction
sensitivity and specificity
surgical error
surgical sponge
wound closure
LA  - English
M3  - Article
N1  - L600490647
2014-11-25
2014-12-03
PY  - 2014
SN  - 1879-1190
1072-7515
SP  - 354-364
ST  - Retained surgical sponges: Findings from incident reports and a cost-benefit analysis of radiofrequency technology
T2  - Journal of the American College of Surgeons
TI  - Retained surgical sponges: Findings from incident reports and a cost-benefit analysis of radiofrequency technology
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L600490647&from=export
http://dx.doi.org/10.1016/j.jamcollsurg.2014.03.052
VL  - 219
ID  - 463
ER  - 

TY  - JOUR
AB  - Background Retained surgical items (RSIs) are serious events with a high potential to harm patients. It is estimated that as many as 1 in 5,500 operations result in an RSI, and sponges are most commonly involved. The adverse outcomes, additional medical care needed, and medico-legal costs associated with these events are substantial. The objective of this analysis was to advance our understanding of the occurrence of RSIs, the methods of prevention, and the costs involved. Study Design Incident reports entered into the University HealthSystem Consortium (UHC) Safety Intelligence database on incorrect surgical counts and RSIs were analyzed. Reported cases of retained surgical sponges at organizations that use radiofrequency (RF) technology and those that do not were compared. A cost-benefit analysis on adopting RF technology was conducted. Results Five organizations that implemented RF technology between 2008 and 2012 collectively demonstrated a 93% reduction in the rate of reported retained surgical sponges. By comparison, there was a 77% reduction in the rate of retained sponges at 5 organizations that do not use RF technology. The UHC cost-benefit analysis showed that the savings in x-rays and time spent in the operating room and in the medical and legal costs that were avoided outweighed the expenses involved in using RF technology. Conclusions Current standards for manual counting of sponges and the use of radiographs are not sufficient to prevent the occurrence of retained surgical sponges; our data support the use of adjunct technology. We recommend that hospitals evaluate and consider the use of an adjunct technology. © 2014 by the American College of Surgeons.
AD  - T.L. Williams, University HealthSystem Consortium (UHC), Patient Safety, 155 N Wacker Dr, Chicago, IL 60606, United States
AU  - Williams, T. L.
AU  - Tung, D. K.
AU  - Steelman, V. M.
AU  - Chang, P. K.
AU  - Szekendi, M. K.
DB  - Embase
DO  - 10.1016/j.jamcollsurg.2014.03.052
IS  - 3
KW  - adverse outcome
article
cost benefit analysis
cost control
human
incident report
intraoperative period
operating room
priority journal
radiofrequency
radiofrequency identification
retained instrument
surgical sponge
technology
X ray
LA  - English
M3  - Article
N1  - L53263531
2014-08-01
2014-09-09
PY  - 2014
SN  - 1879-1190
1072-7515
SP  - 354-364
ST  - Retained surgical sponges: Findings from incident reports and a cost-benefit analysis of radiofrequency technology
T2  - Journal of the American College of Surgeons
TI  - Retained surgical sponges: Findings from incident reports and a cost-benefit analysis of radiofrequency technology
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L53263531&from=export
http://dx.doi.org/10.1016/j.jamcollsurg.2014.03.052
VL  - 219
ID  - 462
ER  - 

TY  - JOUR
AB  - BACKGROUND: Retained surgical items (RSIs) are serious events with a high potential to harm patients. It is estimated that as many as 1 in 5,500 operations result in an RSI, and sponges are most commonly involved. The adverse outcomes, additional medical care needed, and medico-legal costs associated with these events are substantial. The objective of this analysis was to advance our understanding of the occurrence of RSIs, the methods of prevention, and the costs involved. STUDY DESIGN: Incident reports entered into the University HealthSystem Consortium (UHC) Safety Intelligence database on incorrect surgical counts and RSIs were analyzed. Reported cases of retained surgical sponges at organizations that use radiofrequency (RF) technology and those that do not were compared. A cost-benefit analysis on adopting RF technology was conducted. RESULTS: Five organizations that implemented RF technology between 2008 and 2012 collectively demonstrated a 93% reduction in the rate of reported retained surgical sponges. By comparison, there was a 77% reduction in the rate of retained sponges at 5 organizations that do not use RF technology. The UHC cost-benefit analysis showed that the savings in x-rays and time spent in the operating room and in the medical and legal costs that were avoided outweighed the expenses involved in using RF technology. CONCLUSIONS: Current standards for manual counting of sponges and the use of radiographs are not sufficient to prevent the occurrence of retained surgical sponges; our data support the use of adjunct technology. We recommend that hospitals evaluate and consider the use of an adjunct technology.
AU  - Williams, T. L.
AU  - Tung, D. K.
AU  - Steelman, V. M.
AU  - Chang, P. K.
AU  - Szekendi, M. K.
DB  - Medline
DO  - 10.1016/j.jamcollsurg.2014.03.052
IS  - 3
KW  - cost benefit analysis
diagnostic use
economics
foreign body
human
radiofrequency radiation
retrospective study
risk management
surgical sponge
LA  - English
M3  - Article
N1  - L604682155
2015-06-08
PY  - 2014
SN  - 1879-1190
SP  - 354-364
ST  - Retained surgical sponges: findings from incident reports and a cost-benefit analysis of radiofrequency technology
T2  - Journal of the American College of Surgeons
TI  - Retained surgical sponges: findings from incident reports and a cost-benefit analysis of radiofrequency technology
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L604682155&from=export
http://dx.doi.org/10.1016/j.jamcollsurg.2014.03.052
VL  - 219
ID  - 444
ER  - 

TY  - JOUR
AB  - Background: Unintended retention of foreign bodies remain the most frequently reported sentinel events. Surgical sponges account for the majority of these retained items. The purpose of this study was to describe reports of unintentionally retained surgical sponges (RSS): the types of sponges, anatomic locations, accuracy of sponge counts, contributing factors, and harm, in order to make recommendations to improve perioperative safety. Methods: A retrospective review was undertaken of unintentionally RSS voluntarily reported to The Joint Commission Sentinel Event Database by healthcare facilities over a 5-year period (October 1, 2012- September 30, 2017). Event reports involving surgical sponges were reviewed for patients undergoing surgery, invasive procedures, or child birth. Results: A total of 319 events involving RSS were reported. Sponges were most frequently retained in the abdomen or pelvis (50.2%) and the vagina (23.9%). Events occurred in the Operating Room (64.1%), Labor and Delivery (32.7%) and other procedural areas (3.3%). Of the events reported, 318 involved 1 to 12 contributing factors totaling 1430 in 13 different categories, most frequently in human factors and leadership. In 69.6% of reports, the harm was an unexpected additional care or extended stay. Severe temporary harm was associated with 14.7% of the events. One patient died as a result of the retained sponge. Conclusions: Because of the complexity of perioperative patient care, the multitude of contributing factors that are difficult to control, and the potential benefit of radiofrequency sponge detection, we recommend that this technology be considered in areas where surgery is performed and in Labor and Delivery. © 2018 The Author(s).
AD  - The University of Iowa College of Nursing, 50 Newton Road, Iowa City, IA 52242-1121, United States
The Joint Commission, 1 Renaissance Boulevard, Oak Brook Terrace, IL 60181, United States
The University of Iowa Carver College of Medicine, 451 Newton Road, Iowa City, IA 52242, United States
AU  - Steelman, V. M.
AU  - Shaw, C.
AU  - Shine, L.
AU  - Hardy-Fairbanks, A. J.
C7  - 20
DB  - Scopus
DO  - 10.1186/s13037-018-0166-0
IS  - 1
KW  - Adverse event
Gossypiboma
Labor and delivery
Obstetrics
Patient safety
Sponges
Surgery
M3  - Article
N1  - Cited By :10
Export Date: 10 November 2020
PY  - 2018
ST  - Retained surgical sponges: A descriptive study of 319 occurrences and contributing factors from 2012 to 2017
T2  - Patient Safety in Surgery
TI  - Retained surgical sponges: A descriptive study of 319 occurrences and contributing factors from 2012 to 2017
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85049246950&doi=10.1186%2fs13037-018-0166-0&partnerID=40&md5=d75f8f9ea3ac039a6d6754b247314bb0
VL  - 12
ID  - 1072
ER  - 

TY  - JOUR
AB  - Background: Unintended retention of foreign bodies remain the most frequently reported sentinel events. Surgical sponges account for the majority of these retained items. The purpose of this study was to describe reports of unintentionally retained surgical sponges (RSS): the types of sponges, anatomic locations, accuracy of sponge counts, contributing factors, and harm, in order to make recommendations to improve perioperative safety. Methods: A retrospective review was undertaken of unintentionally RSS voluntarily reported to The Joint Commission Sentinel Event Database by healthcare facilities over a 5-year period (October 1, 2012- September 30, 2017). Event reports involving surgical sponges were reviewed for patients undergoing surgery, invasive procedures, or child birth. Results: A total of 319 events involving RSS were reported. Sponges were most frequently retained in the abdomen or pelvis (50.2%) and the vagina (23.9%). Events occurred in the Operating Room (64.1%), Labor and Delivery (32.7%) and other procedural areas (3.3%). Of the events reported, 318 involved 1 to 12 contributing factors totaling 1430 in 13 different categories, most frequently in <italic>human factors</italic> and <italic>leadership</italic>. In 69.6% of reports, the harm was an <italic>unexpected additional care or extended stay</italic>. <italic>Severe temporary harm</italic> was associated with 14.7% of the events. One patient died as a result of the retained sponge. Conclusions: Because of the complexity of perioperative patient care, the multitude of contributing factors that are difficult to control, and the potential benefit of radiofrequency sponge detection, we recommend that this technology be considered in areas where surgery is performed and in Labor and Delivery.
AD  - The University of Iowa College of Nursing 50 Newton Road 52242-1121 Iowa City IA USA
The Joint Commission 1 Renaissance Boulevard 60181 Oak Brook Terrace IL USA
The University of Iowa Carver College of Medicine 451 Newton Road 52242 Iowa City IA USA
AN  - 130409654. Language: English. Entry Date: In Process. Revision Date: 20180703. Publication Type: Article. Journal Subset: Europe
AU  - Steelman, Victoria M.
AU  - Shaw, Clarissa
AU  - Shine, Laurel
AU  - Hardy-Fairbanks, Abbey J.
DB  - ccm
DO  - 10.1186/s13037-018-0166-0
DP  - EBSCOhost
IS  - 1
N1  - Health Services Administration; UK & Ireland. NLM UID: 101319176.
PY  - 2018
SN  - 1754-9493
SP  - N.PAG-N.PAG
ST  - Retained surgical sponges: a descriptive study of 319 occurrences and contributing factors from 2012 to 2017
T2  - Patient Safety in Surgery
TI  - Retained surgical sponges: a descriptive study of 319 occurrences and contributing factors from 2012 to 2017
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130409654&site=ehost-live&scope=site
VL  - 12
ID  - 824
ER  - 

TY  - JOUR
AB  - Background: Unintended retention of foreign bodies remain the most frequently reported sentinel events. Surgical sponges account for the majority of these retained items. The purpose of this study was to describe reports of unintentionally retained surgical sponges (RSS): the types of sponges, anatomic locations, accuracy of sponge counts, contributing factors, and harm, in order to make recommendations to improve perioperative safety. Methods: A retrospective review was undertaken of unintentionally RSS voluntarily reported to The Joint Commission Sentinel Event Database by healthcare facilities over a 5-year period (October 1, 2012- September 30, 2017). Event reports involving surgical sponges were reviewed for patients undergoing surgery, invasive procedures, or child birth. Results: A total of 319 events involving RSS were reported. Sponges were most frequently retained in the abdomen or pelvis (50.2%) and the vagina (23.9%). Events occurred in the Operating Room (64.1%), Labor and Delivery (32.7%) and other procedural areas (3.3%). Of the events reported, 318 involved 1 to 12 contributing factors totaling 1430 in 13 different categories, most frequently in human factors and leadership. In 69.6% of reports, the harm was an unexpected additional care or extended stay. Severe temporary harm was associated with 14.7% of the events. One patient died as a result of the retained sponge. Conclusions: Because of the complexity of perioperative patient care, the multitude of contributing factors that are difficult to control, and the potential benefit of radiofrequency sponge detection, we recommend that this technology be considered in areas where surgery is performed and in Labor and Delivery.
AD  - V.M. Steelman, The University of Iowa College of Nursing, 50 Newton Road, Iowa City, IA, United States
AU  - Steelman, V. M.
AU  - Shaw, C.
AU  - Shine, L.
AU  - Hardy-Fairbanks, A. J.
DB  - Embase
DO  - 10.1186/s13037-018-0166-0
IS  - 1
KW  - operating room
surgical sponge
abdominal surgery
article
childbirth
descriptive research
female
human
human factors research
invasive procedure
labor
leadership
observational study
obstetric delivery
patient care
patient safety
pelvis surgery
retained surgical sponge
retrospective study
risk assessment
surgery
LA  - English
M3  - Article
N1  - L622786052
2018-07-06
2018-07-11
PY  - 2018
SN  - 1754-9493
ST  - Retained surgical sponges: A descriptive study of 319 occurrences and contributing factors from 2012 to 2017
T2  - Patient Safety in Surgery
TI  - Retained surgical sponges: A descriptive study of 319 occurrences and contributing factors from 2012 to 2017
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L622786052&from=export
http://dx.doi.org/10.1186/s13037-018-0166-0
VL  - 12
ID  - 343
ER  - 

TY  - JOUR
AB  - Introduction Retained sponges and instruments (RSI) due to surgery are a recognised medical 'never event' and have catastrophic implications for patients, healthcare professionals and medical care providers. The aim of this review was to elucidate the extent of the problem of RSI and to identify preventative strategies. Methods A comprehensive literature search was performed on MEDLINE®, Embase™, the Science Citation Index and Google™ Scholar for articles published in English between January 2000 and June 2012. Studies outlining the incidence, risk, management and attempts to prevent RSI following surgical intervention were retrieved. Results The overall incidence of RSI is low although its incidence is substantially higher in operations performed on open cavities. Sponges are the most commonly retained item when compared with needles and instruments. Clinical presentation is varied, leading to avoidable morbidity, and the error is indefensible medicolegally. Risk factors include emergency operations, operations involving unexpected change in procedure, raised body mass index, and a failure to perform accurate sponge and instrument counts. The existing strategy for prevention is manual counting of sponges and instruments undertaken by surgical personnel. This, however, is fallible. Computer assisted counting of sponges using barcodes and gauze sponges tagged with a radiofrequency identification device aiding manual counting have been trialled recently, with success. Conclusions Vigilance among operating theatre personnel is paramount if RSI is to be prevented. Prospective multicentre trials to assess efficacy of new technologies aiding manual counting should be undertaken if this medical error is to be eliminated completely.
AD  - Nottingham University Hospitals NHS Trust, Queen's Medical Centre, Nottingham, United Kingdom
AU  - Hariharan, D.
AU  - Lobo, D. N.
DB  - Scopus
DO  - 10.1308/003588413X13511609957218
IS  - 2
KW  - Counts
Foreign bodies
Instruments
Prevention
Retained
Sponges
Surgery
M3  - Review
N1  - Cited By :46
Export Date: 10 November 2020
PY  - 2013
SP  - 87-92
ST  - Retained surgical sponges, needles and instruments
T2  - Annals of the Royal College of Surgeons of England
TI  - Retained surgical sponges, needles and instruments
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84876300304&doi=10.1308%2f003588413X13511609957218&partnerID=40&md5=08bde3320e62357fcec552003684aa05
VL  - 95
ID  - 1327
ER  - 

TY  - JOUR
AB  - Introduction Retained sponges and instruments (RSI) due to surgery are a recognised medical 'never event' and have catastrophic implications for patients, healthcare professionals and medical care providers. The aim of this review was to elucidate the extent of the problem of RSI and to identify preventative strategies. Methods A comprehensive literature search was performed on MEDLINE®, Embase™, the Science Citation Index and Google™ Scholar for articles published in English between January 2000 and June 2012. Studies outlining the incidence, risk, management and attempts to prevent RSI following surgical intervention were retrieved. Results The overall incidence of RSI is low although its incidence is substantially higher in operations performed on open cavities. Sponges are the most commonly retained item when compared with needles and instruments. Clinical presentation is varied, leading to avoidable morbidity, and the error is indefensible medicolegally. Risk factors include emergency operations, operations involving unexpected change in procedure, raised body mass index, and a failure to perform accurate sponge and instrument counts. The existing strategy for prevention is manual counting of sponges and instruments undertaken by surgical personnel. This, however, is fallible. Computer assisted counting of sponges using barcodes and gauze sponges tagged with a radiofrequency identification device aiding manual counting have been trialled recently, with success. Conclusions Vigilance among operating theatre personnel is paramount if RSI is to be prevented. Prospective multicentre trials to assess efficacy of new technologies aiding manual counting should be undertaken if this medical error is to be eliminated completely.
AD  - D.N. Lobo, Nottingham Digestive Diseases Centre National Institute for Health Research Biomedical Research Unit, Queen's Medical Centre, Derby Road, Nottingham NG7 2UH, United Kingdom
AU  - Hariharan, D.
AU  - Lobo, D. N.
DB  - Medline
DO  - 10.1308/003588413X13511609957218
IS  - 2
KW  - early diagnosis
foreign body
human
incidence
medical error
needle
review
risk factor
surgical equipment
surgical sponge
LA  - English
M3  - Review
N1  - L368747576
2013-05-13
PY  - 2013
SN  - 0035-8843
SP  - 87-92
ST  - Retained surgical sponges, needles and instruments
T2  - Annals of the Royal College of Surgeons of England
TI  - Retained surgical sponges, needles and instruments
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L368747576&from=export
http://dx.doi.org/10.1308/003588413X13511609957218
http://docserver.ingentaconnect.com/deliver/connect/rcse/00358843/v95n2/s1.pdf?
VL  - 95
ID  - 487
ER  - 

TY  - JOUR
AB  - Imaging within 24 to 48 hours after most neurosurgical procedures is a routine practice. Nonresorbable surgical sponges have radiopaque filaments readily visible on CT scans and plain film radiographs. However, the proton-poor barium sulfate responsible for this radio-opacity is generally not detectable on MR imaging in the immediate post-operative period. Findings on MR imaging become more evident with elapsing time and when a foreign-body reaction to the sponge manifests as a mass lesion, which can mimic residual or recurrent intracranial tumor or abscess. Although preventive measures by our surgical colleagues to ensure accurate and correct sponge counts before and after wound closure is paramount, even the most fastidious efforts may rarely result in an inadvertently retained surgical sponge. The role of the radiologist is to recognize the imaging findings of this entity and its potential complications so that appropriate and prompt management can be initiated.
AD  - Department of Neuroradiology, University of Pennsylvania, Philadelphia, PA, United States
Department of Pathology, University of Pennsylvania, Philadelphia, PA, United States
Department of Neuroradiology, University of Pennsylvania Health System, 2 Dullas Bldg., 3400 Spruce St, Philadelphia, PA 19104, United States
AU  - Kim, A. K.
AU  - Lee, E. B.
AU  - Bagley, L. J.
AU  - Loevner, L. A.
DB  - Scopus
DO  - 10.3174/ajnr.A1469
IS  - 6
M3  - Article
N1  - Cited By :14
Export Date: 10 November 2020
PY  - 2009
SP  - 1270-1272
ST  - Retained surgical sponges after craniotomies: Imaging appearances and complications
T2  - American Journal of Neuroradiology
TI  - Retained surgical sponges after craniotomies: Imaging appearances and complications
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-67449147382&doi=10.3174%2fajnr.A1469&partnerID=40&md5=370c84e3511e31cdea2283cde712f783
VL  - 30
ID  - 1492
ER  - 

TY  - JOUR
AB  - Imaging within 24 to 48 hours after most neurosurgical procedures is a routine practice. Nonresorbable surgical sponges have radiopaque filaments readily visible on CT scans and plain film radiographs. However, the proton-poor barium sulfate responsible for this radio-opacity is generally not detectable on MR imaging in the immediate post-operative period. Findings on MR imaging become more evident with elapsing time and when a foreign-body reaction to the sponge manifests as a mass lesion, which can mimic residual or recurrent intracranial tumor or abscess. Although preventive measures by our surgical colleagues to ensure accurate and correct sponge counts before and after wound closure is paramount, even the most fastidious efforts may rarely result in an inadvertently retained surgical sponge. The role of the radiologist is to recognize the imaging findings of this entity and its potential complications so that appropriate and prompt management can be initiated.
AD  - L. A. Loevner, Department of Neuroradiology, University of Pennsylvania Health System, 2 Dullas Bldg., 3400 Spruce St, Philadelphia, PA 19104, United States
AU  - Kim, A. K.
AU  - Lee, E. B.
AU  - Bagley, L. J.
AU  - Loevner, L. A.
DB  - Embase
Medline
DO  - 10.3174/ajnr.A1469
IS  - 6
KW  - adult
adverse outcome
amnesia
article
blood examination
brain abscess
brain biopsy
brain edema
brain hemorrhage
case report
cerebrospinal fluid analysis
computer assisted tomography
confusion
craniotomy
differential diagnosis
female
fever
follow up
foreign body reaction
head injury
headache
human
human tissue
image display
intracranial tumor
leukoencephalopathy
male
meningioma
mental deterioration
nuclear magnetic resonance imaging
postoperative complication
reoperation
retained instrument
surgical sponge
wound closure
L1  - internal-pdf://2426206510/1270.full.pdf
LA  - English
M3  - Article
N1  - L354756373
2009-07-16
PY  - 2009
SN  - 0195-6108
SP  - 1270-1272
ST  - Retained surgical sponges after craniotomies: Imaging appearances and complications
T2  - American Journal of Neuroradiology
TI  - Retained surgical sponges after craniotomies: Imaging appearances and complications
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L354756373&from=export
http://dx.doi.org/10.3174/ajnr.A1469
VL  - 30
ID  - 580
ER  - 

TY  - JOUR
AB  - OBJECTIVE: Retained surgical sponges are seldom reported due to medicolegal implications. Awareness of this problem among surgeons and radiologists is essential to avoid unnecessary morbidity. We present our experience with this entity and review the related literature. METHODS: The medical records of 11 patients who were diagnosed as having retained surgical sponges from 1990 to 2003 were reviewed. RESULTS: The incidence was 1:5,027 inpatient operations. There were four males and seven females with a median age of 45 years. The original operations were gynaecological (n = 4), general (n = 4), urological (n = 2) and laminectomy (n = 1). In seven cases, the original operation was performed on an emergency basis. Five patients were obese. A presumed correct sponge count was documented in eight cases. The median time between the original procedure and diagnosis of retained sponges was 12 months. The tentative diagnosis was intestinal obstruction (4 patients), urinary tract infection (1 patient), Crohn's disease (1 patient) and tumour recurrence (1 patient). The correct diagnosis was suggested in the remaining four patients. Surgical removal of the retained sponges was carried out in all cases except one, in which the patient passed the sponge spontaneously through the rectum. CONCLUSION: Retained sponges are more common in obese patients and after emergency surgery. A high degree of suspicion is important for preoperative diagnosis. Despite the use of radio-opaque sponges and thorough sponge counting, this moribund mishap still occurs. Although human errors cannot be completely abolished, continuous medical training and strict adherence to regulations should reduce the incidence to a minimum. © 2005 Elsevier. All rights reserved.
AD  - Department of Surgery, King Abdullah University Hospital, Jordan Univ. of Sci. and Technology, Irbid, Jordan
Department of Surgery, Faculty of Medicine, Jordan Univ. of Sci. and Technology, P.O. Box 3030, Irbid - 22110, Jordan
AU  - Bani-Hani, K. E.
AU  - Gharaibeh, K. A.
AU  - Yaghan, R. J.
DB  - Scopus
DO  - 10.1016/S1015-9584(09)60273-6
IS  - 2
KW  - Gossypiboma
Retained surgical sponge
Retained surgical swab
Textiloma
M3  - Article
N1  - Cited By :129
Export Date: 10 November 2020
PY  - 2005
SP  - 109-115
ST  - Retained surgical sponges (gossypiboma)
T2  - Asian Journal of Surgery
TI  - Retained surgical sponges (gossypiboma)
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-18044377613&doi=10.1016%2fS1015-9584%2809%2960273-6&partnerID=40&md5=b80a40d7b4476c3f996b2ae832c366dc
VL  - 28
ID  - 1615
ER  - 

TY  - JOUR
AB  - OBJECTIVE: Retained surgical sponges are seldom reported due to medicolegal implications. Awareness of this problem among surgeons and radiologists is essential to avoid unnecessary morbidity. We present our experience with this entity and review the related literature. METHODS: The medical records of 11 patients who were diagnosed as having retained surgical sponges from 1990 to 2003 were reviewed. RESULTS: The incidence was 1:5,027 inpatient operations. There were four males and seven females with a median age of 45 years. The original operations were gynaecological (n = 4), general (n = 4), urological (n = 2) and laminectomy (n = 1). In seven cases, the original operation was performed on an emergency basis. Five patients were obese. A presumed correct sponge count was documented in eight cases. The median time between the original procedure and diagnosis of retained sponges was 12 months. The tentative diagnosis was intestinal obstruction (4 patients), urinary tract infection (1 patient), Crohn's disease (1 patient) and tumour recurrence (1 patient). The correct diagnosis was suggested in the remaining four patients. Surgical removal of the retained sponges was carried out in all cases except one, in which the patient passed the sponge spontaneously through the rectum. CONCLUSION: Retained sponges are more common in obese patients and after emergency surgery. A high degree of suspicion is important for preoperative diagnosis. Despite the use of radio-opaque sponges and thorough sponge counting, this moribund mishap still occurs. Although human errors cannot be completely abolished, continuous medical training and strict adherence to regulations should reduce the incidence to a minimum. © 2005 Elsevier. All rights reserved.
AD  - K.E. Bani-Hani, Department of Surgery, Faculty of Medicine, Jordan Univ. of Sci. and Technology, P.O. Box 3030, Irbid - 22110, Jordan
AU  - Bani-Hani, K. E.
AU  - Gharaibeh, K. A.
AU  - Yaghan, R. J.
DB  - Embase
Medline
DO  - 10.1016/S1015-9584(09)60273-6
IS  - 2
KW  - adult
barium enema
clinical article
computer assisted tomography
Crohn disease
differential diagnosis
emergency surgery
female
foreign body
general surgery
gossypiboma
gynecologic surgery
human
incidence
intestine obstruction
Jordan
laminectomy
male
medical record
obesity
preoperative evaluation
retained surgical sponge
review
surgical sponge
tumor recurrence
urinary tract infection
urologic surgery
LA  - English
M3  - Review
N1  - L40604315
2005-05-16
PY  - 2005
SN  - 1015-9584
SP  - 109-115
ST  - Retained surgical sponges (gossypiboma)
T2  - Asian Journal of Surgery
TI  - Retained surgical sponges (gossypiboma)
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L40604315&from=export
http://dx.doi.org/10.1016/S1015-9584(09)60273-6
VL  - 28
ID  - 630
ER  - 

TY  - JOUR
AB  - Retained surgical sponge events continue to occur despite the implementation of preventive surgical count policies, procedures, and adjunct technologies to manual counting. Such intraoperative mistakes can cause chronic nonspecific symptoms during the early postoperative period. When discovered years after surgery, they raise thorny medicolegal questions. We describe two cases from our practice that illustrate the need to identify the responsibility of the surgical team, as delineated in ministerial directives and the current legal framework, as well as the difficulty in evaluating clinical actions taken at different times and in different settings, with regard to the permanent health damage incurred by sponge retention. Finally, we discuss prevention actions operating room staff should take to reduce the risk of retained surgical sponges. © 2018 Elsevier B.V.
AD  - Departmental Section of Legal Medicine, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, A.O.U., “G. Martino” Via Consolare Valeria n. 1, Messina, 98100, Italy
AU  - Gualniera, P.
AU  - Serena, S.
DB  - Scopus
DO  - 10.1016/j.legalmed.2018.01.003
KW  - Clinical risk management
Damage
Prevention
Professional liability
Retained sponge
Surgery
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2018
SP  - 78-81
ST  - Retained surgical sponge: Medicolegal aspects
T2  - Legal Medicine
TI  - Retained surgical sponge: Medicolegal aspects
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85042911018&doi=10.1016%2fj.legalmed.2018.01.003&partnerID=40&md5=1a2612e141b9e772fbda01f0fc83d731
VL  - 31
ID  - 1084
ER  - 

TY  - JOUR
AB  - Retained surgical sponge events continue to occur despite the implementation of preventive surgical count policies, procedures, and adjunct technologies to manual counting. Such intraoperative mistakes can cause chronic nonspecific symptoms during the early postoperative period. When discovered years after surgery, they raise thorny medicolegal questions. We describe two cases from our practice that illustrate the need to identify the responsibility of the surgical team, as delineated in ministerial directives and the current legal framework, as well as the difficulty in evaluating clinical actions taken at different times and in different settings, with regard to the permanent health damage incurred by sponge retention. Finally, we discuss prevention actions operating room staff should take to reduce the risk of retained surgical sponges.
AD  - S. Serena, Departmental Section of Legal Medicine, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, A.O.U., “G. Martino” Via Consolare Valeria n. 1, Messina, Italy
AU  - Gualniera, P.
AU  - Serena, S.
DB  - Embase
Medline
DO  - 10.1016/j.legalmed.2018.01.003
KW  - surgical sponge
adult
appendectomy
article
case report
clinical article
colic
computer assisted tomography
dyspepsia
female
foreign body reaction
gallstone
granulomatous inflammation
human
hypertransaminasemia
hysterectomy
laboratory test
laparoscopic cholecystectomy
medicolegal aspect
middle aged
neurosis
postoperative period
retained instrument
risk factor
surgical patient
vomiting
LA  - English
M3  - Article
N1  - L621031517
2018-03-13
2018-10-04
PY  - 2018
SN  - 1873-4162
1344-6223
SP  - 78-81
ST  - Retained surgical sponge: Medicolegal aspects
T2  - Legal Medicine
TI  - Retained surgical sponge: Medicolegal aspects
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L621031517&from=export
http://dx.doi.org/10.1016/j.legalmed.2018.01.003
VL  - 31
ID  - 350
ER  - 

TY  - JOUR
AB  - Retained surgical sponge events continue to occur despite the implementation of preventive surgical count policies, procedures, and adjunct technologies to manual counting. Such intraoperative mistakes can cause chronic nonspecific symptoms during the early postoperative period. When discovered years after surgery, they raise thorny medicolegal questions. We describe two cases from our practice that illustrate the need to identify the responsibility of the surgical team, as delineated in ministerial directives and the current legal framework, as well as the difficulty in evaluating clinical actions taken at different times and in different settings, with regard to the permanent health damage incurred by sponge retention. Finally, we discuss prevention actions operating room staff should take to reduce the risk of retained surgical sponges.
AD  - Departmental Section of Legal Medicine, Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, A.O.U., “G. Martino” Via Consolare Valeria n. 1, 98100 Messina, Italy
AN  - 128720024. Language: English. Entry Date: 20180417. Revision Date: 20190712. Publication Type: Article
AU  - Gualniera, Patrizia
AU  - Scurria, Serena
DB  - ccm
DO  - 10.1016/j.legalmed.2018.01.003
DP  - EBSCOhost
KW  - Retained Instruments -- Legislation and Jurisprudence
Surgical Sponges -- Legislation and Jurisprudence
Medical Staff, Hospital
Retained Instruments -- Prevention and Control
N1  - case study. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 100889788.
PY  - 2018
SN  - 1344-6223
SP  - 78-81
ST  - Retained surgical sponge: Medicolegal aspects
T2  - Legal Medicine
TI  - Retained surgical sponge: Medicolegal aspects
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=128720024&site=ehost-live&scope=site
VL  - 31
ID  - 717
ER  - 

TY  - JOUR
AB  - Background: Gossypiboma, the term for a retained sponge, is an underestimated occurrence related to gynecologic surgery. The postoperative presentation can be acute or subacute with symptoms that include pelvic pain. Case: A 39-year-old G7P3043 female presented with chronic pelvic pain. Her only past surgeries were 16 and 21 years prior. After failing to respond to conservative options, she was taken to the operating room for a hysterectomy and possible salpingoophorectomy. During the surgery, a retained sponge was found and removed. Postoperatively, the pain resolved completely. Conclusion: Although gossypiboma is an uncommon cause of chronic pelvic pain, patients can present years later with minimal complications other than discomfort. Accurate sponge and instrument counts, along with radiologic evaluation when a discrepancy is found, can be helpful. Newer technologies are also being developed to help avoid this complication.
AD  - Department of ObGyn, Hartford Hospital, Hartford, United States
Department of ObGyn, University of Connecticut, School of Medicine, Farmington, United States
Department of ObGyn, New Britain General Hospital, New Britain, United States
Department of Internal Medicine, Hartford Hospital, Hartford, United States
Department of Internal Medicine, Univesity of Connecticut, School of Medicine, Hartford, United States
AU  - Nieves, L.
AU  - Schnatz, P. F.
AU  - Sahakyan, M.
AU  - Sorosky, J. I.
DB  - Scopus
IS  - 8
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2007
SP  - 461-463
ST  - A retained surgical sponge presenting as chronic pelvic pain
T2  - Connecticut Medicine
TI  - A retained surgical sponge presenting as chronic pelvic pain
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-34548864425&partnerID=40&md5=f04361e1dcb90b1491bd1ad48128f493
VL  - 71
ID  - 1556
ER  - 

TY  - JOUR
AB  - Background: Gossypiboma, the term for a retained sponge, is an underestimated occurrence related to gynecologic surgery. The postoperative presentation can be acute or subacute with symptoms that include pelvic pain. Case: A 39-year-old G7P3043 female presented with chronic pelvic pain. Her only past surgeries were 16 and 21 years prior. After failing to respond to conservative options, she was taken to the operating room for a hysterectomy and possible salpingoophorectomy. During the surgery, a retained sponge was found and removed. Postoperatively, the pain resolved completely. Conclusion: Although gossypiboma is an uncommon cause of chronic pelvic pain, patients can present years later with minimal complications other than discomfort. Accurate sponge and instrument counts, along with radiologic evaluation when a discrepancy is found, can be helpful. Newer technologies are also being developed to help avoid this complication.
AD  - L. Nieves, Department of ObGyn, Hartford Hospital, Hartford, United States
AU  - Nieves, L.
AU  - Schnatz, P. F.
AU  - Sahakyan, M.
AU  - Sorosky, J. I.
DB  - Medline
IS  - 8
KW  - adult
article
case report
chronic disease
female
foreign body
human
pathology
pelvis pain syndrome
peritoneum
surgical sponge
treatment outcome
LA  - English
M3  - Article
N1  - L47441535
2008-01-14
PY  - 2007
SN  - 0010-6178
SP  - 461-463
ST  - A retained surgical sponge presenting as chronic pelvic pain
T2  - Connecticut Medicine
TI  - A retained surgical sponge presenting as chronic pelvic pain
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L47441535&from=export
VL  - 71
ID  - 612
ER  - 

TY  - JOUR
AB  - Objective: A review was performed to investigate the frequency of occurrence and outcome of patients who have retained surgical sponges. Methods: Closed case records from the files of the Medical Professional Mutual Insurance Company (ProMutual, Boston, MA) involving a claim of retained surgical sponges were reviewed for a 7-year period. Results: Retained sponges occurred in 40 patients, comprising 48% of all closed claims for retained foreign bodies. A falsely correct sponge count after an abdominal procedure was documented in 76% of these claims. Ten percent of claims involved vaginal deliveries and minor non-body cavity procedures, for which no sponge count was performed. Total indemnity payments were $2,072,319, and defense costs were $572,079. In three cases, the surgeon was deemed responsible by the court despite the nursing staff's admitting liability and evidence presented that the surgeon complied completely with the standard of care. A wide range of indemnity payments was made despite a remarkable similarity of outcome in the patients studied. Conclusions: Despite the rarity of the reporting of a retained surgical sponge, this occurrence appears to be encountered more commonly than generally is appreciated. Operating teams should ensure that sponges be counted for all vaginal and any incisional procedures at risk for retaining a sponge. In addition, the surgeon should not unquestioningly accept correct count reports, but should develop the habit of performing a brief but thorough routine postprocedure wound/body cavity exploration before wound closure. The strikingly similar outcome for most patients would argue for a standardized indemnity payment being made without the need for adversarial legal procedures.
AD  - Department of Surgery, Dept. of Vet. Affairs Medical Centre, Manchester, NH, United States
Harvard Surgical Service, New England Deaconess Hospital, Harvard Medical School, Boston, MA, United States
Med. Prof. Mutual Insurance Company, Boston, MA, United States
VA Medical Centre, Department of Surgery, 718 Smyth Road, Manchester, NH 03104, United States
AU  - William Kaiser, C.
AU  - Friedman, S.
AU  - Spurling, K. P.
AU  - Slowick, T.
AU  - Kaiser, H. A.
DB  - Scopus
DO  - 10.1097/00000658-199607000-00012
IS  - 1
M3  - Article
N1  - Cited By :182
Export Date: 10 November 2020
PY  - 1996
SP  - 79-84
ST  - The retained surgical sponge
T2  - Annals of Surgery
TI  - The retained surgical sponge
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-8944257372&doi=10.1097%2f00000658-199607000-00012&partnerID=40&md5=e499f93747c65dc4986121fe3b6532b2
VL  - 224
ID  - 1715
ER  - 

TY  - JOUR
AB  - Objective: A review was performed to investigate the frequency of occurrence and outcome of patients who have retained surgical sponges. Methods: Closed case records from the files of the Medical Professional Mutual Insurance Company (ProMutual, Boston, MA) involving a claim of retained surgical sponges were reviewed for a 7-year period. Results: Retained sponges occurred in 40 patients, comprising 48% of all closed claims for retained foreign bodies. A falsely correct sponge count after an abdominal procedure was documented in 76% of these claims. Ten percent of claims involved vaginal deliveries and minor non-body cavity procedures, for which no sponge count was performed. Total indemnity payments were $2,072,319, and defense costs were $572,079. In three cases, the surgeon was deemed responsible by the court despite the nursing staff's admitting liability and evidence presented that the surgeon complied completely with the standard of care. A wide range of indemnity payments was made despite a remarkable similarity of outcome in the patients studied. Conclusions: Despite the rarity of the reporting of a retained surgical sponge, this occurrence appears to be encountered more commonly than generally is appreciated. Operating teams should ensure that sponges be counted for all vaginal and any incisional procedures at risk for retaining a sponge. In addition, the surgeon should not unquestioningly accept correct count reports, but should develop the habit of performing a brief but thorough routine postprocedure wound/body cavity exploration before wound closure. The strikingly similar outcome for most patients would argue for a standardized indemnity payment being made without the need for adversarial legal procedures.
AD  - C.W. Kaiser, Department of Surgery, VA Medical Centre, 718 Smyth Road, Manchester, NH 03104, United States
AU  - William Kaiser, C.
AU  - Friedman, S.
AU  - Spurling, K. P.
AU  - Slowick, T.
AU  - Kaiser, H. A.
DB  - Embase
Medline
DO  - 10.1097/00000658-199607000-00012
IS  - 1
KW  - abdominal surgery
article
foreign body
incidence
law suit
legal liability
medicolegal aspect
priority journal
sponge
LA  - English
M3  - Article
N1  - L26227411
1996-09-21
PY  - 1996
SN  - 0003-4932
SP  - 79-84
ST  - The retained surgical sponge
T2  - Annals of Surgery
TI  - The retained surgical sponge
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L26227411&from=export
http://dx.doi.org/10.1097/00000658-199607000-00012
VL  - 224
ID  - 667
ER  - 

TY  - JOUR
AB  - BACKGROUND: Retained foreign bodies are relatively uncommon and probably underreported in the tropics. Largely preventable errors, they cause harm to both the patient and the medical practitioner. CASE PRESENTATION AND MANAGEMENT: A 32 year old primigravida with recurrent lower abdominal pain in pregnancy. She had myomectomy a year earlier at a private hospital in which the endometrium was inadvertently breached. She subsequently had an elective caesarean section at 38 weeks and 2 days gestational age. Intra-operative findings were adhesive bands between the uterus and loops of bowel and a round bodied surgical needle attached by adhesions anteriorly to the lower segment. Her post operative care was uneventful and she was discharged home on the 3rd day post operation. CONCLUSION: Retained surgical foreign body (RSFB) could pose a diagnostic dilemma as in the case of this patient with recurrent lower abdominal pain in pregnancy. Meticulous instrument count should include sutures and needles.
AU  - Obajimi, G. O.
AU  - Oranye, B. C.
DB  - Scopus
IS  - 4
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2014
SP  - 365-367
ST  - Retained surgical needle post myomectomy, an uncommon mishap
T2  - African journal of medicine and medical sciences
TI  - Retained surgical needle post myomectomy, an uncommon mishap
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84941046001&partnerID=40&md5=03327c5bbe0c11c5a35b4794ef996125
VL  - 43
ID  - 1254
ER  - 

TY  - JOUR
AB  - BACKGROUND: Retained foreign bodies are relatively uncommon and probably underreported in the tropics. Largely preventable errors, they cause harm to both the patient and the medical practitioner. CASE PRESENTATION AND MANAGEMENT: A 32 year old primigravida with recurrent lower abdominal pain in pregnancy. She had myomectomy a year earlier at a private hospital in which the endometrium was inadvertently breached. She subsequently had an elective caesarean section at 38 weeks and 2 days gestational age. Intra-operative findings were adhesive bands between the uterus and loops of bowel and a round bodied surgical needle attached by adhesions anteriorly to the lower segment. Her post operative care was uneventful and she was discharged home on the 3rd day post operation. CONCLUSION: Retained surgical foreign body (RSFB) could pose a diagnostic dilemma as in the case of this patient with recurrent lower abdominal pain in pregnancy. Meticulous instrument count should include sutures and needles.
AU  - Obajimi, G. O.
AU  - Oranye, B. C.
DB  - Medline
IS  - 4
KW  - adult
adverse event
case report
cesarean section
devices
female
foreign body
human
myomectomy
needle
pregnancy
surgical equipment
tissue adhesion
LA  - English
M3  - Article
N1  - L605973788
2015-09-15
PY  - 2014
SN  - 0309-3913
SP  - 365-367
ST  - Retained surgical needle post myomectomy, an uncommon mishap
T2  - African journal of medicine and medical sciences
TI  - Retained surgical needle post myomectomy, an uncommon mishap
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L605973788&from=export
VL  - 43
ID  - 441
ER  - 

TY  - JOUR
AB  - Although the incidence of retained surgical items (RSIs) is low, it is nevertheless an important preventable cause of patient injury that can ultimately lead to the patient’s death and to subsequent high medical and legal costs. Unintentional RSI is the cause of 70% of re-interventions, with a morbidity of 80% and mortality of 35%. The most common RSIs are sponges or gauze (gossypiboma or textiloma), while retained surgical instruments and needles are rare. Perioperative counting of equipment and materials is the most common method of screening for RSIs, while a diagnosis can later be confirmed by the clinical appearance and by imaging studies. We present a rare case of a 43-year-old patient who was admitted to our hospital because of two retained needles following a cesarean section, despite several subsequent laparotomies. One needle had been removed previously, but in addition to the remaining needle, we also removed a retained gauze. The diagnosis of RSIs is extremely important, and safe surgical practices including the addition of new imaging technologies should be encouraged to detect RSIs. © The Author(s) 2018.
AD  - Division of Gynecology and Perinatology, University of Maribor Clinical Center, Maribor, Slovenia
Department of Gynecology and Obstetrics, Faculty of Medicine, University of Maribor, Maribor, Slovenia
AU  - Lovrec, V. G.
AU  - Cokan, A.
AU  - Lukman, L.
AU  - Arko, D.
AU  - Takač, I.
DB  - Scopus
DO  - 10.1177/0300060518788247
IS  - 11
KW  - Cesarean section
Gauze
Imaging
Needle
Retained surgical item
Surgery
Surgical count
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2018
SP  - 4775-4780
ST  - Retained surgical needle and gauze after cesarean section and adnexectomy: A case report and literature review
T2  - Journal of International Medical Research
TI  - Retained surgical needle and gauze after cesarean section and adnexectomy: A case report and literature review
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85056257887&doi=10.1177%2f0300060518788247&partnerID=40&md5=e5663c76742b0d7e296afd0e8cddf350
VL  - 46
ID  - 1057
ER  - 

TY  - JOUR
AB  - Although the incidence of retained surgical items (RSIs) is low, it is nevertheless an important preventable cause of patient injury that can ultimately lead to the patient’s death and to subsequent high medical and legal costs. Unintentional RSI is the cause of 70% of re-interventions, with a morbidity of 80% and mortality of 35%. The most common RSIs are sponges or gauze (gossypiboma or textiloma), while retained surgical instruments and needles are rare. Perioperative counting of equipment and materials is the most common method of screening for RSIs, while a diagnosis can later be confirmed by the clinical appearance and by imaging studies. We present a rare case of a 43-year-old patient who was admitted to our hospital because of two retained needles following a cesarean section, despite several subsequent laparotomies. One needle had been removed previously, but in addition to the remaining needle, we also removed a retained gauze. The diagnosis of RSIs is extremely important, and safe surgical practices including the addition of new imaging technologies should be encouraged to detect RSIs.
AD  - A. Cokan, University Medical Center Maribor, Ljubljanska ulica 5, Maribor, Slovenia
AU  - Lovrec, V. G.
AU  - Cokan, A.
AU  - Lukman, L.
AU  - Arko, D.
AU  - Takač, I.
DB  - Embase
Medline
DO  - 10.1177/0300060518788247
IS  - 11
KW  - gauze dressing
needle
abdominal hysterectomy
abdominal pain
abdominal radiography
adult
appendectomy
appendicitis
article
case report
cesarean section
chill
clinical article
convalescence
device removal
differential diagnosis
female
fever
hospital admission
hospital discharge
human
iliac vein
laparotomy
nuclear magnetic resonance imaging
omentectomy
patient safety
pelvic inflammatory disease
retained instrument
salpingooophorectomy
vein thrombosis
weakness
LA  - English
M3  - Article
N1  - L624945223
2019-01-14
2019-05-21
PY  - 2018
SN  - 1473-2300
0300-0605
SP  - 4775-4780
ST  - Retained surgical needle and gauze after cesarean section and adnexectomy: A case report and literature review
T2  - Journal of International Medical Research
TI  - Retained surgical needle and gauze after cesarean section and adnexectomy: A case report and literature review
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L624945223&from=export
http://dx.doi.org/10.1177/0300060518788247
VL  - 46
ID  - 331
ER  - 

TY  - JOUR
AB  - Background: Retained surgical items (RSI) continue to occur. Large RSI studies are few due to low RSI frequency in single institutions and the medicolegal implications. Consequently, RSI risks are not fully defined, with discrepancies persisting among published studies. The goals of this study were to better define risk factors for RSI, to clarify previously discrepant risk factors, and to evaluate other potential contributors to RSI occurrence, such as trainee presence during an operation. Study Design: Multicenter case-match study of RSI risk factors was conducted between January 2003 and December 2009. Cases complicated by RSI were identified at participating centers using clinical quality improvement and adverse event reporting data. Case match controls (non-RSI) were selected from same or similar-type cases performed at each respective institution. Retained surgical item risk factors were evaluated by univariate and multivariate conditional logistic regression. Results: Fifty-nine RSIs and 118 matched controls were analyzed (RSI incidence 1 in 6,975 or 59 in 411,526). Retained surgical items occurred despite use of confirmatory x-rays (13 of 27 instances) and/or radiofrequency tagging (2 of 32 instances). Among previously discrepant results, we confirmed that body mass index, unexpected intraoperative events, and procedure duration were associated with increased RSI risk. The occurrence of any safety variance, and specifically an incorrect count at any time during the procedure, was associated with elevated RSI risk. Trainee presence was associated with 70% lower RSI risk compared with trainee absence. Conclusions: Longer duration of surgery, safety variances, and incorrect counts during the procedure result in elevated RSI risk. The possible positive influence of trainee presence on RSI risk deserves additional study. Our findings highlight the need for zero tolerance for safety omissions, continued study and development of novel approaches to RSI reduction, and establishing anonymous RSI reporting systems to better track both the incidence and risks associated with this problem, which has yet to be solved. © 2013 American College of Surgeons.
AD  - Department of Surgery, Ohio State University College of Medicine, 395 West 12th Ave, Columbus, OH 43210, United States
Division of Critical Care, Trauma and Burn, Ohio State University College of Medicine, Columbus, OH, United States
Division of Thoracic Surgery, Ohio State University College of Medicine, Columbus, OH, United States
UMDNJ-Robert Wood Johnson School of Medicine, New Brunswick, NJ, United States
Miami Valley Hospital, Wright State University School of Medicine, Dayton, OH, United States
Temple St Luke's Medical School, Bethlehem, PA, United States
Vanderbilt University Medical Center, Nashville, TN, United States
Thomas Jefferson University School of Medicine, Philadelphia, PA, United States
Temple University School of Medicine, Philadelphia, PA, United States
OPUS 12 Foundation, Inc., Multi-Center Trials Group, United States
AU  - Stawicki, S. P. A.
AU  - Moffatt-Bruce, S. D.
AU  - Ahmed, H. M.
AU  - Anderson Iii, H. L.
AU  - Balija, T. M.
AU  - Bernescu, I.
AU  - Chan, L.
AU  - Chowayou, L.
AU  - Cipolla, J.
AU  - Coyle, S. M.
AU  - Gracias, V. H.
AU  - Gunter, O. L.
AU  - Marchigiani, R.
AU  - Martin, N. D.
AU  - Patel, J.
AU  - Seamon, M. J.
AU  - Vagedes, E.
AU  - Ellison, E. C.
AU  - Steinberg, S. M.
AU  - Cook, C. H.
DB  - Scopus
DO  - 10.1016/j.jamcollsurg.2012.08.026
IS  - 1
M3  - Article
N1  - Cited By :58
Export Date: 10 November 2020
PY  - 2013
SP  - 15-22
ST  - Retained surgical items: A problem yet to be solved
T2  - Journal of the American College of Surgeons
TI  - Retained surgical items: A problem yet to be solved
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84871201721&doi=10.1016%2fj.jamcollsurg.2012.08.026&partnerID=40&md5=00e607c1ef3e494f7a84718b30221afd
VL  - 216
ID  - 1339
ER  - 

TY  - JOUR
AB  - Background: Retained surgical items (RSI) continue to occur. Large RSI studies are few due to low RSI frequency in single institutions and the medicolegal implications. Consequently, RSI risks are not fully defined, with discrepancies persisting among published studies. The goals of this study were to better define risk factors for RSI, to clarify previously discrepant risk factors, and to evaluate other potential contributors to RSI occurrence, such as trainee presence during an operation. Study Design: Multicenter case-match study of RSI risk factors was conducted between January 2003 and December 2009. Cases complicated by RSI were identified at participating centers using clinical quality improvement and adverse event reporting data. Case match controls (non-RSI) were selected from same or similar-type cases performed at each respective institution. Retained surgical item risk factors were evaluated by univariate and multivariate conditional logistic regression. Results: Fifty-nine RSIs and 118 matched controls were analyzed (RSI incidence 1 in 6,975 or 59 in 411,526). Retained surgical items occurred despite use of confirmatory x-rays (13 of 27 instances) and/or radiofrequency tagging (2 of 32 instances). Among previously discrepant results, we confirmed that body mass index, unexpected intraoperative events, and procedure duration were associated with increased RSI risk. The occurrence of any safety variance, and specifically an incorrect count at any time during the procedure, was associated with elevated RSI risk. Trainee presence was associated with 70% lower RSI risk compared with trainee absence. Conclusions: Longer duration of surgery, safety variances, and incorrect counts during the procedure result in elevated RSI risk. The possible positive influence of trainee presence on RSI risk deserves additional study. Our findings highlight the need for zero tolerance for safety omissions, continued study and development of novel approaches to RSI reduction, and establishing anonymous RSI reporting systems to better track both the incidence and risks associated with this problem, which has yet to be solved. © 2013 American College of Surgeons.
AD  - S.P.A. Stawicki, Department of Surgery, Ohio State University College of Medicine, 395 West 12th Ave, Columbus, OH 43210, United States
AU  - Stawicki, S. P. A.
AU  - Moffatt-Bruce, S. D.
AU  - Ahmed, H. M.
AU  - Anderson Iii, H. L.
AU  - Balija, T. M.
AU  - Bernescu, I.
AU  - Chan, L.
AU  - Chowayou, L.
AU  - Cipolla, J.
AU  - Coyle, S. M.
AU  - Gracias, V. H.
AU  - Gunter, O. L.
AU  - Marchigiani, R.
AU  - Martin, N. D.
AU  - Patel, J.
AU  - Seamon, M. J.
AU  - Vagedes, E.
AU  - Ellison, E. C.
AU  - Steinberg, S. M.
AU  - Cook, C. H.
DB  - Embase
Medline
DO  - 10.1016/j.jamcollsurg.2012.08.026
IS  - 1
KW  - adult
article
body mass
case control study
controlled study
female
health care quality
human
incidence
logistic regression analysis
major clinical study
male
multicenter study
operation duration
postoperative complication
priority journal
radiofrequency
retained instrument
surgical risk
X ray
LA  - English
M3  - Article
N1  - L52242070
2012-10-09
2013-01-02
PY  - 2013
SN  - 1072-7515
1879-1190
SP  - 15-22
ST  - Retained surgical items: A problem yet to be solved
T2  - Journal of the American College of Surgeons
TI  - Retained surgical items: A problem yet to be solved
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L52242070&from=export
http://dx.doi.org/10.1016/j.jamcollsurg.2012.08.026
VL  - 216
ID  - 494
ER  - 

TY  - JOUR
AB  - Objectives: To determine the frequency and modes of presentation of retained surgical foreign bodies. Methodology: This study was carried out mainly at a private teaching hospital i.e. Isra University Hospital and four other non-teaching private hospitals of Hyderabad city over a period of five years from June 2004 to May 2009. Results: A total of 15 patients with retained surgical foreign body were found during the above mentioned study period. Female patients were more common than male patients. Gynaecological procedures were more frequently associated with surgical retained foreign bodies. Most (60%) of the causative procedures were performed as emergency procedures. Retained sponge was the most frequent foreign body (60%) followed by gauze piece. Discharging sinuses and abdominal masses (33.3% each) were the most frequent presentations followed by intestinal obstruction (20%). Conclusion: Retained surgical foreign body is a rare but well known iatrogenic complication of surgery mostly seen in procedures done as emergency. Discharging sinuses, abdominal mass and intestinal obstruction are the most common modes of presentation. Proper frequent double sponge count and use of radioopaque markers are the major preventive measures to safeguard against this dangerous complication.
AD  - Liaquat University of Medical and Health Sciences, Jamshoro, Hyderabad, Pakistan
Department of Surgery
Isra University, Hyderabad, Pakistan
AU  - Sushel, C.
AU  - Khanzada, T. W.
AU  - Samad, A.
DB  - Scopus
IS  - 1
KW  - Gossypiboma
Retained sponge
Retained surgical foreign body
M3  - Article
N1  - Cited By :3
Export Date: 10 November 2020
PY  - 2010
SP  - 15-20
ST  - Retained surgical foreign bodies: Can these be prevented?
T2  - Pakistan Journal of Medical Sciences
TI  - Retained surgical foreign bodies: Can these be prevented?
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-76749138104&partnerID=40&md5=05b8d7ef7436c4eb47beb37eaffbd01c
VL  - 26
ID  - 1472
ER  - 

TY  - JOUR
AB  - We present an unusual case of a retained resectoscope beak detected 10 months following transurethral resection of a bladder tumour. We describe this rare complication after transurethral surgery and present a safe method for removing a resectoscope beak from the urethra. This case prompted several improvements in our local surgical checklists to prevent such an event from recurring. It is important to check the integrity of surgical equipment in addition to counting equipment in and out during theatre; without checking, as exemplified by the resectoscope in this case, we risk missing the point. © 2016, © British Association of Urological Surgeons 2016.
AD  - Peterborough City Hospital, United Kingdom
AU  - Smith, S. F.
AU  - Miakhil, S. I.
AU  - Johnston, T. J.
AU  - Lockett, C.
DB  - Scopus
DO  - 10.1177/2051415816670817
IS  - 1
KW  - Cystoscopy
patient safety
resectoscope
retained surgical instrument
surgical checklists
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2017
SP  - 56-57
ST  - A retained resectoscope beak: are we missing the point of surgical checklists?
T2  - Journal of Clinical Urology
TI  - A retained resectoscope beak: are we missing the point of surgical checklists?
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85009437841&doi=10.1177%2f2051415816670817&partnerID=40&md5=a85eb56f8331286e6d27cf4f681ee766
VL  - 10
ID  - 1157
ER  - 

TY  - JOUR
AB  - Introduction. Gossypiboma or textiloma is used to describe a retained surgical swab in the body after an operation. Intraabdominal surgical sponge is an uncommon surgical error. The incidence of gossypiboma has been reported as high as 1 in 1000 to 15,000 intraabdominal operations. Gossypiboma may cause serious morbidity and may lead to mortality. Case presentation. Herein, we report a 24 years-old man who was admitted due to the intraabdominal mass after evaluation of primary infertility. He had a surgical history of bilateral abdominal orchiopexy 5 years previously, performed at another hospital. Hydatid cyst was suspected by abdominal computed tomography. After laparotomy excision, the cyst wall opened incidentally, and draining of a large amount of thick pus with retained surgical gauze within the cyst was found, with final diagnosis of gossypiboma. Conclusion. The policy that prevention is far more important than cure is highly appreciated. Accurate sponge and instrument counts, along with radiologic evaluation when a discrepancy is found, can be helpful. Although human errors cannot be completely avoided, continuousmedical training and strict adherence to rules of the operation room should reduce the incidence of gossypiboma to a minimum. Surgical sponges should be counted once at the start and twice at the end of all surgical operations. Copyright © 2010 M. K. Moslemi and M. Abedinzadeh.
AD  - Urology Division, Kamkar Hospital, Qom Medical Sciences University, 3715694978 Qom, Iran
Urology Division, Moradi Hospital, Rafsanjan Medical Sciences University, 7713665649 Rafsanjan, Iran
AU  - Moslemi, M. K.
AU  - Abedinzadeh, M.
C7  - 420357
DB  - Scopus
DO  - 10.1155/2010/420357
M3  - Article
N1  - Cited By :6
Export Date: 10 November 2020
PY  - 2010
ST  - Retained intraabdominal gossypiboma, five years after bilateral orchiopexy
T2  - Case Reports in Medicine
TI  - Retained intraabdominal gossypiboma, five years after bilateral orchiopexy
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84865458959&doi=10.1155%2f2010%2f420357&partnerID=40&md5=5d30f47f401e6a04e372afba462a2a0f
VL  - 2010
ID  - 1476
ER  - 

TY  - JOUR
AB  - Cases of retained foreign body are rarely reported due to its medico-legal implications. We present a case of retained surgical gauze fragments after bipolar hemiarthroplasty of hip in a patient who sustained left neck of femur fracture. This complication occurred despite strict adherence to standard operating theater protocols which includes meticulous swab and instrument count. We propose an additional operating room processes and surgical technique in preventing such complications in future hip arthroplasties in our centre.
AD  - Department of Orthopaedics and Traumatology, Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
AU  - Wui, N. B.
AU  - Ariff, M. A. M.
AU  - Rani, R. A.
AU  - Yahaya, N. H. M.
DB  - Scopus
IS  - 6
KW  - Femur neck fracture
Foreign body
Gossypiboma
Hemiarthroplasty
Medico-legal
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2017
SP  - 207-210
ST  - Retained fragment of surgical gauze in hip arthroplasty - Case report and literature review
T2  - Brunei International Medical Journal
TI  - Retained fragment of surgical gauze in hip arthroplasty - Case report and literature review
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85041573450&partnerID=40&md5=2e25db1d1a39a6fdf3325b909e0f63a7
VL  - 13
ID  - 1106
ER  - 

TY  - JOUR
AB  - Retained foreign bodies remain an area of potential patient harm. This case describes a retained needle from distant surgery discovered at the time of the needle count after myomectomy. Copyright © 2014 Wolters Kluwer Health, Inc. All rights reserved.
AD  - Department of Obstetrics and Gynecology, KU School of Medicine-Wichita, Wichita, KS, United States
Departments of Basic Biomedical Sciences and Obstetrics and GynecologySD, United States
Department of Obstetrics and Gynecology, Sanford School of Medicine of the University of South Dakota, 1400 West 22nd Street, Sioux Falls, SD 57105, United States
AU  - O'Brien, L.
AU  - Eyster, K. M.
AU  - Hansen, K. A.
DB  - Scopus
DO  - 10.1097/PTS.0000000000000078
IS  - 4
KW  - Fluoroscopy
Retained foreign bodies
Retained needle
M3  - Short Survey
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2015
SP  - 228-229
ST  - Retained foreign body: "Needle in a haystack"
T2  - Journal of Patient Safety
TI  - Retained foreign body: "Needle in a haystack"
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84948717098&doi=10.1097%2fPTS.0000000000000078&partnerID=40&md5=5135f5c68edf2b06bad68ddf17270aa9
VL  - 11
ID  - 1235
ER  - 

TY  - JOUR
AB  - Retained foreign bodies remain an area of potential patient harm. This case describes a retained needle from distant surgery discovered at the time of the needle count after myomectomy.
AU  - O'Brien, L.
AU  - Eyster, K. M.
AU  - Hansen, K. A.
DB  - Medline
DO  - 10.1097/PTS.0000000000000078
IS  - 4
KW  - adult
case report
female
foreign body
general surgery
human
medical error
mortality
needle
risk factor
statistics and numerical data
surgical equipment
LA  - English
M3  - Article
N1  - L610881698
2016-06-27
PY  - 2015
SN  - 1549-8425
SP  - 228-229
ST  - Retained Foreign Body: "Needle in a Haystack"
T2  - Journal of patient safety
TI  - Retained Foreign Body: "Needle in a Haystack"
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L610881698&from=export
http://dx.doi.org/10.1097/PTS.0000000000000078
VL  - 11
ID  - 421
ER  - 

TY  - JOUR
AB  - Retained foreign bodies sometimes occur in various surgical procedures and can lead to severe complications. Foreign bodies in the oral and maxillofacial region are not rare because of the use of many small items and the natural communication with the outside environment in some areas. We experienced a case of foreign body in the nasal cavity, which was discovered 1 year later at a second operation for hardware removal after maxillofacial surgery. A small, soft material is usually placed between the nasal endotracheal tube and nostril to avoid nasal pressure ulcer at the ala of nose after prolonged anesthesia after our group’s experiencing some cases of this complication. The foreign body was found in the pharynx during induction of a second anesthesia. Attention should be directed to not leaving any materials in the patient after surgery. In addition to the normal counts of sponges, needles, etc, other small nonsurgical materials used should be recorded by medical staff to help ensure nothing is retained in the patient. © 2018 by the American Dental Society of Anesthesiology.
AD  - Department of Dental Anesthesiology, Kyushu University Hospital, Fukuoka, Japan
Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Japan
AU  - Tsukamoto, M.
AU  - Hirokawa, J.
AU  - Yokoyama, T.
DB  - Scopus
DO  - 10.2344/anpr-65-01-07
IS  - 2
KW  - Foreign body
General anesthesia
Nose
Oral surgery
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2018
SP  - 111-112
ST  - Retained foreign body in the nasal cavity after oral maxillofacial surgery
T2  - Anesthesia Progress
TI  - Retained foreign body in the nasal cavity after oral maxillofacial surgery
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058164442&doi=10.2344%2fanpr-65-01-07&partnerID=40&md5=f8ce0edbde59cb5c87f1e22e4fe51f77
VL  - 65
ID  - 1074
ER  - 

TY  - JOUR
AB  - Retained foreign bodies sometimes occur in various surgical procedures and can lead to severe complications. Foreign bodies in the oral and maxillofacial region are not rare because of the use of many small items and the natural communication with the outside environment in some areas. We experienced a case of foreign body in the nasal cavity, which was discovered 1 year later at a second operation for hardware removal after maxillofacial surgery. A small, soft material is usually placed between the nasal endotracheal tube and nostril to avoid nasal pressure ulcer at the ala of nose after prolonged anesthesia after our group's experiencing some cases of this complication. The foreign body was found in the pharynx during induction of a second anesthesia. Attention should be directed to not leaving any materials in the patient after surgery. In addition to the normal counts of sponges, needles, etc, other small nonsurgical materials used should be recorded by medical staff to help ensure nothing is retained in the patient.
AD  - Department of Dental Anesthesiology, Kyushu University Hospital, Fukuoka, Japan
Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Japan
Department of Dental Anesthesiology, Kyushu University Hospital, Fukuoka, Japan, and
AN  - 130421804. Language: English. Entry Date: 20190819. Revision Date: 20191010. Publication Type: journal article
AU  - Masanori, Tsukamoto
AU  - Jun, Hirokawa
AU  - Takeshi, Yokoyama
AU  - Tsukamoto, Masanori
AU  - Hirokawa, Jun
AU  - Yokoyama, Takeshi
DB  - ccm
DO  - 10.2344/anpr-65-01-07
DP  - EBSCOhost
IS  - 2
KW  - Osteotomy -- Adverse Effects
Nasal Cavity -- Surgery
Foreign Bodies -- Etiology
Malocclusion -- Surgery
Foreign Bodies -- Diagnosis
Male
Reoperation
Young Adult
Foreign Bodies -- Surgery
Treatment Outcomes
N1  - case study. Journal Subset: Biomedical; Double Blind Peer Reviewed; Peer Reviewed; USA. NLM UID: 0043533.
PMID: NLM29952650.
PY  - 2018
SN  - 0003-3006
SP  - 111-112
ST  - Retained Foreign Body in the Nasal Cavity After Oral Maxillofacial Surgery
T2  - Anesthesia Progress
TI  - Retained Foreign Body in the Nasal Cavity After Oral Maxillofacial Surgery
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130421804&site=ehost-live&scope=site
VL  - 65
ID  - 775
ER  - 

TY  - JOUR
AB  - Background: Medical errors during surgery are not well studied. To define risk factors associated with this type of error, we performed a case control analysis. Methods: We retrospectively reviewed medical records involving the ICD-9 code (998.4) for unintentional foreign object remaining in the body during surgery and incident reports gathered by the Department of Risk Management over a 10 year period from 1996 to 2005. Thirty cases were matched with at least four randomly selected controls (131 control patients) that underwent the same type of operation during the same time period. Results: Thirty patients had retained foreign objects (52% sponges and 43% instruments). The abdominal cavity was most commonly involved (46%) followed by the thoracic cavity (23%) although no body cavity remained uninvolved. Eight patients required readmission (30%), 25 patients required reoperation (83%), and there was no mortality. When compared with controls, patients with retained foreign objects were more likely to have had a greater number of major surgical procedures at the same time (2.7 versus 1.8, P = 0.004), to have multiple surgical teams (13% versus 2%, P = 0.02), and more likely to have had an incorrect instrument/sponge count recorded (13% versus 2%, P = 0.01). In multivariate analysis, factors associated with a significantly higher risk of retained foreign objects were the total number of major procedures performed [odds ratio 1.6; 95% confidence interval (CI), 1.1-2.3; P = 0.008] and an incorrect count (odds ratio 16.2; 95% CI, 1.3-197.8; P = 0.02). Conclusion: Retained foreign objects after surgery are associated with multiple major surgical procedures being performed at the same time and an incorrect instrument or sponge count. Identification of these risk factors using case-control analysis should influence operating room policy and reduce these types of errors. © 2007 Elsevier Inc. All rights reserved.
AD  - Department of General Surgery, Carolinas Medical Center, Charlotte, NC, United States
AU  - Lincourt, A. E.
AU  - Harrell, A.
AU  - Cristiano, J.
AU  - Sechrist, C.
AU  - Kercher, K.
AU  - Heniford, B. T.
DB  - Scopus
DO  - 10.1016/j.jss.2006.08.001
IS  - 2
KW  - medical error
retained foreign body
M3  - Article
N1  - Cited By :154
Export Date: 10 November 2020
PY  - 2007
SP  - 170-174
ST  - Retained Foreign Bodies After Surgery
T2  - Journal of Surgical Research
TI  - Retained Foreign Bodies After Surgery
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-33847607988&doi=10.1016%2fj.jss.2006.08.001&partnerID=40&md5=7e91fa5f348b16252419b14029ab2dbe
VL  - 138
ID  - 1566
ER  - 

TY  - JOUR
AB  - Background: Medical errors during surgery are not well studied. To define risk factors associated with this type of error, we performed a case control analysis. Methods: We retrospectively reviewed medical records involving the ICD-9 code (998.4) for unintentional foreign object remaining in the body during surgery and incident reports gathered by the Department of Risk Management over a 10 year period from 1996 to 2005. Thirty cases were matched with at least four randomly selected controls (131 control patients) that underwent the same type of operation during the same time period. Results: Thirty patients had retained foreign objects (52% sponges and 43% instruments). The abdominal cavity was most commonly involved (46%) followed by the thoracic cavity (23%) although no body cavity remained uninvolved. Eight patients required readmission (30%), 25 patients required reoperation (83%), and there was no mortality. When compared with controls, patients with retained foreign objects were more likely to have had a greater number of major surgical procedures at the same time (2.7 versus 1.8, P = 0.004), to have multiple surgical teams (13% versus 2%, P = 0.02), and more likely to have had an incorrect instrument/sponge count recorded (13% versus 2%, P = 0.01). In multivariate analysis, factors associated with a significantly higher risk of retained foreign objects were the total number of major procedures performed [odds ratio 1.6; 95% confidence interval (CI), 1.1-2.3; P = 0.008] and an incorrect count (odds ratio 16.2; 95% CI, 1.3-197.8; P = 0.02). Conclusion: Retained foreign objects after surgery are associated with multiple major surgical procedures being performed at the same time and an incorrect instrument or sponge count. Identification of these risk factors using case-control analysis should influence operating room policy and reduce these types of errors. © 2007 Elsevier Inc. All rights reserved.
AD  - B.T. Heniford, Department of General Surgery, Carolinas Medical Center, Charlotte, NC, United States
AU  - Lincourt, A. E.
AU  - Harrell, A.
AU  - Cristiano, J.
AU  - Sechrist, C.
AU  - Kercher, K.
AU  - Heniford, B. T.
DB  - Embase
Medline
DO  - 10.1016/j.jss.2006.08.001
IS  - 2
KW  - abdominal abscess
adult
article
case control study
confidence interval
controlled study
female
foreign body
hospital admission
human
devices
International Classification of Diseases
intestine obstruction
major clinical study
male
medical record
multivariate analysis
outcome assessment
peritoneal cavity
priority journal
reoperation
retained instrument
retrospective study
risk assessment
risk factor
risk management
sepsis
small intestine perforation
surgical approach
surgical error
surgical patient
surgical risk
thoracic cavity
LA  - English
M3  - Article
N1  - L46365726
2007-04-01
PY  - 2007
SN  - 0022-4804
1095-8673
SP  - 170-174
ST  - Retained Foreign Bodies After Surgery
T2  - Journal of Surgical Research
TI  - Retained Foreign Bodies After Surgery
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L46365726&from=export
http://dx.doi.org/10.1016/j.jss.2006.08.001
VL  - 138
ID  - 615
ER  - 

TY  - JOUR
AB  - Trauma patients are thought to be at high risk for iatrogenic retained foreign bodies (RFBs). The objective of this study was to evaluate this incidence. All cases of RFB after cavitary trauma surgery were identified by review of Morbidity and Mortality reports at a Level 1 trauma center from January 1998 to December 2005 and confirmed by the Octagon Risk Management System. Over 8 years, 10,053 trauma operations were performed (2075 laparotomies, 377 thoracotomies, and 74 sternotomies). Three cases (0.1%) of RFB (all sponges) occurred during one single-stage and two damage control laparotomies. The counts were correct before definitive closure in two of three cases. No postoperative x-rays were obtained in any of the cases. RFB diagnosis occurred between days 3 and 9, one on a routine chest x-ray and the other two on abdominal computed tomography scans during a septic workup. Four-month to 8-year follow up documented one pleural effusion and one abscess resulting from the RFB. Iatrogenic RFBs after emergent cavitary trauma surgery occur at a rate of 0.12 per cent and are associated with significant morbidity. In addition to standard preventive strategies, in emergent cases with risk factors such as requiring damage control, before final cavity closure, even with a correct sponge count, radiographic evaluation is warranted.
AD  - Division of Trauma Surgery and Surgical Critical Care, University of Southern California, Los Angeles, CA, United States
Division of Trauma Surgery and Surgical Critical Care, University of Southern California, USC+LAC Medical Center, 1200 North State Street, Los Angeles, CA 90033, United States
AU  - Teixeira, P. G. R.
AU  - Inaba, K.
AU  - Salim, A.
AU  - Brown, C.
AU  - Rhee, P.
AU  - Browder, T.
AU  - Belzberg, H.
AU  - Demetriades, D.
DB  - Scopus
IS  - 10
M3  - Article
N1  - Cited By :23
Export Date: 10 November 2020
PY  - 2007
SP  - 1031-1034
ST  - Retained foreign bodies after emergent trauma surgery: Incidence after 2526 cavitary explorations
T2  - American Surgeon
TI  - Retained foreign bodies after emergent trauma surgery: Incidence after 2526 cavitary explorations
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-38449092584&partnerID=40&md5=f390cd94a77028370b6be1e5e2b3a93d
VL  - 73
ID  - 1552
ER  - 

TY  - JOUR
AB  - Trauma patients are thought to be at high risk for iatrogenic retained foreign bodies (RFBs). The objective of this study was to evaluate this incidence. All cases of RFB after cavitary trauma surgery were identified by review of Morbidity and Mortality reports at a Level 1 trauma center from January 1998 to December 2005 and confirmed by the Octagon Risk Management System. Over 8 years, 10,053 trauma operations were performed (2075 laparotomies, 377 thoracotomies, and 74 sternotomies). Three cases (0.1%) of RFB (all sponges) occurred during one single-stage and two damage control laparotomies. The counts were correct before definitive closure in two of three cases. No postoperative x-rays were obtained in any of the cases. RFB diagnosis occurred between days 3 and 9, one on a routine chest x-ray and the other two on abdominal computed tomography scans during a septic workup. Four-month to 8-year follow up documented one pleural effusion and one abscess resulting from the RFB. Iatrogenic RFBs after emergent cavitary trauma surgery occur at a rate of 0.12 per cent and are associated with significant morbidity. In addition to standard preventive strategies, in emergent cases with risk factors such as requiring damage control, before final cavity closure, even with a correct sponge count, radiographic evaluation is warranted.
AD  - K. Inaba, Division of Trauma Surgery and Surgical Critical Care, University of Southern California, USC+LAC Medical Center, 1200 North State Street, Los Angeles, CA 90033, United States
AU  - Teixeira, P. G. R.
AU  - Inaba, K.
AU  - Salim, A.
AU  - Brown, C.
AU  - Rhee, P.
AU  - Browder, T.
AU  - Belzberg, H.
AU  - Demetriades, D.
DB  - Embase
Medline
IS  - 10
KW  - adolescent
adult
article
computer assisted tomography
emergency surgery
foreign body
human
incidence
laparotomy
major clinical study
morbidity
mortality
pleura effusion
retained foreign body
sternotomy
thoracotomy
traumatology
X ray analysis
LA  - English
M3  - Article
N1  - L351396561
2008-03-31
PY  - 2007
SN  - 0003-1348
SP  - 1031-1034
ST  - Retained foreign bodies after emergent trauma surgery: Incidence after 2526 cavitary explorations
T2  - American Surgeon
TI  - Retained foreign bodies after emergent trauma surgery: Incidence after 2526 cavitary explorations
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L351396561&from=export
VL  - 73
ID  - 610
ER  - 

TY  - JOUR
AB  - Purpose: To evaluate the uveal and capsular biocompatibility of hydrophilic acrylic, hydrophobic acrylic, and silicone intraocular lenses (IOLs) in eyes with uveitis. Setting: Department of Ophthalmology, University of Vienna, Vienna, Austria. Methods: This prospective study comprised 72 eyes with uveitis and 68 control eyes having phacoemulsification and IOL implantation by 1 surgeon. Patients received 1 of the following IOLs: foldable hydrophilic acrylic (Hydroviewr®, Bausch & Lomb), hydrophobic acrylic (AcrySof®, Alcon), or silicone (CeeOn® 911, Pharmacia). Postoperative evaluations were at 1, 3, and 7 days and 1, 3, and 6 months. Cell reaction was evaluated by specular microscopy of the anterior IOL surface and the anterior and posterior capsule reaction, by biomicroscopy. Results: Small round cell deposition was observed on all IOLs in the immediate postoperative period, especially in eyes with uveitis. This reaction decreased 3 to 6 months after surgery. Although the CeeOn 911 had a higher mean grade of small cells, there was no statistical difference between the 3 IOL types after 6 months in the uveitis and control groups. Foreign-body giant cells (FBGCs) increased after 1 week to 1 month. The AcrySof IOLs had the highest number of FBGCs; after 6 months, there was a statistically significant difference between the AcrySof and Hydroview uveitis groups (P = .036) and the AcrySof and CeeOn 911 uveitis groups (P = .003) but there was no difference among the 3 IOL types in the control group. Lens epithelial cell outgrowth persisted on the Hydroview IOLs in control eyes and regressed on all 3 IOL types in uveitic eyes and on the AcrySof and CeeOn 911 IOLs in control eyes (P = .0001). Anterior capsule opacification (ACO) was more severe on all IOL types in uveitic eyes and on the CeeOn 911 IOL in control eyes. Posterior capsule opacification (PCO) was more severe in uveitic eyes. The Hydroview group had more severe PCO than the AcrySof and the CeeOn 911 groups in uveitis and control eyes. Six months postoperatively, the difference was significant (P = .0001). There was no significant difference between the AcrySof and CeeOn 911 IOLs. Conclusions: Intraocular lens biocompatibility is inversely related to inflammation. Hydrophilic acrylic material had good uveal but worse capsular biocompatibility. Hydrophobic acrylic material had lower uveal but better capsular biocompatibility. Silicone showed a higher small cell count (mild) and more severe ACO but achieved PCO results comparable to FBGC results and better than those with the AcrySof lens 6 months after surgery. Despite the differences in IOL biocompatibility, all patients benefited from the surgery. © 2002 ASCRS and ESCRS.
AD  - Department of Ophthalmology, University of Vienna, Medical School, Vienna, Austria
Department of Ophthalmology, University of Vienna, Medical School, Waehringer Guertel 18-20, 1090 Vienna, Austria
AU  - Abela-Formanek, C.
AU  - Amon, M.
AU  - Schauersberger, J.
AU  - Kruger, A.
AU  - Nepp, J.
AU  - Schild, G.
DB  - Scopus
DO  - 10.1016/S0886-3350(02)01425-6
IS  - 7
M3  - Article
N1  - Cited By :103
Export Date: 10 November 2020
PY  - 2002
SP  - 1141-1152
ST  - Results of hydrophilic acrylic, hydrophobic acrylic, and silicone intraocular lenses in uveitic eyes with cataract: Comparison to a control group
T2  - Journal of Cataract and Refractive Surgery
TI  - Results of hydrophilic acrylic, hydrophobic acrylic, and silicone intraocular lenses in uveitic eyes with cataract: Comparison to a control group
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0036069017&doi=10.1016%2fS0886-3350%2802%2901425-6&partnerID=40&md5=c9c1b3496ae4a5c8f4292034dc93f07a
VL  - 28
ID  - 1658
ER  - 

TY  - JOUR
AB  - Purpose: To evaluate the uveal and capsular biocompatibility of hydrophilic acrylic, hydrophobic acrylic, and silicone intraocular lenses (IOLs) in eyes with uveitis. Setting: Department of Ophthalmology, University of Vienna, Vienna, Austria. Methods: This prospective study comprised 72 eyes with uveitis and 68 control eyes having phacoemulsification and IOL implantation by 1 surgeon. Patients received 1 of the following IOLs: foldable hydrophilic acrylic (Hydroviewr®, Bausch & Lomb), hydrophobic acrylic (AcrySof®, Alcon), or silicone (CeeOn® 911, Pharmacia). Postoperative evaluations were at 1, 3, and 7 days and 1, 3, and 6 months. Cell reaction was evaluated by specular microscopy of the anterior IOL surface and the anterior and posterior capsule reaction, by biomicroscopy. Results: Small round cell deposition was observed on all IOLs in the immediate postoperative period, especially in eyes with uveitis. This reaction decreased 3 to 6 months after surgery. Although the CeeOn 911 had a higher mean grade of small cells, there was no statistical difference between the 3 IOL types after 6 months in the uveitis and control groups. Foreign-body giant cells (FBGCs) increased after 1 week to 1 month. The AcrySof IOLs had the highest number of FBGCs; after 6 months, there was a statistically significant difference between the AcrySof and Hydroview uveitis groups (P = .036) and the AcrySof and CeeOn 911 uveitis groups (P = .003) but there was no difference among the 3 IOL types in the control group. Lens epithelial cell outgrowth persisted on the Hydroview IOLs in control eyes and regressed on all 3 IOL types in uveitic eyes and on the AcrySof and CeeOn 911 IOLs in control eyes (P = .0001). Anterior capsule opacification (ACO) was more severe on all IOL types in uveitic eyes and on the CeeOn 911 IOL in control eyes. Posterior capsule opacification (PCO) was more severe in uveitic eyes. The Hydroview group had more severe PCO than the AcrySof and the CeeOn 911 groups in uveitis and control eyes. Six months postoperatively, the difference was significant (P = .0001). There was no significant difference between the AcrySof and CeeOn 911 IOLs. Conclusions: Intraocular lens biocompatibility is inversely related to inflammation. Hydrophilic acrylic material had good uveal but worse capsular biocompatibility. Hydrophobic acrylic material had lower uveal but better capsular biocompatibility. Silicone showed a higher small cell count (mild) and more severe ACO but achieved PCO results comparable to FBGC results and better than those with the AcrySof lens 6 months after surgery. Despite the differences in IOL biocompatibility, all patients benefited from the surgery. © 2002 ASCRS and ESCRS.
AD  - C. Abela-Formanek, Department of Ophthalmology, University of Vienna, Medical School, Waehringer Guertel 18-20, 1090 Vienna, Austria
AU  - Abela-Formanek, C.
AU  - Amon, M.
AU  - Schauersberger, J.
AU  - Kruger, A.
AU  - Nepp, J.
AU  - Schild, G.
DB  - Embase
Medline
DO  - 10.1016/S0886-3350(02)01425-6
IS  - 7
KW  - silicon
adult
aged
article
biocompatibility
biomicroscopy
cataract
clinical trial
controlled clinical trial
controlled study
disease severity
female
giant cell
human
inflammation
lens capsule
lens epithelium
lens implant
major clinical study
male
phacoemulsification
postoperative period
priority journal
treatment outcome
uveitis
Acrysof MA60BM
CeeOn 911
Hydroview
LA  - English
M3  - Article
N1  - L34774205
2002-07-31
PY  - 2002
SN  - 0886-3350
SP  - 1141-1152
ST  - Results of hydrophilic acrylic, hydrophobic acrylic, and silicone intraocular lenses in uveitic eyes with cataract: Comparison to a control group
T2  - Journal of Cataract and Refractive Surgery
TI  - Results of hydrophilic acrylic, hydrophobic acrylic, and silicone intraocular lenses in uveitic eyes with cataract: Comparison to a control group
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L34774205&from=export
http://dx.doi.org/10.1016/S0886-3350(02)01425-6
VL  - 28
ID  - 645
ER  - 

TY  - JOUR
AD  - S. Moore, St George hospital, Kogarah, NSW, Australia
AU  - Moore, S.
DB  - Medline
DO  - 10.1016/j.aorn.2012.01.003
IS  - 3
KW  - human
letter
safety
surgical sponge
LA  - English
M3  - Letter
N1  - L364351882
2012-06-22
PY  - 2012
SN  - 0001-2092
SP  - 318-319
ST  - Response to a quality improvement project on improving the surgical count
T2  - AORN Journal
TI  - Response to a quality improvement project on improving the surgical count
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L364351882&from=export
http://dx.doi.org/10.1016/j.aorn.2012.01.003
VL  - 95
ID  - 517
ER  - 

TY  - JOUR
AB  - Background: Immunocompromised hematologic malignancy (HM) patients experience high mortality after respiratory syncytial virus (RSV) lower respiratory tract infection (LRTI). We measured radiologic severity to determine whether it could improve the performance of 60-day mortality models based only upon immunodeficiency severity. Methods: We studied 155 HM patients, including 84 hematopoietic cell transplant recipients, who developed RSV LRTI from 2001 to 2013. We measured immunodeficiency using lymphopenia (lymphocyte count &lt;200 cells/mm3), Immunodeficiency Severity Index (ISI), and Severe Immunodeficiency (SID) criteria. Radiologic severity was measured by the Radiologic Severity Index (RSI, range 0-72) at time of LRTI (baseline-RSI) and peak severity (peak-RSI). Delta-RSI was defined as the difference between baseline-RSI and peak-RSI. We used logistic regression models to measure the association of immunodeficiency and RSI with 60-day all-cause mortality, and measured model discrimination using areas under the receiver-operating characteristics curves, calibration using Brier scores, and explained variance using pseudo-R2 values. Results: Forty-one patients died within 60 days of RSV LRTI. Severe immunodeficiency was associated with higher mortality. Peak-RSI (odds ratio [OR] 1.06/point, 95% confidence interval [CI] 1.04-1.08), and delta-RSI (OR 1.07/point, 95% CI 1.05-1.10) were associated with 60-day mortality after RSV LRTI, but not baseline-RSI. Addition of peak-RSI or delta-RSI to baseline immunodeficiency improved the discrimination, calibration, and explained variance (P &lt; 0.001) of 60-day mortality models. Conclusions: Although baseline immunodeficiency in HM patients helps predict 60-day mortality after RSV LRTI, mortality risk estimates can be further refined by also measuring LRTI progression using RSI. RSI is well-suited as a marker of LRTI severity in RSV infection. © 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
AD  - Department of Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
Department of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, Houston, TX, United States
AU  - Sheshadri, A.
AU  - Karimipour, M.
AU  - Vakil, E.
AU  - Bashoura, L.
AU  - Godoy, M.
AU  - Arain, M. H.
AU  - Evans, S. E.
AU  - Dickey, B. F.
AU  - Ost, D. E.
AU  - Chemaly, R. F.
AU  - Faiz, S. A.
C7  - e13105
DB  - Scopus
DO  - 10.1111/tid.13105
IS  - 4
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2019
ST  - Refinement of estimates of mortality risk using the Radiologic Severity Index in hematologic malignancy patients with respiratory syncytial virus infection
T2  - Transplant Infectious Disease
TI  - Refinement of estimates of mortality risk using the Radiologic Severity Index in hematologic malignancy patients with respiratory syncytial virus infection
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85070706830&doi=10.1111%2ftid.13105&partnerID=40&md5=0f1980f96d3989ad0570aaf186880332
VL  - 21
ID  - 1047
ER  - 

TY  - JOUR
AB  - BACKGROUND: The dermoid cyst considered a cystic teratoma derived from embryonic germinal epithelium is a slow-growing benign tumour. Dermoid cysts may occur in the orbital and periorbital region in paediatric patients and are often recurrent. The surgical approach depends upon the site of the lesion, superficial or deep. To our knowledge, this is the first described case of a patient with resection of dermoid cyst treated with human amniotic membrane implant and topical application of 0.02% mitomycin C. CASE PRESENTATION: We present a case of a 12-year-old male with a tumour in the superotemporal region of the right eye (RE). Symptoms included decreased visual acuity (VA), burning eye, foreign body sensation, and photophobia of the affected eye. A physical examination detected blepharospasm. Ophthalmic examination of his RE, fingers count from a 1-2 m distance, showed no improvement with pinhole. Visual acuity was 20/20 on the left eye (LE). The bio-microscopic examination confirmed the presence of a tumour mass (15 mm × 12 mm) on the surface of the RE, invading the superotemporal sector. The tumour had a lobulated appearance, a shiny and vascularized surface covered by conjunctiva, a pearlescent-pink colour, a medium consistency, was renitent and painless. An ultrasound scan revealed atrophy of the pigmented retinal epithelium with scleral indentation of the RE. A computed tomography (CT) scan revealed a recurrent lesion consistent with an epibulbar dermoid cyst. Surgical excision of the lesion was performed and a human amniotic membrane (HAM) graft and topical 0.02% mitomycin C (MMC) were applied. Histopathological analysis confirmed the diagnosis of recurrent dermoid cyst. CONCLUSION: In this case report, we describe a case of recurrent epibulbar dermoid cyst treated with complete resection; topical MMC and HAM implant with good clinical outcome of the lesion and implant adhesion. Resection of a cyst of the ocular surface is not recommended when a large epibulbar dermoid tissue needs to be resected and no HAM graft is available.
AU  - Villalón, M. L.
AU  - Leal, M. L. Á
AU  - Chávez, J. R.
AU  - Santillán, E. M.
AU  - Lares-Asseff, I.
AU  - Loera, V.
AU  - Valencia, L.
AU  - Camacho, B.
AU  - Alvarado, B.
AU  - Cervantes, V.
AU  - Patrón, L.
AU  - Almanza, H.
DB  - Medline
DO  - 10.1186/s12893-018-0426-z
IS  - 1
KW  - amnion
case report
child
echography
human
male
orbit tumor
teratoma
transplantation
x-ray computed tomography
LA  - English
M3  - Article
N1  - L624979947
2018-11-22
2019-01-11
PY  - 2018
SN  - 1471-2482
SP  - 98
ST  - Recurrent epibulbar dermoid cyst treated with amniotic membrane implant a case report
T2  - BMC surgery
TI  - Recurrent epibulbar dermoid cyst treated with amniotic membrane implant a case report
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L624979947&from=export
http://dx.doi.org/10.1186/s12893-018-0426-z
VL  - 18
ID  - 330
ER  - 

TY  - JOUR
AB  - Background: The dermoid cyst considered a cystic teratoma derived from embryonic germinal epithelium is a slow-growing benign tumour. Dermoid cysts may occur in the orbital and periorbital region in paediatric patients and are often recurrent. The surgical approach depends upon the site of the lesion, superficial or deep. To our knowledge, this is the first described case of a patient with resection of dermoid cyst treated with human amniotic membrane implant and topical application of 0.02% mitomycin C.Case Presentation: We present a case of a 12-year-old male with a tumour in the superotemporal region of the right eye (RE). Symptoms included decreased visual acuity (VA), burning eye, foreign body sensation, and photophobia of the affected eye. A physical examination detected blepharospasm. Ophthalmic examination of his RE, fingers count from a 1-2 m distance, showed no improvement with pinhole. Visual acuity was 20/20 on the left eye (LE). The bio-microscopic examination confirmed the presence of a tumour mass (15 mm × 12 mm) on the surface of the RE, invading the superotemporal sector. The tumour had a lobulated appearance, a shiny and vascularized surface covered by conjunctiva, a pearlescent-pink colour, a medium consistency, was renitent and painless. An ultrasound scan revealed atrophy of the pigmented retinal epithelium with scleral indentation of the RE. A computed tomography (CT) scan revealed a recurrent lesion consistent with an epibulbar dermoid cyst. Surgical excision of the lesion was performed and a human amniotic membrane (HAM) graft and topical 0.02% mitomycin C (MMC) were applied. Histopathological analysis confirmed the diagnosis of recurrent dermoid cyst.Conclusion: In this case report, we describe a case of recurrent epibulbar dermoid cyst treated with complete resection; topical MMC and HAM implant with good clinical outcome of the lesion and implant adhesion. Resection of a cyst of the ocular surface is not recommended when a large epibulbar dermoid tissue needs to be resected and no HAM graft is available.
AD  - The Californias' Children Hospital Ophthalmology Service, Av. Alejandro Von Humboldt 11431, Garita de Otay, 22509, Tijuana, BC, Mexico
School of Health Sciences, Valle de Las Palmas, Autonomous University of Baja California, Blvd Universitario 1000, Valle de Las Palmas, 22260, Tijuana, BC, Mexico
Fray Junípero Serra Hospital, Security and Social Services Institute for State Workers, Tijuana, Avenida De Las Palmas 1 Col Las Palmas, 22106, Tijuana, BC, Mexico
Interdisciplinary Research Center for the Comprehensive Regional Development, Durango Module, Durango, Mexico
National Polytechnic Institute, Sigma Street #119, Fracc. 20 de Noviembre II, C.P. 34220. Año 2009-2010, Durango Dgo., Mexico
Department of Cellular Biology and Tissue Engineering, Faculty of Medicine and Psychology, Autonomous University of Baja California, Av. Universidad no 14418, Parque Industrial Internacional Tijuana, CP. 22390, Tijuana, BC, Mexico
AN  - 133009521. Language: English. Entry Date: In Process. Revision Date: 20190105. Publication Type: journal article
AU  - Villalón, Ma Luisa
AU  - Leal, Ma De Los Ángeles
AU  - Chávez, José R.
AU  - Santillán, Eduardo M.
AU  - Lares-Asseff, Ismael
AU  - Loera, Verónica
AU  - Valencia, Laura
AU  - Camacho, Blanca
AU  - Alvarado, Brenda
AU  - Cervantes, Vilma
AU  - Patrón, Leslie
AU  - Almanza, Horacio
DB  - ccm
DO  - 10.1186/s12893-018-0426-z
DP  - EBSCOhost
IS  - 1
KW  - Orbital Neoplasms -- Surgery
Dermoid Cyst -- Surgery
Amnion -- Transplantation
Child
Male
Ultrasonography
Tomography, X-Ray Computed
Scales
N1  - case study. Journal Subset: Biomedical; Europe; UK & Ireland. Instrumentation: Schedules for Clinical Assessment in Neuropsychiatry (SCAN); Clinical Decision Making in Nursing Scale (CDMNS) (Jenkins). Grant Information: 2013-1-201204//Consejo Nacional de Ciencia y Tecnología/. NLM UID: 100968567.
PMID: NLM30428870.
PY  - 2018
SN  - 1471-2482
SP  - N.PAG-N.PAG
ST  - Recurrent epibulbar dermoid cyst treated with amniotic membrane implant a case report
T2  - BMC Surgery
TI  - Recurrent epibulbar dermoid cyst treated with amniotic membrane implant a case report
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=133009521&site=ehost-live&scope=site
VL  - 18
ID  - 808
ER  - 

TY  - JOUR
DB  - Scopus
DO  - 10.1016/S0001-2092(06)62224-2
IS  - 6
M3  - Article
N1  - Cited By :17
Export Date: 10 November 2020
PY  - 1999
SP  - 1083-1089
ST  - Recommended practices for sponge, sharp, and instrument counts. AORN Recommended Practices Committee. Association of periOperative Registered Nurses
T2  - AORN journal
TI  - Recommended practices for sponge, sharp, and instrument counts. AORN Recommended Practices Committee. Association of periOperative Registered Nurses
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0033254713&doi=10.1016%2fS0001-2092%2806%2962224-2&partnerID=40&md5=3d118f229673f5da1a4ee5b50d160abb
VL  - 70
ID  - 1690
ER  - 

TY  - JOUR
DB  - Medline
DO  - 10.1016/S0001-2092(06)62224-2
IS  - 6
KW  - article
documentation
foreign body
human
medical record
methodology
nursing
perioperative nursing
practice guideline
standard
surgery
surgical equipment
surgical sponge
United States
LA  - English
M3  - Article
N1  - L31276484
2000-01-28
PY  - 1999
SN  - 0001-2092
SP  - 1083-1089
ST  - Recommended practices for sponge, sharp, and instrument counts. AORN Recommended Practices Committee. Association of periOperative Registered Nurses
T2  - AORN journal
TI  - Recommended practices for sponge, sharp, and instrument counts. AORN Recommended Practices Committee. Association of periOperative Registered Nurses
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L31276484&from=export
http://dx.doi.org/10.1016/S0001-2092(06)62224-2
VL  - 70
ID  - 654
ER  - 

TY  - JOUR
AU  - Beesley, J.
DB  - Scopus
IS  - 7
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2002
SP  - 238-239
ST  - Recognized standards and recommended guidelines for the swab, instrument and needle count
T2  - British journal of perioperative nursing : the journal of the National Association of Theatre Nurses
TI  - Recognized standards and recommended guidelines for the swab, instrument and needle count
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0036631666&partnerID=40&md5=4c191c7fc1f19ba155edb759516aa73d
VL  - 12
ID  - 1662
ER  - 

TY  - JOUR
AD  - J. Beesley
AU  - Beesley, J.
DB  - Medline
IS  - 7
KW  - article
female
foreign body
health care quality
human
male
needle
perioperative nursing
postoperative complication
practice guideline
primary prevention
standard
surgical equipment
United Kingdom
LA  - English
M3  - Article
N1  - L35625638
2002-09-12
PY  - 2002
SN  - 1467-1026
SP  - 238-239
ST  - Recognized standards and recommended guidelines for the swab, instrument and needle count
T2  - British journal of perioperative nursing : the journal of the National Association of Theatre Nurses
TI  - Recognized standards and recommended guidelines for the swab, instrument and needle count
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L35625638&from=export
VL  - 12
ID  - 647
ER  - 

TY  - JOUR
AB  - Eosinophilic oesophagitis (EoE) is a chronic, inflammatory condition of the oesophagus, characterised by intermittent dysphagia, food bolus obstruction (FBO) and histologically proven, eosinophil-mediated inflammation. EoE is identified in up to 50% of FBO presentations. To evaluate the management of patients presenting with FBO to our centre against current clinical guidelines. Design A retrospective analysis of acute FBO was performed between January 2008 and August 2014. Patients were identified using the ICD 10 code T18.1, foreign body in oesophagus' in their electronic discharge document. Data were collected on admitting specialty, previous FBO, endoscopy findings, biopsy sites and findings, eosinophil count and diagnosis of EoE. Results 310 acute episodes of FBO were included in the final study cohort. 202 (65.2%) flexible oesophagogastroduodenoscopies (OGDs) were performed, with 50 (34.5%) of those occurring in those admitted under ENT (n=145), versus 28 (93.3%) and 124 (91.9%) in general medicine (n=30) and surgery (n=135), respectively. 80 (39.6%) had oesophageal biopsies taken, and 21 novel diagnoses of EoE were made (26.3% biopsy-proven rate). Five (23.8%) of the novel diagnoses had a formal eosinophil count included in the histopathology report, and eight (38.1%) had up to three previous OGDs that had not diagnosed their condition of EoE. Conclusion Our study highlights wide variation in adherence to the guidelines for the management of FBO depending on admitting specialty. We advocate an FBO protocol involving single specialty management, flexible OGD, ≥6 biopsies from the upper and lower oesophagus, and standardisation of oesophageal biopsy reports with a formal eosinophil count. © Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
AD  - University of Dundee School of Medicine, University of Dundee, Dundee, United Kingdom
Royal London Hospital, London, United Kingdom
Glasgow Royal Infirmary, Glasgow, United Kingdom
General Surgery, Ninewells Hospital, Dundee, United Kingdom
AU  - Ntuli, Y.
AU  - Bough, I.
AU  - Wilson, M.
DB  - Scopus
DO  - 10.1136/flgastro-2019-101176
IS  - 1
KW  - dysphagia
eosinophilic oesophagitis
food bolus
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2020
SP  - 11-15
ST  - Recognising eosinophilic oesophagitis as a cause of food bolus obstruction
T2  - Frontline Gastroenterology
TI  - Recognising eosinophilic oesophagitis as a cause of food bolus obstruction
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85072596666&doi=10.1136%2fflgastro-2019-101176&partnerID=40&md5=ea88d47225cf90688601c36c91e88174
VL  - 11
ID  - 982
ER  - 

TY  - JOUR
AB  - Eosinophilic oesophagitis (EoE) is a chronic, inflammatory condition of the oesophagus, characterised by intermittent dysphagia, food bolus obstruction (FBO) and histologically proven, eosinophil-mediated inflammation. EoE is identified in up to 50% of FBO presentations. To evaluate the management of patients presenting with FBO to our centre against current clinical guidelines. Design A retrospective analysis of acute FBO was performed between January 2008 and August 2014. Patients were identified using the ICD 10 code T18.1, foreign body in oesophagus' in their electronic discharge document. Data were collected on admitting specialty, previous FBO, endoscopy findings, biopsy sites and findings, eosinophil count and diagnosis of EoE. Results 310 acute episodes of FBO were included in the final study cohort. 202 (65.2%) flexible oesophagogastroduodenoscopies (OGDs) were performed, with 50 (34.5%) of those occurring in those admitted under ENT (n=145), versus 28 (93.3%) and 124 (91.9%) in general medicine (n=30) and surgery (n=135), respectively. 80 (39.6%) had oesophageal biopsies taken, and 21 novel diagnoses of EoE were made (26.3% biopsy-proven rate). Five (23.8%) of the novel diagnoses had a formal eosinophil count included in the histopathology report, and eight (38.1%) had up to three previous OGDs that had not diagnosed their condition of EoE. Conclusion Our study highlights wide variation in adherence to the guidelines for the management of FBO depending on admitting specialty. We advocate an FBO protocol involving single specialty management, flexible OGD, ≥6 biopsies from the upper and lower oesophagus, and standardisation of oesophageal biopsy reports with a formal eosinophil count.
AD  - Y. Ntuli, University of Dundee School of Medicine, University of Dundee, Dundee, United Kingdom
AU  - Ntuli, Y.
AU  - Bough, I.
AU  - Wilson, M.
DB  - Embase
DO  - 10.1136/flgastro-2019-101176
IS  - 1
KW  - adult
article
cohort analysis
dysphagia
eosinophil count
eosinophilic esophagitis
esophagogastroduodenoscopy
esophagus biopsy
esophagus foreign body
esophagus obstruction
female
follow up
gastrointestinal endoscopy
general practice
histopathology
human
human tissue
major clinical study
male
middle aged
practice guideline
priority journal
retrospective study
LA  - English
M3  - Article
N1  - L630233902
2019-12-24
2020-01-03
PY  - 2020
SN  - 2041-4145
2041-4137
SP  - 11-15
ST  - Recognising eosinophilic oesophagitis as a cause of food bolus obstruction
T2  - Frontline Gastroenterology
TI  - Recognising eosinophilic oesophagitis as a cause of food bolus obstruction
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L630233902&from=export
http://dx.doi.org/10.1136/flgastro-2019-101176
VL  - 11
ID  - 297
ER  - 

TY  - JOUR
AB  - Background Counts are the commonest method used to ensure that all sponges and neuropatties are removed from a surgical site before closure. When the count is not reconciled, plain radiographs of the operative site are taken to determine whether the missing patty has been left in the wound. The purpose of this study was to describe the detectability of commonly used neuropatties in the clinical setting using digital technologies. Methods Neuropatties were implanted into the anterior and posterior cranial fossae and the thoracolumbar extradural space of a mature male cadaver. Four neuropatty sizes were used: 3 × 1 in, 2 × 1/2 in, 1/2 × 1/2 in, and 1/4 × 1/4 in. Neuropatties, with size and location chosen at random, were placed in the surgical sites and anteroposterior/posterior-anterior and lateral radiographs were taken using standard portable digital radiographic equipment. Six clinicians reviewed the digital images for the presence or absence of neuropatties. The readers were not aware of the number and size of the patties that were included in each image. Results The detectability of neuropatties is dependent on the size of the neuropatty's radiopaque marker and the operative site. Neuropatties measuring 2 × 1/2 in and 3 × 1 in were detected reliably regardless of the operative site. 1/4 × 1/4 in neuropatties were poorly detected by neurosurgeons and radiologists in all three operative sites. Readers of various experience and background were similar in their ability to detect neuropatties under these conditions. Conclusions Under simulated operating room conditions and using currently available neuropatties and plain radiograph imaging technology, small 1/4-in and 1/2-in neuropatties are poorly visible/detectable on digital images. © 2015 Elsevier Inc.
AD  - Department of Surgery, University of British Columbia, British Columbia Children's Hospital, Vancouver, BC, Canada
Department of Radiology, British Columbia Children's Hospital, Vancouver, BC, Canada
Department of Radiology, University of British Columbia, Vancouver, BC, Canada
AU  - Luo, W. T.
AU  - Almack, R.
AU  - Mawson, J. B.
AU  - Cochrane, D. D.
DB  - Scopus
DO  - 10.1016/j.wneu.2015.03.032
IS  - 2
KW  - Cadaver model
Foreign body
Imaging
Neuropatty
Radiopaque
Retained
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2015
SP  - 405-411
ST  - Radiographic Detectability of Retained Neuropatties in a Cadaver Model
T2  - World Neurosurgery
TI  - Radiographic Detectability of Retained Neuropatties in a Cadaver Model
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84938960211&doi=10.1016%2fj.wneu.2015.03.032&partnerID=40&md5=ed19baefa5f4c4e4e11064a2624d138e
VL  - 84
ID  - 1242
ER  - 

TY  - JOUR
AB  - Background. A retained surgical item in patients (gossypiboma) is a persisting problem, despite consistent improvements and existing guidelines in counting instruments and sponges. Previous experiences with radiofrequency identification technology (RFID) tracking sponges show that it could represent an innovation, in order to reduce the criticism and increase the effectiveness during surgical procedures. We present an automated system that allows reduction of errors and improves safety in the operating room. Methods. The system consists of 3 antennas, surgical sponges containing RFID tags, and dedicated software applications, with Wi-Fi real-time communication between devices. The first antenna provides the initial count of gauzes; the second a real-time counting during surgery, including the sponges thrown into the kick-bucket; and the third can be used in the event of uneven sponge count. The software allows management at all stages of the process. Results. In vitro and in vivo tests were performed: the system provided excellent results in detecting sponges in patients' body. Hundred percent retained sponges were detected correctly, even when they were overlapped. No false positive or false negative was recorded. The counting procedure turned out to be more streamlined and efficient and it could save time in a standard procedure. Conclusions. The RFID system for sponge tracking was shown to be experimentally a reliable and feasible method to track sponges with a full detection accuracy in the operating room. The results indicate the system to be safe and effective with acceptable cost-effective parameters. © The Author(s) 2017.
AD  - Department of Experimental Medicine and Surgery, University of Tor Vergata, Via Montpellier 1, Rome, 00133, Italy
5-Emme Informatica Spa, Rome, Italy
Sapienza University, Rome, Italy
Istituto Superiore di Sanità, Rome, Italy
AU  - Lazzaro, A.
AU  - Corona, A.
AU  - Iezzi, L.
AU  - Quaresima, S.
AU  - Armisi, L.
AU  - Piccolo, I.
AU  - Medaglia, C. M.
AU  - Sbrenni, S.
AU  - Sileri, P.
AU  - Rosato, N.
AU  - Gaspari, A. L.
AU  - Di Lorenzo, N.
DB  - Scopus
DO  - 10.1177/1553350617690608
IS  - 3
KW  - biomedical engineering
image-guided surgery
simulation
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2017
SP  - 268-275
ST  - Radiofrequency-Based Identification Medical Device: An Evaluable Solution for Surgical Sponge Retrieval?
T2  - Surgical Innovation
TI  - Radiofrequency-Based Identification Medical Device: An Evaluable Solution for Surgical Sponge Retrieval?
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85019207285&doi=10.1177%2f1553350617690608&partnerID=40&md5=12ae8161ddb693ae96390c2ed742fbda
VL  - 24
ID  - 1155
ER  - 

TY  - JOUR
AB  - We report a 73-year-old female patient who underwent total hip arthroplasty for osteoarthritis of the right hip. An anteroposterior radiograph obtained 1 week after surgery showed an intra-articular striated foreign body. This was subsequently removed and found to be a radio-opaque marker of a surgical sponge that had been used during the operation. The patient made an uneventful recovery. In recent years, cases of retained surgical sponge after surgery have been reported occasionally. Counting surgical sponges and using sponges with radio-opaque markers are methods for preventing them from being accidentally left in situ. However, to our knowledge, there has been no report of retention of a surgical sponge radio-opaque marker at the operation site, appearing as a foreign body on an X-ray film. © Springer-Verlag 2007.
AD  - Department of Orthopaedic Surgery, Gifu University School of Medicine, 1-1 Yanagido, 501-1194 Gifu, Japan
AU  - Takigami, I.
AU  - Itoh, Y.
AU  - Itokazu, M.
AU  - Shimizu, K.
DB  - Scopus
DO  - 10.1007/s00402-007-0469-6
IS  - 10
KW  - Foreign body
Intra-articular foreign body
Radio-opaque marker
Retained surgical sponge
Total hip arthroplasty
M3  - Article
N1  - Cited By :3
Export Date: 10 November 2020
PY  - 2008
SP  - 1167-1168
ST  - Radio-opaque marker of a surgical sponge appearing as an intra-articular foreign body after total hip arthroplasty
T2  - Archives of Orthopaedic and Trauma Surgery
TI  - Radio-opaque marker of a surgical sponge appearing as an intra-articular foreign body after total hip arthroplasty
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-53149148515&doi=10.1007%2fs00402-007-0469-6&partnerID=40&md5=aca76056457fb061d5b78c3cd9c5d646
VL  - 128
ID  - 1513
ER  - 

TY  - JOUR
AB  - We report a 73-year-old female patient who underwent total hip arthroplasty for osteoarthritis of the right hip. An anteroposterior radiograph obtained 1 week after surgery showed an intra-articular striated foreign body. This was subsequently removed and found to be a radio-opaque marker of a surgical sponge that had been used during the operation. The patient made an uneventful recovery. In recent years, cases of retained surgical sponge after surgery have been reported occasionally. Counting surgical sponges and using sponges with radio-opaque markers are methods for preventing them from being accidentally left in situ. However, to our knowledge, there has been no report of retention of a surgical sponge radio-opaque marker at the operation site, appearing as a foreign body on an X-ray film. © Springer-Verlag 2007.
AD  - I. Takigami, Department of Orthopaedic Surgery, Gifu University School of Medicine, 1-1 Yanagido, 501-1194 Gifu, Japan
AU  - Takigami, I.
AU  - Itoh, Y.
AU  - Itokazu, M.
AU  - Shimizu, K.
DB  - Embase
Medline
DO  - 10.1007/s00402-007-0469-6
IS  - 10
KW  - barium sulfate
vinyl chloride
aged
article
case report
computer assisted tomography
female
foreign body
hip osteoarthritis
hip radiography
hip surgery
human
leg movement
leg pain
priority journal
range of motion
surgical sponge
total hip prosthesis
LA  - English
M3  - Article
N1  - L352451030
2008-10-16
PY  - 2008
SN  - 0936-8051
SP  - 1167-1168
ST  - Radio-opaque marker of a surgical sponge appearing as an intra-articular foreign body after total hip arthroplasty
T2  - Archives of Orthopaedic and Trauma Surgery
TI  - Radio-opaque marker of a surgical sponge appearing as an intra-articular foreign body after total hip arthroplasty
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L352451030&from=export
http://dx.doi.org/10.1007/s00402-007-0469-6
VL  - 128
ID  - 592
ER  - 

TY  - JOUR
AB  - Radio-frequency (RF) tags are now being embedded in items such as surgical sponges, towels, and pads to reduce the chances that these objects will be left in patients after a procedure. Find out how--and how well--RF sponge-detection systems work, including our view of the two systems currently on the market: ClearCount Medical's SmartSponge System, which counts sponges in addition to detecting them. RF Surgical's RF Surgical Detection System, which is a detect-only system.
DB  - Scopus
IS  - 7
M3  - Article
N1  - Cited By :4
Export Date: 10 November 2020
PY  - 2008
SP  - 193-202
ST  - Radio-frequency surgical sponge detection: a new way to lower the odds of leaving sponges (and similar items) in patients
T2  - Health devices
TI  - Radio-frequency surgical sponge detection: a new way to lower the odds of leaving sponges (and similar items) in patients
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-56149092038&partnerID=40&md5=88116ef3fd22ac230fb20816e16977fd
VL  - 37
ID  - 1524
ER  - 

TY  - JOUR
AB  - Radio-frequency (RF) tags are now being embedded in items such as surgical sponges, towels, and pads to reduce the chances that these objects will be left in patients after a procedure. Find out how--and how well--RF sponge-detection systems work, including our view of the two systems currently on the market: ClearCount Medical's SmartSponge System, which counts sponges in addition to detecting them. RF Surgical's RF Surgical Detection System, which is a detect-only system.
DB  - Medline
IS  - 7
KW  - article
foreign body
human
information processing
medical error
operating room
organization and management
postoperative complication
radiofrequency radiation
radiography
surgical sponge
LA  - English
M3  - Article
N1  - L352675408
2008-11-24
PY  - 2008
SN  - 0046-7022
SP  - 193-202
ST  - Radio-frequency surgical sponge detection: a new way to lower the odds of leaving sponges (and similar items) in patients
T2  - Health devices
TI  - Radio-frequency surgical sponge detection: a new way to lower the odds of leaving sponges (and similar items) in patients
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L352675408&from=export
VL  - 37
ID  - 595
ER  - 

TY  - JOUR
AB  - Use of gauze sponges that have been embedded with passive radio frequency identification (RFID) tags presents a high probability of reducing or eliminating instances of gossypiboma, or retained surgical sponge. The use of human counts during surgical operations, especially during instances where unexpected or emergency events occur, can result in errors where surgical instruments, most often gauze sponges, are retained within the patient's body, leading to complications at a later date. Implementation of an automatic inventory record system, for instance, RFID, may greatly reduce these incidences by removing the human factor and would improve patient safety by eliminating the current sponge count protocol. Experiments performed by placing RFID-labeled sponges within an animal and removing them have demonstrated that tags are at least partially readable inside the body cavity and fully readable once removed, suggesting the possibility of an automated sponge count system pending further development of this technology. © 2007 Springer Science+Business Media, LLC.
AD  - Department of Biological Sciences, University of Nebraska, Lincoln, NE, United States
Department of Industrial Engineering, University of Nebraska, Lincoln, NE, United States
Department of Surgery, University of Nebraska Medical Center, Lincoln, NE, United States
AU  - Rogers, A.
AU  - Jones, E.
AU  - Oleynikov, D.
DB  - Scopus
DO  - 10.1007/s00464-007-9308-7
IS  - 7
KW  - Automated inventory
Gossypiboma
Laparotic sponge
RFID
M3  - Article
N1  - Cited By :72
Export Date: 10 November 2020
PY  - 2007
SP  - 1235-1237
ST  - Radio frequency identification (RFID) applied to surgical sponges
T2  - Surgical Endoscopy and Other Interventional Techniques
TI  - Radio frequency identification (RFID) applied to surgical sponges
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-34347374676&doi=10.1007%2fs00464-007-9308-7&partnerID=40&md5=3e7f8c29de60e2154160ee546a9bc606
VL  - 21
ID  - 1560
ER  - 

TY  - JOUR
AB  - Objective: To describe incidents of retained surgical items, including their characteristics and the circumstances in which they occur. Design: A qualitative content analysis of root cause analysis investigation reports. Setting: Public health services in Victoria, Australia, 2010-2015. Participants: Incidents of retained surgical items as described by 31 root cause analysis investigation reports. Main Outcome Measure(s): The type of retained surgical item, the length of time between the item being retained and detected and qualitative descriptors of the contributing factors and the circumstances in which the retained surgical items occurred. Results: Surgical packs, drain tubes and vascular devices comprised 68% (21/31) of the retained surgical items. Nearly one-quarter of the retained surgical items were detected either immediately in the post-operative period or on the day of the procedure (7/31). However, about one-sixth (5/31) were only detected after 6 months, with the longest period being 18 months. Contributing factors included complex or multistage surgery; the use of packs not specific to the purpose of the surgery; and design features of the surgical items. Conclusion: Retained drains occurred in the post-operative phase where surgical counts are not applicable and clinician situational awareness may not be as great. Root cause analysis investigation reports can be a valuable means of characterizing infrequently occurring adverse events such as retained surgical items. They may detect incidents that are not detected by other data collections and can inform the design enhancements and development of technologies to reduce the impact of retained surgical items. © The Author(s) 2020. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved.
AD  - Australian Institute of Health Innovation, Macquarie UniversityNSW, Australia
Australian Centre for Precision Health, Cancer Research Institute, School of Health Sciences, University of South Australia, Adelaide, SA, Australia
South Australian Health and Medical Research Institute, Adelaide, SA, Australia
Appleton Institute, CQ University, Adelaide, SA, Australia
Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, United Kingdom
AU  - Hibbert, P. D.
AU  - Thomas, M. J. W.
AU  - Deakin, A.
AU  - Runciman, W. B.
AU  - Carson-Stevens, A.
AU  - Braithwaite, J.
DB  - Scopus
DO  - 10.1093/intqhc/mzaa005
IS  - 3
KW  - Enablers
Healthcare teams
Psychological safety
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
SP  - 184-189
ST  - Analyse de contenu qualitative du matériel chirurgical oublié-tirer les leçons des enquêtes pour analyse des causes
Uma análise qualitativa do conteúdo de itens cirúrgicos retidos-Aprendizagem das investigações da análise de causa raiz
T2  - International Journal for Quality in Health Care
TI  - A qualitative content analysis of retained surgical items: Learning from root cause analysis investigations
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085266233&doi=10.1093%2fintqhc%2fmzaa005&partnerID=40&md5=2bfbbf9d0f661434a581bb813f34b32b
VL  - 32
ID  - 970
ER  - 

TY  - JOUR
AB  - Objective: To describe incidents of retained surgical items, including their characteristics and the circumstances in which they occur.Design: A qualitative content analysis of root cause analysis investigation reports.Setting: Public health services in Victoria, Australia, 2010-2015.Participants: Incidents of retained surgical items as described by 31 root cause analysis investigation reports.Main Outcome Measure(s): The type of retained surgical item, the length of time between the item being retained and detected and qualitative descriptors of the contributing factors and the circumstances in which the retained surgical items occurred.Results: Surgical packs, drain tubes and vascular devices comprised 68% (21/31) of the retained surgical items. Nearly one-quarter of the retained surgical items were detected either immediately in the post-operative period or on the day of the procedure (7/31). However, about one-sixth (5/31) were only detected after 6 months, with the longest period being 18 months. Contributing factors included complex or multistage surgery; the use of packs not specific to the purpose of the surgery; and design features of the surgical items.Conclusion: Retained drains occurred in the post-operative phase where surgical counts are not applicable and clinician situational awareness may not be as great. Root cause analysis investigation reports can be a valuable means of characterizing infrequently occurring adverse events such as retained surgical items. They may detect incidents that are not detected by other data collections and can inform the design enhancements and development of technologies to reduce the impact of retained surgical items.
AD  - Australian Institute of Health Innovation, Macquarie University, New South Wales, Australia
Australian Centre for Precision Health, Cancer Research Institute, School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia
South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia
Appleton Institute, CQ University, Adelaide, South Australia, Australia
Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, Wales, United Kingdom
AN  - 143433414. Language: English. Entry Date: In Process. Revision Date: 20200601. Publication Type: Journal Article. Journal Subset: Biomedical
AU  - Hibbert, Peter D.
AU  - Thomas, Matthew J. W.
AU  - Deakin, Anita
AU  - Runciman, William B.
AU  - Carson-Stevens, Andrew
AU  - Braithwaite, Jeffrey
DB  - ccm
DO  - 10.1093/intqhc/mzaa005
DP  - EBSCOhost
IS  - 3
N1  - Europe; Peer Reviewed; UK & Ireland. NLM UID: 9434628.
PMID: NLM32227116.
PY  - 2020
SN  - 1353-4505
SP  - 184-189
ST  - A qualitative content analysis of retained surgical items: learning from root cause analysis investigations
T2  - International Journal for Quality in Health Care
TI  - A qualitative content analysis of retained surgical items: learning from root cause analysis investigations
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143433414&site=ehost-live&scope=site
VL  - 32
ID  - 710
ER  - 

TY  - JOUR
AB  - Objective: To describe incidents of retained surgical items, including their characteristics and the circumstances in which they occur. Design: A qualitative content analysis of root cause analysis investigation reports. Setting: Public health services in Victoria, Australia, 2010-2015. Participants: Incidents of retained surgical items as described by 31 root cause analysis investigation reports. Main Outcome Measure(s): The type of retained surgical item, the length of time between the item being retained and detected and qualitative descriptors of the contributing factors and the circumstances in which the retained surgical items occurred. Results: Surgical packs, drain tubes and vascular devices comprised 68% (21/31) of the retained surgical items. Nearly one-quarter of the retained surgical items were detected either immediately in the post-operative period or on the day of the procedure (7/31). However, about one-sixth (5/31) were only detected after 6 months, with the longest period being 18 months. Contributing factors included complex or multistage surgery; the use of packs not specific to the purpose of the surgery; and design features of the surgical items. Conclusion: Retained drains occurred in the post-operative phase where surgical counts are not applicable and clinician situational awareness may not be as great. Root cause analysis investigation reports can be a valuable means of characterizing infrequently occurring adverse events such as retained surgical items. They may detect incidents that are not detected by other data collections and can inform the design enhancements and development of technologies to reduce the impact of retained surgical items.
AD  - P.D. Hibbert, Australian Institute of Health Innovation, Macquarie University, Macquarie University, 75 Talavera Rd, Australia
AU  - Hibbert, P. D.
AU  - Thomas, M. J. W.
AU  - Deakin, A.
AU  - Runciman, W. B.
AU  - Carson-Stevens, A.
AU  - Braithwaite, J.
DB  - Embase
Medline
DO  - 10.1093/intqhc/mzaa005
IS  - 3
KW  - adult
article
awareness
content analysis
drain
human
learning
outcome assessment
postoperative period
public health service
root cause analysis
Victoria
LA  - English
M3  - Article
N1  - L632876301
2020-10-12
PY  - 2020
SN  - 1464-3677
1353-4505
SP  - 184-189
ST  - A qualitative content analysis of retained surgical items: Learning from root cause analysis investigations
T2  - International Journal for Quality in Health Care
TI  - A qualitative content analysis of retained surgical items: Learning from root cause analysis investigations
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L632876301&from=export
http://dx.doi.org/10.1093/intqhc/mzaa005
VL  - 32
ID  - 281
ER  - 

TY  - JOUR
AD  - BSN, RNC-OB, Labor and Delivery, Baylor University Medical Center, Dallas, TX
BSN, RNC-OB, EFM-C, Labor and Delivery, Baylor University Medical Center, Dallas, TX
AN  - 104647131. Language: English. Entry Date: 20110715. Revision Date: 20150711. Publication Type: Journal Article
AU  - Rich, Diana
AU  - Bural, Kelli
DB  - ccm
DO  - 10.1111/j.1552-6909.2011.01242_98.x
DP  - EBSCOhost
KW  - Vaginal Birth
Adverse Health Care Event -- Prevention and Control
Intrapartum Care
Surgical Count Procedure
Retained Instruments
Posters
Female
Adult
Pregnancy
Hospital Policies
N1  - abstract. Supplement Title: May2011 Supplement 1. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Obstetric Care; Patient Safety; Pediatric Care; Women's Health. NLM UID: 8503123.
PY  - 2011
SN  - 0884-2175
SP  - S70-1
ST  - Promoting Women's Health One Sponge at a Time
T2  - JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing
TI  - Promoting Women's Health One Sponge at a Time
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104647131&site=ehost-live&scope=site
VL  - 40
ID  - 913
ER  - 

TY  - JOUR
AB  - Background: Perforating injuries continue to have a poor prognosis with less than two-thirds of eyes having at least ambulatory final vision, due to proliferation originating from the exit wound. Materials and Methods: We developed a new, proactive treatment method, which is applicable in most eyes with perforating trauma. The strategy involves limited, indirect ophthalmoscopic vitrectomy during the primary repair; heavy topical corticosteroid therapy postoperatively; and complete vitrectomy on day 3, including prophylactic retinectomy around the exit wound, evacuation of subretinal blood, laser retinopexy, and silicone oil implantation. Results: In the five consecutive eyes in which the proactive treatment approach was used, no " enscarceration" of the retina into the exit wound, proliferative vitreoretinopathy, retinal detachment, or retinal folding has occurred. The median visual acuity improved from count fingers to 0.6 in the three eyes without macular involvement. Conclusions: Far-reaching conclusions must not be made based on such a small series, but the proactive treatment approach appears promising in preventing proliferation-related complications such as fractional retinal detachment or retinal fold development. A similar approach should be considered for eyes with deep impact trauma from intraocular foreign bodies and in eyes with incarcerated retina in the rupture wound.
AD  - University of Alabama, Birmingham, AL, United States
University of Pécs, Hungary
American Society of Ocular Trauma, Birmingham, AL, United States
Helen Keller Foundation, United States
Mafraq Hospital, Abu Dhabi, United Arab Emirates
Hungarian Eye Injury Registry, Hungary
American Society of Ocular Trauma, 1201 11th Avenue South, Birmingham, AL 35205, United States
AU  - Kuhn, F.
AU  - Mester, V.
AU  - Morris, R.
DB  - Scopus
DO  - 10.1055/s-2004-813535
IS  - 8
KW  - Eye injuries
Intraocular foreign bodies
Perforating injury
Prevention
Proliferative vitreoretinopathy
Retinectomy
M3  - Review
N1  - Cited By :35
Export Date: 10 November 2020
PY  - 2004
SP  - 622-628
ST  - A proactive treatment approach for eyes with perforating injury
T2  - Klinische Monatsblatter fur Augenheilkunde
TI  - A proactive treatment approach for eyes with perforating injury
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-4544309447&doi=10.1055%2fs-2004-813535&partnerID=40&md5=a9bdf27d354c2bfac4ca66a0db48168f
VL  - 221
ID  - 1624
ER  - 

TY  - JOUR
AB  - Background: Perforating injuries continue to have a poor prognosis with less than two-thirds of eyes having at least ambulatory final vision, due to proliferation originating from the exit wound. Materials and Methods: We developed a new, proactive treatment method, which is applicable in most eyes with perforating trauma. The strategy involves limited, indirect ophthalmoscopic vitrectomy during the primary repair; heavy topical corticosteroid therapy postoperatively; and complete vitrectomy on day 3, including prophylactic retinectomy around the exit wound, evacuation of subretinal blood, laser retinopexy, and silicone oil implantation. Results: In the five consecutive eyes in which the proactive treatment approach was used, no " enscarceration" of the retina into the exit wound, proliferative vitreoretinopathy, retinal detachment, or retinal folding has occurred. The median visual acuity improved from count fingers to 0.6 in the three eyes without macular involvement. Conclusions: Far-reaching conclusions must not be made based on such a small series, but the proactive treatment approach appears promising in preventing proliferation-related complications such as fractional retinal detachment or retinal fold development. A similar approach should be considered for eyes with deep impact trauma from intraocular foreign bodies and in eyes with incarcerated retina in the rupture wound.
AD  - F. Kuhn, American Society of Ocular Trauma, 1201 11th Avenue South, Birmingham, AL 35205, United States
AU  - Kuhn, F.
AU  - Mester, V.
AU  - Morris, R.
DB  - Embase
Medline
DO  - 10.1055/s-2004-813535
IS  - 8
KW  - corticosteroid
adult
case report
foreign body
human
implantation
injury
laser
male
ophthalmoscopy
penetrating trauma
retina blood flow
retina detachment
retina macula lutea
review
visual acuity
vitrectomy
wound dehiscence
LA  - English
M3  - Review
N1  - L39255378
2004-10-03
PY  - 2004
SN  - 0023-2165
SP  - 622-628
ST  - A proactive treatment approach for eyes with perforating injury
T2  - Klinische Monatsblatter fur Augenheilkunde
TI  - A proactive treatment approach for eyes with perforating injury
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L39255378&from=export
http://dx.doi.org/10.1055/s-2004-813535
VL  - 221
ID  - 633
ER  - 

TY  - JOUR
AB  - Background: New technologies are available to reduce or prevent retained surgical sponges (RSS), but their relative cost effectiveness are unknown. We developed an empirically calibrated decision-analytic model comparing standard counting against alternative strategies: universal or selective x-ray, bar-coded sponges (BCS), and radiofrequency-tagged (RF) sponges. Methods: Key model parameters were obtained from field observations during a randomized-controlled BCS trial (n = 298), an observational study of RSS (n = 191,168), and clinical experience with BCS (n ∼ 60,000). Because no comparable data exist for RF, we modeled its performance under 2 alternative assumptions. Only incremental sponge-tracking costs, excluding those common to all strategies, were considered. Main outcomes were RSS incidence and cost-effectiveness ratios for each strategy, from the institutional decision maker's perspective. Results: Standard counting detects 82% of RSS. Bar coding prevents ≥97.5% for an additional $95,000 per RSS averted. If RF were as effective as bar coding, it would cost $720,000 per additional RSS averted (versus standard counting). Universal and selective x-rays for high-risk operations are more costly, but less effective than BCS-$1.1 to 1.4 million per RSS event prevented. In sensitivity analyses, results were robust over the plausible range of effectiveness assumptions, but sensitive to cost. Conclusion: Using currently available data, this analysis provides a useful model for comparing the relative cost effectiveness of existing sponge-tracking strategies. Selecting the best method for an institution depends on its priorities: ease of use, cost reduction, or ensuring RSS are truly "never events." Given medical and liability costs of >$200,000 per incident, novel technologies can substantially reduce the incidence of RSS at an acceptable cost. © 2009 Mosby, Inc. All rights reserved.
AD  - Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, United States
Department of Surgery, Massachusetts General Hospital, Boston, MA, United States
Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, United States
Abt Associates, Cambridge, MA, United States
Office of Quality Management, Mayo Clinic, Rochester, MN, United States
Department of Surgery, Mayo Clinic, Rochester, MN, United States
AU  - Regenbogen, S. E.
AU  - Greenberg, C. C.
AU  - Resch, S. C.
AU  - Kollengode, A.
AU  - Cima, R. R.
AU  - Zinner, M. J.
AU  - Gawande, A. A.
DB  - Scopus
DO  - 10.1016/j.surg.2009.01.011
IS  - 5
M3  - Article
N1  - Cited By :50
Export Date: 10 November 2020
PY  - 2009
SP  - 527-535
ST  - Prevention of retained surgical sponges: A decision-analytic model predicting relative cost-effectiveness
T2  - Surgery
TI  - Prevention of retained surgical sponges: A decision-analytic model predicting relative cost-effectiveness
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-64449087638&doi=10.1016%2fj.surg.2009.01.011&partnerID=40&md5=837bbc3afeaa51356f658fa9cf8ab5b4
VL  - 145
ID  - 1494
ER  - 

TY  - JOUR
AB  - Background: New technologies are available to reduce or prevent retained surgical sponges (RSS), but their relative cost effectiveness are unknown. We developed an empirically calibrated decision-analytic model comparing standard counting against alternative strategies: universal or selective x-ray, bar-coded sponges (BCS), and radiofrequency-tagged (RF) sponges. Methods: Key model parameters were obtained from field observations during a randomized-controlled BCS trial (n = 298), an observational study of RSS (n = 191,168), and clinical experience with BCS (n ∼ 60,000). Because no comparable data exist for RF, we modeled its performance under 2 alternative assumptions. Only incremental sponge-tracking costs, excluding those common to all strategies, were considered. Main outcomes were RSS incidence and cost-effectiveness ratios for each strategy, from the institutional decision maker's perspective. Results: Standard counting detects 82% of RSS. Bar coding prevents ≥97.5% for an additional $95,000 per RSS averted. If RF were as effective as bar coding, it would cost $720,000 per additional RSS averted (versus standard counting). Universal and selective x-rays for high-risk operations are more costly, but less effective than BCS-$1.1 to 1.4 million per RSS event prevented. In sensitivity analyses, results were robust over the plausible range of effectiveness assumptions, but sensitive to cost. Conclusion: Using currently available data, this analysis provides a useful model for comparing the relative cost effectiveness of existing sponge-tracking strategies. Selecting the best method for an institution depends on its priorities: ease of use, cost reduction, or ensuring RSS are truly "never events." Given medical and liability costs of >$200,000 per incident, novel technologies can substantially reduce the incidence of RSS at an acceptable cost. © 2009 Mosby, Inc. All rights reserved.
AD  - S.E. Regenbogen, Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, United States
AU  - Regenbogen, S. E.
AU  - Greenberg, C. C.
AU  - Resch, S. C.
AU  - Kollengode, A.
AU  - Cima, R. R.
AU  - Zinner, M. J.
AU  - Gawande, A. A.
DB  - Embase
Medline
DO  - 10.1016/j.surg.2009.01.011
IS  - 5
KW  - article
cost effectiveness analysis
decision making
medical liability
priority journal
surgical risk
surgical sponge
LA  - English
M3  - Article
N1  - L50459873
2009-04-28
PY  - 2009
SN  - 0039-6060
SP  - 527-535
ST  - Prevention of retained surgical sponges: A decision-analytic model predicting relative cost-effectiveness
T2  - Surgery
TI  - Prevention of retained surgical sponges: A decision-analytic model predicting relative cost-effectiveness
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L50459873&from=export
http://dx.doi.org/10.1016/j.surg.2009.01.011
VL  - 145
ID  - 581
ER  - 

TY  - JOUR
AB  - Reduction in retained surgical items is an important part of any operating room patient-safety effort. Any item used in an operation can result in a retained surgical item, but sponges are the most frequent and the abdomen is the most common location. Retained sponges can cause significant morbidity, and the costs associated with both prevention and treatment of retained surgical items, including legal costs, can be considerable. This review will examine counting, teamwork, radiography, and new technology as methods used to prevent retained surgical items. Even though none of these techniques individually is likely to completely prevent retained surgical items, when used together the numbers can be reduced. Mt Sinai J Med 78:865-871, 2011. © 2011 Mount Sinai School of Medicine.
AD  - Hospitals Insurance Company, Inc., New York, NY, United States
AU  - Feldman, D. L.
DB  - Scopus
DO  - 10.1002/msj.20299
IS  - 6
KW  - patient safety
retained foreign bodies
retained sponges
retained surgical items
surgical safety
M3  - Article
N1  - Cited By :9
Export Date: 10 November 2020
PY  - 2011
SP  - 865-871
ST  - Prevention of retained surgical items
T2  - Mount Sinai Journal of Medicine
TI  - Prevention of retained surgical items
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-80855130362&doi=10.1002%2fmsj.20299&partnerID=40&md5=192dc3373873e6f9268855cf21e2acba
VL  - 78
ID  - 1404
ER  - 

TY  - JOUR
AB  - Reduction in retained surgical items is an important part of any operating room patient-safety effort. Any item used in an operation can result in a retained surgical item, but sponges are the most frequent and the abdomen is the most common location. Retained sponges can cause significant morbidity, and the costs associated with both prevention and treatment of retained surgical items, including legal costs, can be considerable. This review will examine counting, teamwork, radiography, and new technology as methods used to prevent retained surgical items. Even though none of these techniques individually is likely to completely prevent retained surgical items, when used together the numbers can be reduced. Mt Sinai J Med 78:865-871, 2011. © 2011 Mount Sinai School of Medicine.
AD  - D.L. Feldman, Hospitals Insurance Company, Inc., New York, NY, United States
AU  - Feldman, D. L.
DB  - Embase
Medline
DO  - 10.1002/msj.20299
IS  - 6
KW  - article
body mass
human
medical record
medical staff
patient safety
radiography
surgical equipment
teamwork
LA  - English
M3  - Article
N1  - L362901528
2011-11-17
2011-11-21
PY  - 2011
SN  - 0027-2507
1931-7581
SP  - 865-871
ST  - Prevention of retained surgical items
T2  - Mount Sinai Journal of Medicine
TI  - Prevention of retained surgical items
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L362901528&from=export
http://dx.doi.org/10.1002/msj.20299
VL  - 78
ID  - 530
ER  - 

TY  - JOUR
AB  - Background. We previously demonstrated that the incorporation of the chemokine CXCL12 into alginate microbeads supported long-term survival of microencapsulated auto-, allo-, and xenogeneic islets in murine models of diabetes without systemic immune suppression. The purpose of this study was to test whether CXCL12 could abrogate foreign body responses (FBRs) against alginate microbeads which were empty or contained autologous islets in healthy nonhuman primates (NHPs; n = 4). Methods. Two NHPs received intraperitoneal implants of 400 000 alginate microbeads with or without CXCL12, and postimplantation immunological and histopathological changes were evaluated up to 6 months postimplantation. A similar evaluation of autologous islets in CXCL12-containing alginate microbeads was performed in NHPs (n = 2). Results. CXCL12-containing alginate microbeads were associated with a markedly reduced FBR to microbeads. Host responses to microbead implants were minimal, as assessed by clinical observations, blood counts, and chemistry. Evaluation of encapsulated islets was limited by the development of necrotizing pancreatitis after hemipancreatectomy in 1 NHP. A limited number of functioning islets were detectable at 6 months posttransplantation in the second NHP. In general, empty microbeads or islet-containing beads were found to be evenly distributed through the intraperitoneal cavity and did not accumulate in the Pouch of Douglas. Conclusions. Inclusion of CXCL12 in alginate microbeads minimized localized FBR. The NHP autologous islet implant model had limited utility for excluding inflammatory/immune responses to implanted islets because of the complexity of pancreatic surgery (hemipancreatectomy) before transplantation and the need to microencapsulate and transplant encapsulated autologous islets immediately after pancreatectomy and islet isolation. © 2019 The Author(s).
AD  - Department of Infectious Diseases, Vaccine and Immunotherapy Center, Massachusetts General Hospital, Boston, MA, United States
Division of Transplant Surgery, Pancreas/Islet Transplant Program, Massachusetts General Hospital, Boston, MA, United States
Clinical Islet Program, Surgery School of Medicine, University of California Irvine, Irvine, CA, United States
Department of Surgery, Institute for Cellular Transplantation, University of Arizona, Tucson, AZ, United States
ViCapsys, Inc., Athens, GA, United States
Department of Surgery, University of Minnesota, Minneapolis, MN, United States
Department of Pathology and Medical Biology, University of Groningen, Groningen, Netherlands
AU  - Sremac, M.
AU  - Lei, J.
AU  - Penson, M. F. E.
AU  - Schuetz, C.
AU  - Lakey, J. R. T.
AU  - Papas, K. K.
AU  - Varde, P. S.
AU  - Hering, B.
AU  - De Vos, P.
AU  - Brauns, T.
AU  - Markmann, J.
AU  - Poznansky, M. C.
C7  - e447
DB  - Scopus
DO  - 10.1097/TXD.0000000000000890
IS  - 5
M3  - Article
N1  - Cited By :3
Export Date: 10 November 2020
PY  - 2019
ST  - Preliminary Studies of the Impact of CXCL12 on the Foreign Body Reaction to Pancreatic Islets Microencapsulated in Alginate in Nonhuman Primates
T2  - Transplantation Direct
TI  - Preliminary Studies of the Impact of CXCL12 on the Foreign Body Reaction to Pancreatic Islets Microencapsulated in Alginate in Nonhuman Primates
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85081368952&doi=10.1097%2fTXD.0000000000000890&partnerID=40&md5=02c5491d5a222a5191619bd7335c9cc0
VL  - 5
ID  - 1015
ER  - 

TY  - JOUR
AB  - This study aimed at evaluating the potential effect of gallium-incorporated phosphate-based glasses towards periodontitis-associated bacteria, Porphyromonas gingivalis, and matrix metalloproteinase-13. Periodontitis describes a group of inflammatory diseases of the gingiva and supporting structures of the periodontium. They are initiated by the accumulation of plaque bacteria, such as the putative periodontal pathogen Porphyromonas gingivalis, but the host immune response such as elevated matrix metalloproteinases are the major contributing factor for destruction of periodontal tissues. Antibacterial assays of gallium-incorporated phosphate-based glasses were conducted on Porphyromonas gingivalis ATCC 33277 using disc diffusion assay on fastidious anaerobe agar and liquid broth assay in a modified tryptic soy broth. In vitro study investigated the effect of gallium on purified recombinant human matrix metalloproteinase-13 activity using matrix metalloproteinase assay kit. In vivo biocompatibility of gallium-incorporated phosphate-based glass was evaluated in rats as subcutaneous implants. Antibacterial assay of gallium displayed activity against Porphyromonas gingivalis (inhibition zone of 22±0.5mm compared with 0mm for control glass, c-PBG). Gallium in the glass contributed to growth inhibitory effect on Porphyromonas gingivalis (up to 1.30 reductions in log10 values of the viable counts compared with control) in a modified tryptic soy broth. In vitro study showed gallium-incorporated phosphate-based glasses inhibited matrix metalloproteinase activity significantly (pâ‰0.01) compared with c-PBG. Evaluation of in vivo biocompatibility of gallium-incorporated phosphate-based glasses in rats showed a non-toxic and foreign body response after 2 weeks of implantation. The results indicate that gallium ions might act on multiple targets of biological mechanisms underlying periodontal disease. Moreover, gallium-incorporated phosphate-based glasses are biocompatible in a rat model. The findings warrant further investigation and will have important clinical implications in the future treatment and management of periodontitis. © 2015 The Author(s).
AD  - Department of Health Services Research, School of Dentistry, University of Liverpool, Research Wing, Daulby Street, Liverpool, L69 3GN, United Kingdom
Department of Surgical Research, Imperial College London, Watford Road, Harrow, United Kingdom
AU  - Sahdev, R.
AU  - Ansari, T. I.
AU  - Higham, S. M.
AU  - Valappil, S. P.
DB  - Scopus
DO  - 10.1177/0885328215571952
IS  - 1
KW  - Gallium
matrix metalloproteinase
periodontitis
phosphate-based glasses
Porphyromonas gingivalis
M3  - Article
N1  - Cited By :11
Export Date: 10 November 2020
PY  - 2015
SP  - 85-92
ST  - Potential use of gallium-doped phosphate-based glass material for periodontitis treatment
T2  - Journal of Biomaterials Applications
TI  - Potential use of gallium-doped phosphate-based glass material for periodontitis treatment
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84930847702&doi=10.1177%2f0885328215571952&partnerID=40&md5=c59b8a0317cd718e9b9ca7919fa96d80
VL  - 30
ID  - 1250
ER  - 

TY  - JOUR
AB  - Background. Textile materials of surgical origin are found in the abdominal cavity in between 1/1300 and 1/1500 laparotomies, in spite of preventive measures. It is very difficult to ascertain the exact incidence due to the lack of descriptions in the literature. Methods. Fourteen cases of postoperative foreign bodies or textilomas are reported. The cases were collected from two hospital centers between 1985 and 1997. Results. There were 12 intra-abdominal cases, 1 thoracic and 1 paravertebral. In 8 (57.1%) diagnosis was made preoperatively by radiological techniques. The mortality rate was 142% with 2 deaths due to multiorganic failure in one case and sepsis in the other. Both patients were over 70, with malignant pathology. The morbidity rate was 21.4%, wall abscesses which evolved favorably being the most frequent cause of complications. Conclusions. Prevention of this complication is the best treatment. It is advisable to use textile material with radiopaque contrast, to count the pieces of material to be used and perform an X-ray before the laparotomy is closed specially in emergency (bleeding and trauma patients) because in these complex cases the possibility of material being left behind is more advisable.
AD  - Service of General Surgery, University Hospital of Getafe, Madrid, Spain
Avenida de Badajoz 7; 2o E, 28027 Madrid, Spain
AU  - Fernandez Lobato, R.
AU  - Marin Lucas, F. J.
AU  - Fradejas Lopez, J. M.
AU  - Diaz Gimenez, L. M.
AU  - Camarero Marina, E.
AU  - Moreno Azcoita, M.
DB  - Scopus
IS  - 1
KW  - Gossypibomas
Postoperative foreign bodies
Surgical gauze and compresses
Textilomas
M3  - Review
N1  - Cited By :16
Export Date: 10 November 2020
PY  - 1998
SP  - 63-66
ST  - Postoperative Textilomas: Review of 14 Cases
T2  - International Surgery
TI  - Postoperative Textilomas: Review of 14 Cases
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0031610843&partnerID=40&md5=a76f6927ee710e284750109d6afc8dde
VL  - 83
ID  - 1693
ER  - 

TY  - JOUR
AB  - BACKGROUND: Textile materials of surgical origin are found in the abdominal cavity in between 1/1300 and 1/1500 laparotomies, in spite of preventive measures. It is very difficult to ascertain the exact incidence due to the lack of descriptions in the literature. METHODS: Fourteen cases of postoperative foreign bodies or textilomas are reported. The cases were collected from two hospital centers between 1985 and 1997. RESULTS: There were 12 intra-abdominal cases, 1 thoracic and 1 paravertebral. In 8 (57.1%) diagnosis was made preoperatively by radiological techniques. The mortality rate was 14.2% with 2 deaths due to multiorganic failure in one case and sepsis in the other. Both patients were over 70, with malignant pathology. The morbidity rate was 21.4%, wall abscesses which evolved favorably being the most frequent cause of complications. CONCLUSIONS: Prevention of this complication is the best treatment. It is advisable to use textile material with radiopaque contrast, to count the pieces of material to be used and perform an X-ray before the laparotomy is closed specially in emergency (bleeding and trauma patients) because in these complex cases the possibility of material being left behind is more advisable.
AD  - R. Fernandez Lobato, Service of General Surgery, University Hospital of Getafe, Madrid, Spain.
AU  - Fernandez Lobato, R.
AU  - Marin Lucas, F. J.
AU  - Fradejas Lopez, J. M.
AU  - Diaz Gimenez, L. M.
AU  - Camarero Marina, E.
AU  - Moreno Azcoita, M.
DB  - Medline
IS  - 1
KW  - adult
aged
computer assisted tomography
female
foreign body granuloma
human
iatrogenic disease
laparoscopy
male
middle aged
mortality
postoperative complication
retrospective study
review
textile
LA  - English
M3  - Review
N1  - L128297382
1998-10-27
PY  - 1998
SN  - 0020-8868
SP  - 63-66
ST  - Postoperative textilomas: review of 14 cases
T2  - International surgery
TI  - Postoperative textilomas: review of 14 cases
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L128297382&from=export
VL  - 83
ID  - 660
ER  - 

TY  - JOUR
AB  - Background: Extracorporeal circulation is associated with systemic inflammatory response syndrome. Therefore, the diagnosis of infection should be differentiated from a typical postoperative course. Aim: The aim of the study was to evaluate the kinetics of inflammatory biomarkers in children in the first days after cardiac surgery with extracorporeal circulation. Methods: Prospective data were collected from 51 consecutive children referred for surgical treatment in Department of Paediatric Cardiac Surgery, St. Adalbertus Hospital in Gdañsk, between February and August 2015. Blood samples were collected on the first, second, and third postoperative days and sent to the institutional laboratory for routine investigations: White blood cell count, serum C-reactive protein (CRP) and procalcitonin concentrations. Results: The highest levels of procalcitonin were on the first postoperative day (median 3.53 ng/mL), although the peak values of CRP concentration and white blood cell count were on the second postoperative day (96 mg/L and 17.3 G/L). In the group of patients with foreign material implantation (Contegra(r) or Gore-Tex(r)), the higher values of procalcitonin concentration and white blood cell count were measured in the subsequent postoperative days. Conclusions: The kinetics of analysed inflammatory biomarkers on the first days after cardiac surgery for congenital heart disease in children have different characteristics. The knowledge about the kinetics of inflammatory biomarkers could be useful in determining the possibility of evolving infections in the early postoperative period. © Polish Cardiac Society 2018.
AD  - Department of Paediatric Cardiac Surgery, St. Adalbertus Hospital, Al. Jana Pawła II 50, Gdansk, 80-462, Poland
Department of Physiotherapy, Faculty of Rehabilitation and Kinesiology, Gdansk University of Physical Education and Sport, Gdansk, Poland
Department of Rehabilitation, Medical University of Gdansk, Gdansk, Poland
Department of Obstetrics and Gynaecology, Medical University of Gdansk, Gdansk, Poland
Department of Plastic Surgery, Medical University of Gdansk, Gdansk, Poland
AU  - Haponiuk, I.
AU  - Jaworski, R.
AU  - Paczkowski, K.
AU  - Chojnicki, M.
AU  - Steffens, M.
AU  - Szofer-Sendrowska, A.
AU  - Gierat-Haponiuk, K.
AU  - Kwaśniak, E.
AU  - Paśko-Majewska, M.
AU  - Leszczyñska, K.
AU  - Zieliñski, J.
AU  - Szymanowicz, W.
DB  - Scopus
DO  - 10.5603/KP.a2018.0038
IS  - 6
KW  - Congenital heart defects
Diagnostics
Infections
Paediatric cardiac surgery
Postoperative care
Procalcitonin
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2018
SP  - 968-973
ST  - Postoperative kinetics of common inflammatory biomarkers after congenital heart defect procedures with extracorporeal circulation in children
T2  - Kardiologia Polska
TI  - Postoperative kinetics of common inflammatory biomarkers after congenital heart defect procedures with extracorporeal circulation in children
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85048256762&doi=10.5603%2fKP.a2018.0038&partnerID=40&md5=470bd333c605cc8b1369999b4221ea35
VL  - 76
ID  - 1073
ER  - 

TY  - JOUR
AB  - Purpose: Knowledge about the influence of underlying biomaterial on behavior of surgical meshes at the esophageal hiatus is rare, but essential for safe and effective hiatal hernia surgery. This study aimed to characterize the influence of polymer material on mesh behavior at the hiatus. Methods: 24 pigs in three groups of eight underwent implantation of either polypropylene (PP), polyester (PET) or polytetrafluoroethylene (PTFE) mesh placed circularly at the esophageal hiatus. After 8 weeks, necropsy and measurements were performed evaluating mesh deformation, adhesion formation, fixation of the esophagogastric junction and mesh position. Foreign body reaction was assessed by mononuclear cell count and immunostaining of Ki-67. Tissue integration was evaluated by immunostaining of type I and type III collagen fibers. Results: Mesh shrinkage was the highest for PTFE, lower for PP and the lowest for PET (34.9 vs. 19.8 vs. 12.1 %; p = 0.002). Mesh aperture for the esophagus showed an enlargement within all groups, which was highest for PTFE compared to PP and PET (100.8 vs. 47.0 vs. 35.9 %; p = 0.001). The adhesion score was highest for PP, lower for PTFE and the lowest for PET (11.0 vs. 9.5 vs. 5.0; p = 0.001) and correlated positively with the score of esophagogastric fixation (rs = 0.784, p &lt; 0.001). No mesh migration, erosion or stenosis of the esophagus occurred. Evaluation of foreign body reaction and tissue integration showed no significant differences. Conclusions: In this experimental setting, PP-meshes showed the most appropriate characteristics for augmentation at the hiatus. Due to solid fixation of the esophagogastric junction and low shrinkage tendency, PP-meshes may be effective in preventing hiatal hernia recurrence. The use of PTFE-mesh at the hiatus may be disadvantageous due to high shrinkage rates and correlating enlargement of the aperture for the esophagus. © 2014, Springer-Verlag France.
AD  - Department of General, Abdominal and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany
Institute of Pathology, University of Heidelberg, Heidelberg, Germany
Institute of Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany
AU  - Müller-Stich, B. P.
AU  - Senft, J. D.
AU  - Lasitschka, F.
AU  - Shevchenko, M.
AU  - Billeter, A. T.
AU  - Bruckner, T.
AU  - Kenngott, H. G.
AU  - Fischer, L.
AU  - Gehrig, T.
DB  - Scopus
DO  - 10.1007/s10029-014-1305-x
IS  - 6
KW  - Hiatal hernia
Polyester
Polypropylene
Polytetrafluoroethylene
Surgical mesh
M3  - Article
N1  - Cited By :14
Export Date: 10 November 2020
PY  - 2014
SP  - 873-881
ST  - Polypropylene, polyester or polytetrafluoroethylene—is there an ideal material for mesh augmentation at the esophageal hiatus? Results from an experimental study in a porcine model
T2  - Hernia
TI  - Polypropylene, polyester or polytetrafluoroethylene—is there an ideal material for mesh augmentation at the esophageal hiatus? Results from an experimental study in a porcine model
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84920288393&doi=10.1007%2fs10029-014-1305-x&partnerID=40&md5=638d8930cf51a87de46e81507aa2b03e
VL  - 18
ID  - 1285
ER  - 

TY  - JOUR
AB  - Background. Policies for sponge count are not routine practice in most labor and delivery rooms. Ignored or hidden retained vaginal foreign bodies has potentially significant health care morbidity. Case. This was a case of a retained vaginal sponge following an uncomplicated spontaneous vaginal delivery. Delivery room policy resulted in the discovery of the sponge on X-ray when an incorrect sponge count occurred and physical exam did not find the sponge. Conclusion. This emphasizes the use of protocols to enhance patient safety and prevent medical error. © Copyright 2012 David J. Garry et al.
AD  - Department of Obstetrics, Gynecology and Womens Health, Jacobi Medical Center, Yeshiva University, 1400 Pelham Parkway South, Bronx, NY 10461, United States
Department of Obstetrics, Gynecology and Womens Health, Montefiore Medical Center, North Division 600, East 233rd Street, Bronx, NY 10466, United States
AU  - Garry, D. J.
AU  - Asanjarani, S.
AU  - Geiss, D. M.
C7  - 317856
DB  - Scopus
DO  - 10.1155/2012/317856
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2012
ST  - Policy for prevention of a retained sponge after vaginal delivery
T2  - Case Reports in Medicine
TI  - Policy for prevention of a retained sponge after vaginal delivery
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85032617143&doi=10.1155%2f2012%2f317856&partnerID=40&md5=e99342108cb77df0a669d314692f08cb
VL  - 2012
ID  - 1391
ER  - 

TY  - JOUR
AB  - Purpose: To assess the long-term effectiveness and safety of photorefractive intrastromal corneal crosslinking (CXL) in patients with low myopia. Setting: Ruhr University Eye Hospital, Bochum, Germany. Design: Prospective case series. Methods: Healthy eyes with myopia were treated with photorefractive intrastromal CXL using the Mosaic System. Riboflavin 0.1% solution (VibeX Rapid) was topically administered, followed by 365 nm ultraviolet-A (30 mW/cm2) irradiance. Efficacy was assessed by the uncorrected distance visual acuity (UDVA), manifest refraction spherical equivalent (MRSE), and keratometry. Safety was assessed by corrected distance visual acuity (CDVA), slitlamp biomicroscopy, endothelial cell count, and adverse event rates. Results: Fourteen patients (24 eyes) with a mean age of 35.7 years were included. At all follow-ups, a statistically significant improvement in UDVA was observed (all P &lt;.001). The CDVA progressively improved from 1 month postoperatively and a statistically significant improvement was achieved at 12 months (P &lt;.001). The average reduction in manifest sphere was 0.90 diopter (D) ± 0.40 (SD) by 12 months. There were no significant differences in mean manifest sphere and MRSE at 3, 6, or 12 months. Compared with baseline, significant reductions in corneal curvature were also observed at all follow-ups (all P &lt;.05). There were no significant changes in endothelial cell density (P = 1.00) or number of cells (P =.95) at 12 months postoperatively, and no adverse events were reported. Conclusion: Photorefractive intrastromal CXL was a safe and efficacious treatment of refractive error in patients with low myopia. © 2018 ASCRS and ESCRS
AD  - From Ruhr University Eye Hospital, Bochum, Germany
AU  - Elling, M.
AU  - Kersten-Gomez, I.
AU  - Dick, H. B.
DB  - Scopus
DO  - 10.1016/j.jcrs.2018.01.022
IS  - 4
M3  - Article
N1  - Cited By :9
Export Date: 10 November 2020
PY  - 2018
SP  - 487-495
ST  - Photorefractive intrastromal corneal crosslinking for treatment of myopic refractive error: Findings from 12-month prospective study using an epithelium-off protocol
T2  - Journal of Cataract and Refractive Surgery
TI  - Photorefractive intrastromal corneal crosslinking for treatment of myopic refractive error: Findings from 12-month prospective study using an epithelium-off protocol
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85046874685&doi=10.1016%2fj.jcrs.2018.01.022&partnerID=40&md5=d463afc474338ac77b0fab88716d16b5
VL  - 44
ID  - 1083
ER  - 

TY  - JOUR
AB  - • THIS STUDY WAS UNDERTAKEN to identify specific events that affected patient safety in perioperative service areas during a three-year period. • THE THREE MOST COMMON TYPES of reported incidents were incorrect counts, equipment malfunction, and medication errors. Data revealed significant disparities between health care facilities regarding what types of incidents were reported. • STANDARDIZED LANGUAGE and reporting mechanisms would aid in the consistency and validity of current incident reporting and could help to improve perioperative patient safety. © 2006 AORN, Inc.
AU  - Chappy, S.
DB  - Scopus
DO  - 10.1016/S0001-2092(06)60008-2
IS  - 4
M3  - Article
N1  - Cited By :24
Export Date: 10 November 2020
PY  - 2006
SP  - 871-872,874,877-881,883-888,891-897
ST  - Perioperative Patient Safety: A Multisite Qualitative Analysis
T2  - AORN Journal
TI  - Perioperative Patient Safety: A Multisite Qualitative Analysis
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-33746646436&doi=10.1016%2fS0001-2092%2806%2960008-2&partnerID=40&md5=ede070d357675952d5b6db68d9d34929
VL  - 83
ID  - 1589
ER  - 

TY  - JOUR
AB  - This study was undertaken to identify specific events that affected patient safety in perioperative service areas during a three-year period. The three most common types o reported incidents were incorrect counts, equipment malfunction, and medication errors. Data revealed significant disparities between health care facilities regarding what types of incidents were reported. Standardized language and rporting mechanisms would aid in the consistency and validity of current incident reporting and could help to improve perioperative patient safety.
AD  - Assistant Professor, University of Wisconsin, Oshkosh, Wis
AN  - 106465036. Language: English. Entry Date: 20060630. Revision Date: 20200708. Publication Type: Journal Article
AU  - Chappy, S.
DB  - ccm
DO  - 10.1016/S0001-2092(06)60008-2
DP  - EBSCOhost
IS  - 4
KW  - Adverse Health Care Event -- Classification
Perioperative Care
Accidental Falls
Adverse Health Care Event -- Prevention and Control
Confirmability (Research)
Consent
Credibility (Research)
Dependability (Research)
Documentation
Equipment Contamination
Equipment Failure
Foreign Bodies
Human Error
Incident Reports
Medical Orders
Medication Errors
Midwestern United States
Patient Identification
Postoperative Complications
Professional Compliance
Qualitative Studies
Retrospective Design
Surgical Count Procedure
Surgical Equipment and Supplies
Transferability
Treatment Delay
Wounds and Injuries
Human
N1  - forms; research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0372403.
PMID: NLM16674029.
PY  - 2006
SN  - 0001-2092
SP  - 871-881
ST  - Perioperative patient safety: a multisite qualitative analysis
T2  - AORN Journal
TI  - Perioperative patient safety: a multisite qualitative analysis
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106465036&site=ehost-live&scope=site
VL  - 83
ID  - 794
ER  - 

TY  - JOUR
AB  - This study was undertaken to identify specific events that affected patient safety in perioperative service areas during a three-year period. The three most common types o reported incidents were incorrect counts, equipment malfunction, and medication errors. Data revealed significant disparities between health care facilities regarding what types of incidents were reported. Standardized language and rporting mechanisms would aid in the consistency and validity of current incident reporting and could help to improve perioperative patient safety.
AD  - S. Chappy, University of Wisconsin, Oshkosh, USA.
AU  - Chappy, S.
DB  - Medline
IS  - 4
KW  - article
clinical trial
devices
foreign body
human
medical error
multicenter study
safety
standard
statistics
surgery
surgical equipment
United States
LA  - English
M3  - Article
N1  - L44143190
2006-08-03
PY  - 2006
SN  - 0001-2092
SP  - 871-874, 877-888, 891-897
ST  - Perioperative patient safety: a multisite qualitative analysis
T2  - AORN journal
TI  - Perioperative patient safety: a multisite qualitative analysis
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L44143190&from=export
VL  - 83
ID  - 621
ER  - 

TY  - JOUR
AB  - It is estimated that a quarter of patients with HIV/AIDS undergo at least one surgical procedure in their life time. Surgical outcomes in these patients from developing countries are poorly characterized and surgeons are often concerned about poor surgical outcomes, especially when their CD4 cell counts are less than 200 cells/µl. This study evaluated the surgical outcomes of HIV-infected patients undergoing various surgical procedures over a six-year period in a large tertiary care hospital from South India. Two hundred and ninety-three patients underwent 374 surgical procedures during the study period. The median duration of HIV prior to surgery was 1.9 years (range 0–18.8 years). Two-thirds (58%) were on highly active antiretroviral therapy (HAART) at the time of surgery with the median duration of this treatment being 38 months (n = 194). About one-third (35%) of surgical procedures were performed as an emergency. Abdomino-pelvic surgeries were the most common (225, 60%). Adverse surgical outcome defined as death or post-operative infection was seen in 25 (6.6%). The post-operative infection rate was 5% (20/374). The most common of these was surgical site infection observed in nine (60%) followed by pneumonia in five patients (33%) and urinary tract infection in one patient. Day 30 mortality was 2% (n = 8) and a quarter of these were reported to be related to post-operative infectious complications. On multivariate analysis, only preoperative haemoglobin of less than 10 g/dl was significantly associated with a poor surgical outcome. HIV-related parameters such as CD4 cell counts, duration of HIV infection and HAART regimen did not seem to contribute towards an adverse surgical outcome. © The Author(s) 2018.
AD  - Department of Infectious Diseases, Christian Medical College, Vellore, India
AU  - Shanthamurthy, D.
AU  - Manesh, A.
AU  - Zacchaeus, N. G. P.
AU  - Roy, L. R.
AU  - Rupali, P.
DB  - Scopus
DO  - 10.1177/0956462418764485
IS  - 10
KW  - Perioperative outcomes
post-operative infections
post-operative mortality
surgery in HIV
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2018
SP  - 968-973
ST  - Perioperative outcomes in human immunodeficiency virus-infected patients – the PRO HIV study
T2  - International Journal of STD and AIDS
TI  - Perioperative outcomes in human immunodeficiency virus-infected patients – the PRO HIV study
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85051663420&doi=10.1177%2f0956462418764485&partnerID=40&md5=aab13d5468637856ae43adb74abfdf96
VL  - 29
ID  - 1064
ER  - 

TY  - JOUR
AB  - A series of 48 patients with oesophageal perforations was reviewed retrospectively. Eighty-seven per cent of the perforations were iatrogenic. Twenty-four patients were treated conservatively; 3 of this group died. The other 24 patients were treated surgically and 4 of them died. Patients with alarming symptoms and/or a large perforation underwent operative treatment unless there were contra-indications. Retained foreign bodies after perforation, and malignancy in the perforation area, were considered as indications for operation. Conservative treatment was reserved for patients with minor tears combined with a less turbulent course. The interval between perforation and therapy was not of decisive importance for the mortality in our series. The clinical picture, which was dominated by chest pain, gave the earliest indication of perforation, while the responses of the sedimentation rate, temperature and white blood count occurred later and were less reliable diagnostic signs.
AD  - Department of Otorhinolaryngology, University Hospital, S-751 85 Uppsala
AU  - Erwall, C.
AU  - Ejerblad, S.
AU  - Lindholm, C. E.
AU  - Aberg, T.
DB  - Embase
Medline
IS  - 1-2
KW  - clinical article
esophagus
esophagus perforation
human
injury
surgery
therapy
LA  - English
M3  - Article
N1  - L14215111
1984-03-01
PY  - 1984
SN  - 0001-6489
SP  - 185-192
ST  - Perforation of the oesophagus. A comparison between surgical and conservative treatment
T2  - Acta Oto-Laryngologica
TI  - Perforation of the oesophagus. A comparison between surgical and conservative treatment
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L14215111&from=export
VL  - 97
ID  - 679
ER  - 

TY  - JOUR
AB  - A series of 48 patients with oesophageal perforations was reviewed retrospectively. Eighty-seven per cent of the perforations were iatrogenic. Twenty-four patients were treated conservatively; 3 of this group died. The other 24 patients were treated surgically and 4 of them died. Patients with alarming symptoms and/or a large perforation underwent operative treatment unless there were contra-indications. Retained foreign bodies after perforation, and malignancy in the perforation area, were considered as indications for operation. Conservative treatment was reserved for patients with minor tears combined with a less turbulent course. The interval between perforation and therapy was not of decisive importance for the mortality in our series. The clinical picture, which was dominated by chest pain, gave the earliest indication of perforation, while the responses of the sedimentation rate, temperature and white blood count occurred later and were less reliable diagnostic signs. © 1984 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted.
AD  - Departments of Oto-Rhino-Laryngology and Thoracic Surgery, University Hospital, Uppsala, Sweden
AU  - Erwall, C.
AU  - Ejerblad, S.
AU  - Lindholm, C. E.
AU  - Aberg, T.
DB  - Scopus
DO  - 10.3109/00016488409130979
IS  - 1-2
M3  - Article
N1  - Cited By :8
Export Date: 10 November 2020
PY  - 1984
SP  - 185-192
ST  - Perforation of the oesophagus : A comparison between surgical and conservative treatment
T2  - Acta Oto-Laryngologica
TI  - Perforation of the oesophagus : A comparison between surgical and conservative treatment
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0021347914&doi=10.3109%2f00016488409130979&partnerID=40&md5=2829d8c7902d909d1e5ab64a5e57ad9f
VL  - 97
ID  - 1755
ER  - 

TY  - JOUR
AB  - Introduction: Ingesting a foreign body (FB) is not an uncommon occurrence. Most pass through the gastrointestinal (GI) tract uneventfully, and perforation is rare. The aim of this study was to report our experience with ingested FB perforations of the GI tract treated surgically at our institution. Methods: A total of 62 consecutive patients who underwent surgery for an ingested FB perforation of the GI tract between 1990 and 2005 were retrospectively reviewed. Three patients with no definite FB demonstrated intraoperatively were included. Results: The patients had a median age of 58 years, and 37 (60%) were male. Of the 59 FBs recovered, 55 (93%) were toothpicks and dietary FBs such as fish bones or bone fragments. A definitive preoperative history of FB ingestion was obtained for only two patients, and 36 of 52 patients (69%) wore dentures. Altogether, 18 (29%) perforations occurred in the anus or distal rectum, and 44 perforations were intraabdominal, with the most common abdominal site being the distal ileum (39%). Patients with FB perforations in the stomach, duodenum, and large intestine were significantly more likely to be afebrile (P = 0.043), to have chronic symptoms (> 3 days) (P < 0.001), to have a normal total white blood cell count (P < 0.001), and to be asymptomatic or present with an abdominal mass or abscess (P < 0.001) compared to those with FB perforations in the jejunum and ileum. Conclusions: Ingested FB perforation in the adult population is most commonly secondary to unconscious accidental ingestion and is frequently caused by dietary FBs especially fish bones. A preoperative history of FB ingestion is thus rarely obtained, although wearing dentures is a common risk factor. FB perforations of the stomach, duodenum, and large intestine tend to present with a longer, more innocuous clinical picture than perforations in the jejunum or ileum. © 2006 by the Société Internationale de Chirurgie.
AD  - Department of Surgery, Singapore General Hospital, Outram Road, Singapore 169608, Singapore
Department of Surgical Oncology, National Cancer Centre, 11 Hospital Drive, Singapore 169610, Singapore
Department of Colorectal Surgery, Singapore General Hospital, Outram Road, Singapore 169608, Singapore
AU  - Goh, B. K. P.
AU  - Chow, P. K. H.
AU  - Quah, H. M.
AU  - Ong, H. S.
AU  - Eu, K. W.
AU  - Ooi, L. L. P. J.
AU  - Wong, W. K.
DB  - Scopus
DO  - 10.1007/s00268-005-0490-2
IS  - 3
M3  - Article
N1  - Cited By :192
Export Date: 10 November 2020
PY  - 2006
SP  - 372-377
ST  - Perforation of the gastrointestinal tract secondary to ingestion of foreign bodies
T2  - World Journal of Surgery
TI  - Perforation of the gastrointestinal tract secondary to ingestion of foreign bodies
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-32944472728&doi=10.1007%2fs00268-005-0490-2&partnerID=40&md5=8b9204374970849d6d9dca580773c16b
VL  - 30
ID  - 1587
ER  - 

TY  - JOUR
AB  - Introduction: Ingesting a foreign body (FB) is not an uncommon occurrence. Most pass through the gastrointestinal (GI) tract uneventfully, and perforation is rare. The aim of this study was to report our experience with ingested FB perforations of the GI tract treated surgically at our institution. Methods: A total of 62 consecutive patients who underwent surgery for an ingested FB perforation of the GI tract between 1990 and 2005 were retrospectively reviewed. Three patients with no definite FB demonstrated intraoperatively were included. Results: The patients had a median age of 58 years, and 37 (60%) were male. Of the 59 FBs recovered, 55 (93%) were toothpicks and dietary FBs such as fish bones or bone fragments. A definitive preoperative history of FB ingestion was obtained for only two patients, and 36 of 52 patients (69%) wore dentures. Altogether, 18 (29%) perforations occurred in the anus or distal rectum, and 44 perforations were intraabdominal, with the most common abdominal site being the distal ileum (39%). Patients with FB perforations in the stomach, duodenum, and large intestine were significantly more likely to be afebrile (P = 0.043), to have chronic symptoms (> 3 days) (P < 0.001), to have a normal total white blood cell count (P < 0.001), and to be asymptomatic or present with an abdominal mass or abscess (P < 0.001) compared to those with FB perforations in the jejunum and ileum. Conclusions: Ingested FB perforation in the adult population is most commonly secondary to unconscious accidental ingestion and is frequently caused by dietary FBs especially fish bones. A preoperative history of FB ingestion is thus rarely obtained, although wearing dentures is a common risk factor. FB perforations of the stomach, duodenum, and large intestine tend to present with a longer, more innocuous clinical picture than perforations in the jejunum or ileum. © 2006 by the Société Internationale de Chirurgie.
AD  - B.K.P. Goh, Department of Surgery, Singapore General Hospital, Outram Road, Singapore 169608, Singapore
AU  - Goh, B. K. P.
AU  - Chow, P. K. H.
AU  - Quah, H. M.
AU  - Ong, H. S.
AU  - Eu, K. W.
AU  - Ooi, L. L. P. J.
AU  - Wong, W. K.
DB  - Embase
Medline
DO  - 10.1007/s00268-005-0490-2
IS  - 3
KW  - abdominal abscess
abdominal mass
adult
aged
article
clinical feature
controlled study
digestive system perforation
duodenum perforation
female
foreign body
human
large intestine perforation
leukocyte count
major clinical study
male
postoperative complication
rectum perforation
small intestine perforation
stomach perforation
treatment outcome
LA  - English
M3  - Article
N1  - L43261362
2006-03-03
PY  - 2006
SN  - 0364-2313
1432-2323
SP  - 372-377
ST  - Perforation of the gastrointestinal tract secondary to ingestion of foreign bodies
T2  - World Journal of Surgery
TI  - Perforation of the gastrointestinal tract secondary to ingestion of foreign bodies
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L43261362&from=export
http://dx.doi.org/10.1007/s00268-005-0490-2
VL  - 30
ID  - 622
ER  - 

TY  - JOUR
AB  - Objective: To report the injury patterns associated with perforating (through-and-through) injuries of the globe and the visual impact of these injuries on patients with combat ocular trauma (COT) seen at Walter Reed Army Medical Center (WRAMC) from March 2003 through October 2006. Design: Retrospective, noncomparative, interventional case series. Participants: Sixty-five eyes of 61 United States military soldiers deployed during Operation Iraqi Freedom sustaining perforating globe injuries and treated subsequently at WRAMC. Intervention: Principal procedures included enucleation and 20-gauge 3-port pars plana vitrectomy with or without intraocular foreign body removal. Main Outcome Measures: Final visual acuity and rates of proliferative vitreoretinopathy, enucleation, and endophthalmitis. Results: Average patient age was 29 years, with an average of 200 days of postinjury follow-up (median, 97 days; range, 4-1023 days). Nineteen patients confirmed the use of eye protection at the time of injury, whereas 25 patients did not use eye protection. The median presenting visual acuity at WRAMC was no light perception (range, no light perception to hand movements). Twenty-five patients underwent primary enucleation, 1 was eviscerated, and 12 patients underwent secondary enucleation within 2 weeks of surgery. Of 19 patients undergoing pars plana vitrectomy, median visual acuity at presentation was light perception and the median final visual acuity was counting fingers, whereas 4 eyes (21%) achieved final visual acuity of better than 20/200, and in 11 (61%) of 17, proliferative vitreoretinopathy developed over a follow-up of at least 6 months. There were no cases of endophthalmitis or sympathetic ophthalmia. Neither mechanism of injury nor timing of surgery correlated with favorable outcomes. However, entry and exit wounds localized to the anterior half of the globe were associated with favorable anatomic outcome (P<0.005, Fisher exact test, 2-tailed) and visual outcome (P = 0.041, Fisher exact test, 2-tailed). Conclusions: Perforating globe injuries associated with COT generally result in poor visual and anatomic outcomes despite surgical intervention. Prophylactic measures, such as eye protection, are helpful in reducing the likelihood of perforating injuries; however, novel surgical and pharmacologic therapies will be required to improve the functional and anatomic outcomes of these devastating injuries. Financial Disclosure(s): The authors have no proprietary or commercial interest in any materials discussed in this article. © 2008 American Academy of Ophthalmology.
AD  - Ophthalmology Service, Walter Reed Army Medical Center, Washington, DC, United States
Kaiser Permanente Health System, San Diego, CA, United States
National Eye Institute, National Institutes of Health, Bethesda, MD, United States
AU  - Colyer, M. H.
AU  - Chun, D. W.
AU  - Bower, K. S.
AU  - Dick, J. S. B.
AU  - Weichel, E. D.
DB  - Scopus
DO  - 10.1016/j.ophtha.2008.05.013
IS  - 11
M3  - Article
N1  - Cited By :77
Export Date: 10 November 2020
PY  - 2008
SP  - 2087-2093.e2
ST  - Perforating Globe Injuries during Operation Iraqi Freedom
T2  - Ophthalmology
TI  - Perforating Globe Injuries during Operation Iraqi Freedom
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-54949107721&doi=10.1016%2fj.ophtha.2008.05.013&partnerID=40&md5=953b3b06c8958e45bffc151234781bd6
VL  - 115
ID  - 1541
ER  - 

TY  - JOUR
AB  - Objective: To report the injury patterns associated with perforating (through-and-through) injuries of the globe and the visual impact of these injuries on patients with combat ocular trauma (COT) seen at Walter Reed Army Medical Center (WRAMC) from March 2003 through October 2006. Design: Retrospective, noncomparative, interventional case series. Participants: Sixty-five eyes of 61 United States military soldiers deployed during Operation Iraqi Freedom sustaining perforating globe injuries and treated subsequently at WRAMC. Intervention: Principal procedures included enucleation and 20-gauge 3-port pars plana vitrectomy with or without intraocular foreign body removal. Main Outcome Measures: Final visual acuity and rates of proliferative vitreoretinopathy, enucleation, and endophthalmitis. Results: Average patient age was 29 years, with an average of 200 days of postinjury follow-up (median, 97 days; range, 4-1023 days). Nineteen patients confirmed the use of eye protection at the time of injury, whereas 25 patients did not use eye protection. The median presenting visual acuity at WRAMC was no light perception (range, no light perception to hand movements). Twenty-five patients underwent primary enucleation, 1 was eviscerated, and 12 patients underwent secondary enucleation within 2 weeks of surgery. Of 19 patients undergoing pars plana vitrectomy, median visual acuity at presentation was light perception and the median final visual acuity was counting fingers, whereas 4 eyes (21%) achieved final visual acuity of better than 20/200, and in 11 (61%) of 17, proliferative vitreoretinopathy developed over a follow-up of at least 6 months. There were no cases of endophthalmitis or sympathetic ophthalmia. Neither mechanism of injury nor timing of surgery correlated with favorable outcomes. However, entry and exit wounds localized to the anterior half of the globe were associated with favorable anatomic outcome (P<0.005, Fisher exact test, 2-tailed) and visual outcome (P = 0.041, Fisher exact test, 2-tailed). Conclusions: Perforating globe injuries associated with COT generally result in poor visual and anatomic outcomes despite surgical intervention. Prophylactic measures, such as eye protection, are helpful in reducing the likelihood of perforating injuries; however, novel surgical and pharmacologic therapies will be required to improve the functional and anatomic outcomes of these devastating injuries. Financial Disclosure(s): The authors have no proprietary or commercial interest in any materials discussed in this article. © 2008 American Academy of Ophthalmology.
AD  - M.H. Colyer, Ophthalmology Service, Walter Reed Army Medical Center, Washington, DC, United States
AU  - Colyer, M. H.
AU  - Chun, D. W.
AU  - Bower, K. S.
AU  - Dick, J. S. B.
AU  - Weichel, E. D.
DB  - Embase
Medline
DO  - 10.1016/j.ophtha.2008.05.013
IS  - 11
KW  - adult
army
article
cataract
controlled study
enucleation
human
intraocular foreign body
Iraq
major clinical study
perforating eye injury
priority journal
retina detachment
retina hemorrhage
retina tear
visual acuity
visual impairment
vitrectomy
vitreoretinopathy
vitreous hemorrhage
LA  - English
M3  - Article
N1  - L50222944
2008-11-24
PY  - 2008
SN  - 0161-6420
SP  - 2087-2093.e2
ST  - Perforating Globe Injuries during Operation Iraqi Freedom
T2  - Ophthalmology
TI  - Perforating Globe Injuries during Operation Iraqi Freedom
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L50222944&from=export
http://dx.doi.org/10.1016/j.ophtha.2008.05.013
VL  - 115
ID  - 591
ER  - 

TY  - JOUR
AB  - Ocular trauma is the leading cause of acquired monocular blindness, accounting for 1.97-6% of such cases. Particularly, penetrating ocular injuries are among the most common eye injuries with this kind of outcome. Early diagnosis and prompt management are crucial to avoid complications, and the especially dreaded enucleation. In this article, the authors describe the clinical management, and evaluate the visual and anatomical results obtained in a case of ocular injury with retained intraocular foreign body (IOFB) in a 20-year old female patient. The course of treatment involved a combination of penetrating keratoplasty with a temporary keratoprosthesis, phacoemulsification with intraocular lens implantation and pars plana vitrectomy. At three years from the initial injury, the patient was able to count fingers at 30 centimetres and anatomical restitutio ad integrum of the globe had been achieved.
AD  - Department of Ophthalmology, University of Rome 'Campus Bio-Medico', Rome, Italy
Legal Medicine and Social Security Services, Department of Biomedicine and Prevention, University of Rome 'Tor Vergata', Rome, Italy
Department of Experimental Medicine, Second University of Naples, Naples, Italy
Section of Legal Mediciine, University of Rome 'Tor Vergata', Rome, Italy
'GB Bietti' Foundation for Study and Research in Ophthalmology, Rome, Italy
AU  - Sorrentino, S.
AU  - Marsella, L. T.
AU  - Feola, A.
AU  - Marino, V.
AU  - Billi, B.
DB  - Scopus
DO  - 10.7727/wimj.2014.142
IS  - 2
KW  - Intraocular foreign body
Keratoprosthesis
Vitrectomy
M3  - Article
N1  - Cited By :4
Export Date: 10 November 2020
PY  - 2016
SP  - 391-394
ST  - Penetrating ocular trauma with retained intraocular foreign body: Management, follow-up and medico-legal evaluation
T2  - West Indian Medical Journal
TI  - Penetrating ocular trauma with retained intraocular foreign body: Management, follow-up and medico-legal evaluation
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85030704177&doi=10.7727%2fwimj.2014.142&partnerID=40&md5=15eb8bd3ba23a6d2778a46f331e86fe1
VL  - 65
ID  - 1204
ER  - 

TY  - JOUR
AB  - Ocular trauma is the leading cause of acquired monocular blindness, accounting for 1.97-6% of such cases. Particularly, penetrating ocular injuries are among the most common eye injuries with this kind of outcome. Early diagnosis and prompt management are crucial to avoid complications, and the especially dreaded enucleation. In this article, the authors describe the clinical management, and evaluate the visual and anatomical results obtained in a case of ocular injury with retained intraocular foreign body (IOFB) in a 20-year old female patient. The course of treatment involved a combination of penetrating keratoplasty with a temporary keratoprosthesis, phacoemulsification with intraocular lens implantation and pars plana vitrectomy. At three years from the initial injury, the patient was able to count fingers at 30 centimetres and anatomical restitutio ad integrum of the globe had been achieved.
AD  - S. Sorrentino, Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 21, Roma, Italy
AU  - Sorrentino, S.
AU  - Marsella, L. T.
AU  - Feola, A.
AU  - Marino, V.
AU  - Billi, B.
DB  - Embase
DO  - 10.7727/wimj.2014.142
IS  - 2
KW  - Ahmed valve
keratoprosthesis
lens implant
vancomycin
adult
anterior eye chamber
anterior maxillary sinus fracture
article
case report
cataract
clavicle fracture
clinical article
clinical outcome
computer assisted tomography
conjunctival hyperemia
cornea edema
corticosteroid therapy
endotamponade
eye examination
eye injury
eye pain
female
follow up
glaucoma
graft rejection
human
intraocular foreign body
intraocular pressure
lacrimation
medicolegal aspect
orbit fracture
outpatient care
paranasal sinus disease
penetrating keratoplasty
phacoemulsification
photophobia
slit lamp microscopy
traffic accident
visual acuity
young adult
LA  - English
M3  - Article
N1  - L619231197
2017-11-17
2017-11-22
PY  - 2016
SN  - 0043-3144
SP  - 391-394
ST  - Penetrating ocular trauma with retained intraocular foreign body: Management, follow-up and medico-legal evaluation
T2  - West Indian Medical Journal
TI  - Penetrating ocular trauma with retained intraocular foreign body: Management, follow-up and medico-legal evaluation
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L619231197&from=export
http://dx.doi.org/10.7727/wimj.2014.142
VL  - 65
ID  - 420
ER  - 

TY  - JOUR
AB  - The authors describe two women with pelvic pain, long-term use of an intrauterine device, and a pelvic mass due to Actinomyces israelii. The diagnostic imaging findings were nonspecific but included mass effect and mucosal irregularity of the rectosigmoid colon at barium enema examination and complex masses and inflammatory changes at computed tomography and magnetic resonance imaging. Radiologists should be aware of the imaging findings of this potentially lethal but curable condition. 2 cases of pelvic Actinomycosis both in women 40 years of age, with IUDs in place for 8 and 10 years respectively, were diagnosed with the aid of radiologic techniques including barium enema, computed tomography (CT) and magnetic resonance imaging (MR). The 1st woman had experienced malaise, night sweats and a weight loss of 15 lb. over 2-3 months, then felt an epigastric mass for 5 days. She has endometritis, elevated white blood cell count, and large, tender, bilateral adnexal masses. Inflammatory changes and multilocular fluid collections were demonstrated by enhanced CT. Aspiration of the epigastric mass yielded sulfur granules and anaerobic bacteria. She was successfully treated with penicillin, gentamycin and clindamycin. The 2nd woman had a 2-month history of abdominal pain, a pelvic mass and an elevated white blood cell count. Enhanced CT, barium enema and sigmoidoscopy demonstrated a mass between the uterus and bowel, with mural invasion of the sigmoid colon. A 5 x 6 cm left-sided tubo-ovarian abscess adhering to the colon, bladder and left pelvic sidewall was excised at laparotomy. She remained asymptomatic at 6 months. This lethal but curable condition is caused by Actinomyces israelii, an opportunistic gram-positive bacteria usually introduced by foreign bodies, surgery or trauma. CT and MR were helpful in diagnosing the relatively nonspecific signs and symptoms in these cases.
AD  - Department of Radiology, Medical University of South Carolina, Charleston, SC 29425-0720, United States
AU  - O'Connor, K. F.
AU  - Bagg, M. N.
AU  - Croley, M. R.
AU  - Schabel, S. I.
DB  - Scopus
DO  - 10.1148/radiology.170.2.2911683
IS  - 2
M3  - Article
N1  - Cited By :52
Export Date: 10 November 2020
PY  - 1989
SP  - 559-560
ST  - Pelvic actinomycosis associated with intrauterine devices
T2  - Radiology
TI  - Pelvic actinomycosis associated with intrauterine devices
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0024491304&doi=10.1148%2fradiology.170.2.2911683&partnerID=40&md5=eb02327253c122c13a10e592a0481cc5
VL  - 170
ID  - 1742
ER  - 

TY  - JOUR
AB  - Retained surgical items were the most frequently reported sentinel event in 2010, according to The Joint Commission. Perioperative nurse leaders at Children's Hospital Boston, a pediatric teaching hospital, conducted a quality improvement initiative to reduce or eliminate incorrect counts and count discrepancies, which increase the risk of an item being unintentionally retained after surgery. Work included educating the perioperative staff members, standardizing count practices, formally reviewing every reported count discrepancy with the nursing team, and reviewing and revising the count policy for prevention of retained surgical items. The initiative reduced the number of incorrect counts and count discrepancies by 50% between 2009 to 2010. These initiatives continue to be expanded, and the results have been sustained on an ongoing basis. © 2012 AORN, Inc.
AD  - Children's Hospital Boston, MA, United States
AU  - Norton, E. K.
AU  - Martin, C.
AU  - Micheli, A. J.
DB  - Scopus
DO  - 10.1016/j.aorn.2011.06.007
IS  - 1
KW  - Count discrepancies
Incorrect counts
Retained surgical items
M3  - Article
N1  - Cited By :17
Export Date: 10 November 2020
PY  - 2012
SP  - 109-121
ST  - Patients Count on It: An Initiative to Reduce Incorrect Counts and Prevent Retained Surgical Items
T2  - AORN Journal
TI  - Patients Count on It: An Initiative to Reduce Incorrect Counts and Prevent Retained Surgical Items
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84855164711&doi=10.1016%2fj.aorn.2011.06.007&partnerID=40&md5=4ccd46ee5b3eede4221523816c31e85b
VL  - 95
ID  - 1387
ER  - 

TY  - JOUR
AB  - Retained surgical items were the most frequently reported sentinel event in 2010, according to The Joint Commission. Perioperative nurse leaders at Children's Hospital Boston, a pediatric teaching hospital, conducted a quality improvement initiative to reduce or eliminate incorrect counts and count discrepancies, which increase the risk of an item being unintentionally retained after surgery. Work included educating the perioperative staff members, standardizing count practices, formally reviewing every reported count discrepancy with the nursing team, and reviewing and revising the count policy for prevention of retained surgical items. The initiative reduced the number of incorrect counts and count discrepancies by 50% between 2009 to 2010. These initiatives continue to be expanded, and the results have been sustained on an ongoing basis.
AN  - 104632552. Language: English. Entry Date: 20120224. Revision Date: 20200708. Publication Type: Journal Article
AU  - Norton, E. K.
AU  - Martin, C.
AU  - Micheli, A. J.
DB  - ccm
DO  - 10.1016/j.aorn.2011.06.007
DP  - EBSCOhost
IS  - 1
KW  - Assistive Technology
Hospitals, Pediatric
Program Implementation
Retained Instruments -- Prevention and Control
Retained Instruments -- Trends
Surgical Count Procedure
Audit
Bar Coding
Collaboration
Diagnostic Imaging
Health Care Costs
Human
Information Resources
Joint Commission
Massachusetts
Outcomes (Health Care)
Perioperative Nursing
Radiology Service
Root Cause Analysis
Sentinel Event -- Prevention and Control
Sentinel Event -- Trends
Teamwork
World Wide Web
N1  - pictorial; research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Perioperative Care. NLM UID: 0372403.
PMID: NLM22201575.
PY  - 2012
SN  - 0001-2092
SP  - 109-121
ST  - Patients count on it: an initiative to reduce incorrect counts and prevent retained surgical items
T2  - AORN Journal
TI  - Patients count on it: an initiative to reduce incorrect counts and prevent retained surgical items
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104632552&site=ehost-live&scope=site
VL  - 95
ID  - 735
ER  - 

TY  - JOUR
AB  - Retained surgical items were the most frequently reported sentinel event in 2010, according to The Joint Commission. Perioperative nurse leaders at Children's Hospital Boston, a pediatric teaching hospital, conducted a quality improvement initiative to reduce or eliminate incorrect counts and count discrepancies, which increase the risk of an item being unintentionally retained after surgery. Work included educating the perioperative staff members, standardizing count practices, formally reviewing every reported count discrepancy with the nursing team, and reviewing and revising the count policy for prevention of retained surgical items. The initiative reduced the number of incorrect counts and count discrepancies by 50% between 2009 to 2010. These initiatives continue to be expanded, and the results have been sustained on an ongoing basis. © 2012 AORN, Inc.
AD  - E.K. Norton, Children's Hospital Boston, MA, United States
AU  - Norton, E. K.
AU  - Martin, C.
AU  - Micheli, A. J.
DB  - Medline
DO  - 10.1016/j.aorn.2011.06.007
IS  - 1
KW  - article
documentation
foreign body
hospital
human
length of stay
methodology
organization and management
patient care
perioperative nursing
peroperative complication
program development
risk assessment
standard
surgical equipment
surgical sponge
total quality management
United States
LA  - English
M3  - Article
N1  - L364015348
2012-05-11
PY  - 2012
SN  - 0001-2092
SP  - 109-121
ST  - Patients Count on It: An Initiative to Reduce Incorrect Counts and Prevent Retained Surgical Items
T2  - AORN Journal
TI  - Patients Count on It: An Initiative to Reduce Incorrect Counts and Prevent Retained Surgical Items
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L364015348&from=export
http://dx.doi.org/10.1016/j.aorn.2011.06.007
VL  - 95
ID  - 526
ER  - 

TY  - JOUR
AB  - Attention has turned to issues of surgical patient safety. Essential patient safety practices in the operating room include the application of standard processes of care, the use of protocols and checklists to reduce reliance on memory, the employment of simpler processes as much as possible, the alleviation of conditions that predispose to human error (eg, interruptions, fear, anger, time pressure, anxiety), and the design and use of error-proof devices coupled with frequent training in the use of these devices. These practices can be applied to two issues in surgical patient safety: assurance of correct site surgery and prevention of incidents involving retained foreign bodies. Both of these safety problems involve poor communication between perioperative care personnel and faulty processes of care. Recommendations to ensure that the correct procedure is performed on the correct patient at the correct site have been mandated by the JACHO Universal Protocol. The protocol mandates using a preoperative verification process, marking the operative site, and taking a "time out" immediately before starting the procedure. All health care facilities where invasive procedures that expose patients to harm are performed are required to comply with this protocol. Recommendations to prevent the retention of sponges, sharps, instruments, and other miscellaneous items include consistent application and adherence to standardized counting procedures, performance of a methodical wound exploration before closure of the surgical site, use of radiograph-detectable items in the surgical wound, maintenance of an optimal operating room environment to allow focused performance of operative tasks, and application of radiographs or other technology as indicated to ensure there is no item left by mistake in the operative field. All perioperative care personnel can work together to ensure that these events never happen. Getting to zero is possible.
AD  - Department of Surgery QI Program, University of California at San Francisco, Box 0617, 533 Parnassus Avenue U-157, San Francisco, CA 94143-0617, United States
San Francisco Veterans Affairs Medical Center, 4150 Clement Street (112), San Francisco, CA 94121, United States
AU  - Gibbs, V. C.
DB  - Scopus
DO  - 10.1016/j.suc.2005.09.007
IS  - 6
M3  - Review
N1  - Cited By :46
Export Date: 10 November 2020
PY  - 2005
SP  - 1307-1319
ST  - Patient safety practices in the operating room: Correct-site surgery and nothing left behind
T2  - Surgical Clinics of North America
TI  - Patient safety practices in the operating room: Correct-site surgery and nothing left behind
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-28544447216&doi=10.1016%2fj.suc.2005.09.007&partnerID=40&md5=ff6b9c4ceed903f8a5ef87877f5f1703
VL  - 85
ID  - 1593
ER  - 

TY  - JOUR
AU  - Dalton, A.
DB  - Scopus
IS  - 7
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2005
ST  - Patient care. The right count
T2  - Hospitals & health networks / AHA
TI  - Patient care. The right count
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-24144497130&partnerID=40&md5=baa37a322a09798e5abb3fcf41589c36
VL  - 79
ID  - 1604
ER  - 

TY  - JOUR
AD  - A. Dalton
AU  - Dalton, A.
DB  - Medline
IS  - 7
KW  - article
foreign body
human
medical error
methodology
radiography
safety
standard
surgery
surgical equipment
surgical sponge
utilization review
LA  - English
M3  - Article
N1  - L41234981
2005-09-11
PY  - 2005
SN  - 1068-8838
SP  - 32, 34
ST  - Patient care. The right count
T2  - Hospitals & health networks / AHA
TI  - Patient care. The right count
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L41234981&from=export
VL  - 79
ID  - 627
ER  - 

TY  - JOUR
AN  - 104464600. Language: English. Entry Date: 20121016. Revision Date: 20150818. Publication Type: Journal Article
DB  - ccm
DP  - EBSCOhost
IS  - 7
KW  - Surgical Count Procedure
Retained Instruments -- Prevention and Control
Patient Safety -- Education
Hospital Policies
N1  - protocol; tables/charts; teaching materials. Journal Subset: Biomedical; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Perioperative Care. NLM UID: 7810150.
PY  - 2012
SN  - 0190-5066
SP  - 1-13
ST  - The Patient Care Manual
T2  - Same-Day Surgery
TI  - The Patient Care Manual
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104464600&site=ehost-live&scope=site
VL  - 36
ID  - 838
ER  - 

TY  - JOUR
AB  - Background: Peri-implant soft tissue reactive lesions (I-RLs) may jeopardize implant success and survival. To the best of the authors' knowledge, its pathogenesis is unknown. The objective of this study is to conduct a clinicopathologic and polarized light microscopy (PLM) analysis of 14 new I-RLs and compare them with comparable tooth-associated cases (T-RLs) to better understand I-RL pathogenesis.Methods: Fifty-eight new cases of I-RL and T-RL were retrieved from the pathology department archives of Rambam Health Care Campus, Haifa, Israel. Retrospective analysis of histopathologic and clinical features was conducted, documented, and then compared for: 1) I-RL (n = 14), 2) peri-implant pyogenic granuloma (I-PG) (n = 5), 3) peri-implant peripheral giant cell granuloma (I-PGCG) (n = 9), 4) T-RL (n = 44), 5) tooth-associated pyogenic granuloma (T-PG) (n = 21), and 6) tooth-associated peripheral giant cell granuloma (T-PGCG) (n = 23). Presence of foreign bodies was assessed using PLM.Results: Foreign bodies were found more commonly in I-RLs (n = 13/14; 93%) when compared with T-RLs (n = 18/44; 41%), which was a statistically significant difference (P = 0.01) with an odds ratio of 7.9. Microscopically, I-PGCG was associated with: 1) lower multinucleated giant cell count (P = 0.04); 2) lower density of mesenchymal cells (P = 0.05); and 3) more diffuse, non-lobulated stromal morphology (P = 0.001). Clinically, I-RLs were found in patients who were older, and all cases were located in the posterior region: mandible (n = 12/14; 86%) and maxilla (n = 2/14; 14%).Conclusions: In cases of implant failure, implantation of foreign bodies may play a role with subsequent development of I-PG and I-PGCG-like lesions. Clinicians should be aware of this risk so they can implement measures to minimize adverse implant outcomes.
AD  - Department of Periodontology, School of Graduate Dentistry, Rambam Health Care Campus, Haifa, Israel.
Department of Pathology, Rambam Health Care Campus.
Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel.
Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus.
Department of Periodontology, School of Graduate Dentistry, Rambam Health Care Campus, Haifa, Israel
AN  - 115260989. Language: English. Entry Date: 20180510. Revision Date: 20190402. Publication Type: journal article
AU  - Halperin‐Sternfeld, Michal
AU  - Sabo, Edmond
AU  - Akrish, Sharon
AU  - Halperin-Sternfeld, Michal
DB  - ccm
DO  - 10.1902/jop.2016.150482
DP  - EBSCOhost
IS  - 5
KW  - Gingival Diseases
Microscopy
Retrospective Design
Dental Implants
Israel
Human
N1  - pictorial; research; tables/charts. Journal Subset: Biomedical; USA. NLM UID: 8000345.
PMID: NLM26832832.
PY  - 2016
SN  - 0022-3492
SP  - 502-510
ST  - The Pathogenesis of Implant-Related Reactive Lesions: A Clinical, Histologic and Polarized Light Microscopy Study
T2  - Journal of Periodontology
TI  - The Pathogenesis of Implant-Related Reactive Lesions: A Clinical, Histologic and Polarized Light Microscopy Study
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=115260989&site=ehost-live&scope=site
VL  - 87
ID  - 773
ER  - 

TY  - JOUR
AB  - Background: Peri-implant soft tissue reactive lesions (I-RLs) may jeopardize implant success and survival. To the best of the authors' knowledge, its pathogenesis is unknown. The objective of this study is to conduct a clinicopathologic and polarized light microscopy (PLM) analysis of 14 new I-RLs and compare them with comparable tooth-associated cases (T-RLs) to better understand I-RL pathogenesis. Methods: Fifty-eight new cases of I-RL and T-RL were retrieved from the pathology department archives of Rambam Health Care Campus, Haifa, Israel. Retrospective analysis of histopathologic and clinical features was conducted, documented, and then compared for: 1) I-RL (n = 14), 2) peri-implant pyogenic granuloma (I-PG) (n = 5), 3) peri-implant peripheral giant cell granuloma (I-PGCG) (n = 9), 4) T-RL (n = 44), 5) tooth-associated pyogenic granuloma (T-PG) (n = 21), and 6) tooth-associated peripheral giant cell granuloma (T-PGCG) (n = 23). Presence of foreign bodies was assessed using PLM. Results: Foreign bodies were found more commonly in I-RLs (n = 13/14; 93%) when compared with T-RLs (n = 18/44; 41%), which was a statistically significant difference (P = 0.01) with an odds ratio of 7.9. Microscopically, I-PGCG was associated with: 1) lower multinucleated giant cell count (P = 0.04); 2) lower density of mesenchymal cells (P = 0.05); and 3) more diffuse, nonlobulated stromal morphology (P = 0.001). Clinically, I-RLs were found in patients who were older, and all cases were located in the posterior region: mandible (n = 12/14; 86%) and maxilla (n = 2/14; 14%). Conclusions: In cases of implant failure, implantation of foreign bodies may play a role with subsequent development of I-PG and I-PGCG-like lesions. Clinicians should be aware of this risk so they can implement measures to minimize adverse implant outcomes.
AD  - Department of Periodontology, School of Graduate Dentistry, Rambam Health Care Campus, PO Box 9602, Haifa, 31096, Israel
Department of Pathology, Rambam Health Care Campus, Israel
Bruce Rappaport Faculty of Medicine, Technion, Israel Institute of Technology, Haifa, Israel
Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, Israel
AU  - Halperin-Sternfeld, M.
AU  - Sabo, E.
AU  - Akrish, S.
DB  - Scopus
DO  - 10.1902/jop.2016.150482
IS  - 5
KW  - Dental implants
Foreign-body reaction
Granuloma giant cell
Granuloma pyogenic
M3  - Article
N1  - Cited By :8
Export Date: 10 November 2020
PY  - 2016
SP  - 502-510
ST  - The pathogenesis of implant-related reactive lesions: A clinical, histologic and polarized light microscopy study
T2  - Journal of Periodontology
TI  - The pathogenesis of implant-related reactive lesions: A clinical, histologic and polarized light microscopy study
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84964681253&doi=10.1902%2fjop.2016.150482&partnerID=40&md5=8f2bd00076fb0fbc404d12cb4b332836
VL  - 87
ID  - 1182
ER  - 

TY  - JOUR
AB  - BACKGROUND: Peri-implant soft tissue reactive lesions (I-RLs) may jeopardize implant success and survival. To the best of the authors' knowledge, its pathogenesis is unknown. The objective of this study is to conduct a clinicopathologic and polarized light microscopy (PLM) analysis of 14 new I-RLs and compare them with comparable tooth-associated cases (T-RLs) to better understand I-RL pathogenesis. METHODS: Fifty-eight new cases of I-RL and T-RL were retrieved from the pathology department archives of Rambam Health Care Campus, Haifa, Israel. Retrospective analysis of histopathologic and clinical features was conducted, documented, and then compared for: 1) I-RL (n = 14), 2) peri-implant pyogenic granuloma (I-PG) (n = 5), 3) peri-implant peripheral giant cell granuloma (I-PGCG) (n = 9), 4) T-RL (n = 44), 5) tooth-associated pyogenic granuloma (T-PG) (n = 21), and 6) tooth-associated peripheral giant cell granuloma (T-PGCG) (n = 23). Presence of foreign bodies was assessed using PLM. RESULTS: Foreign bodies were found more commonly in I-RLs (n = 13/14; 93%) when compared with T-RLs (n = 18/44; 41%), which was a statistically significant difference (P = 0.01) with an odds ratio of 7.9. Microscopically, I-PGCG was associated with: 1) lower multinucleated giant cell count (P = 0.04); 2) lower density of mesenchymal cells (P = 0.05); and 3) more diffuse, non-lobulated stromal morphology (P = 0.001). Clinically, I-RLs were found in patients who were older, and all cases were located in the posterior region: mandible (n = 12/14; 86%) and maxilla (n = 2/14; 14%). CONCLUSIONS: In cases of implant failure, implantation of foreign bodies may play a role with subsequent development of I-PG and I-PGCG-like lesions. Clinicians should be aware of this risk so they can implement measures to minimize adverse implant outcomes.
AU  - Halperin-Sternfeld, M.
AU  - Sabo, E.
AU  - Akrish, S.
DB  - Medline
DO  - 10.1902/jop.2016.150482
IS  - 5
KW  - diagnostic imaging
gingiva disease
human
Israel
polarization microscopy
retrospective study
tooth implant
LA  - English
M3  - Article
N1  - L622047464
2018-05-11
PY  - 2016
SN  - 1943-3670
SP  - 502-510
ST  - The Pathogenesis of Implant-Related Reactive Lesions: A Clinical, Histologic and Polarized Light Microscopy Study
T2  - Journal of periodontology
TI  - The Pathogenesis of Implant-Related Reactive Lesions: A Clinical, Histologic and Polarized Light Microscopy Study
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L622047464&from=export
http://dx.doi.org/10.1902/jop.2016.150482
VL  - 87
ID  - 403
ER  - 

TY  - JOUR
AB  - Objective: Paraspinal textiloma (ParaTex) is a well-known complication after posterior lumbar surgery. However, there are few articles on this topic, probably because of medicolegal concerns. In addition, patients with ParaTex can remain asymptomatic for months or even years unless it causes complications. The purpose of this study is to review our experience on this "undesirable" topic to increase awareness among spinal surgeons and radiologists and avoid unnecessary morbidity, which is still being encountered. Methods: This study is a retrospective case series of six patients with ParaTex who underwent posterior lumbar spinal surgery in our neurosurgical department between January 2000 and December 2010. The medical records of each patient were reviewed and demographic data, clinical characteristics, initial diagnosis, surgical procedures, time interval between operation and onset of symptoms, biological and radiologic findings, treatment, and outcome were analyzed. Results: The six patients included four women and two men with a mean age of 48 years. Four patients had a history of lumbar disc herniation, one had undergone a laminectomy for a lumbar spinal stenosis, and a Gill's procedure was performed in one patient with a lumbar spondylolisthesis. The time from the causative operation to presentation ranged from 2 months to 6 years. All patients presented with nonspecific lower back pain and/or surgical site infection without fever or neurological symptoms. Laboratory parameters showed increased blood sedimentation rates and/or C-reactive protein level in four patients. Bacteria were isolated in only one patient. Five patients were evaluated with computed tomography scan, and this showed the spongiform pattern with gas bubbles in three cases. Magnetic resonance imaging was performed in two patients. The signal intensity varies according to stage and fluid content of the lesion. The ParaTex was removed surgically in all patients with a good outcome. Conclusions: ParaTexs are more common in obese patients, after emergency surgery, and with unplanned changes in surgical procedure. On computed tomography scan, the classic spongiform appearance is highly suggestive. Magnetic resonance imaging findings are variable and less specific, but confrontation of imaging data with the surgical history helps with the preoperative diagnosis. In the early postoperative period symptoms are related to the exudative response; at later times symptoms may be linked to pseudotumor formation clinically and radiologically. Appropriate antibiotic therapy is recommended when a septic complication is present or suspected. Strict measures must be taken to prevent this complication. Surgical sponges should always be counted at least three times (preoperatively, at closure, and at the end), radiopaque markers should be used, and if there is doubt, intraoperative radiography must be performed. © 2012 Elsevier Inc.
AD  - Department of Neurosurgery, Mohammed v Military Teaching Hospital, University of Mohammed v Souissi, Rabat, Morocco
Department of Anatomopathology, Mohammed v Military Teaching Hospital, University of Mohammed v Souissi, Rabat, Morocco
AU  - Akhaddar, A.
AU  - Boulahroud, O.
AU  - Naama, O.
AU  - Al-Bouzidi, A.
AU  - Boucetta, M.
DB  - Scopus
DO  - 10.1016/j.wneu.2011.07.017
IS  - 2
KW  - Foreign body granuloma
Gossypiboma
Infection
Lumbar spine
Sponge
Surgical complication
Textiloma
M3  - Review
N1  - Cited By :14
Export Date: 10 November 2020
PY  - 2012
SP  - 375-380
ST  - Paraspinal textiloma after posterior lumbar surgery: A wolf in sheep's clothing
T2  - World Neurosurgery
TI  - Paraspinal textiloma after posterior lumbar surgery: A wolf in sheep's clothing
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84859698311&doi=10.1016%2fj.wneu.2011.07.017&partnerID=40&md5=895d42cd5715a6acd2563cfd43ab8e0f
VL  - 77
ID  - 1382
ER  - 

TY  - JOUR
AB  - Objective: Paraspinal textiloma (ParaTex) is a well-known complication after posterior lumbar surgery. However, there are few articles on this topic, probably because of medicolegal concerns. In addition, patients with ParaTex can remain asymptomatic for months or even years unless it causes complications. The purpose of this study is to review our experience on this "undesirable" topic to increase awareness among spinal surgeons and radiologists and avoid unnecessary morbidity, which is still being encountered. Methods: This study is a retrospective case series of six patients with ParaTex who underwent posterior lumbar spinal surgery in our neurosurgical department between January 2000 and December 2010. The medical records of each patient were reviewed and demographic data, clinical characteristics, initial diagnosis, surgical procedures, time interval between operation and onset of symptoms, biological and radiologic findings, treatment, and outcome were analyzed. Results: The six patients included four women and two men with a mean age of 48 years. Four patients had a history of lumbar disc herniation, one had undergone a laminectomy for a lumbar spinal stenosis, and a Gill's procedure was performed in one patient with a lumbar spondylolisthesis. The time from the causative operation to presentation ranged from 2 months to 6 years. All patients presented with nonspecific lower back pain and/or surgical site infection without fever or neurological symptoms. Laboratory parameters showed increased blood sedimentation rates and/or C-reactive protein level in four patients. Bacteria were isolated in only one patient. Five patients were evaluated with computed tomography scan, and this showed the spongiform pattern with gas bubbles in three cases. Magnetic resonance imaging was performed in two patients. The signal intensity varies according to stage and fluid content of the lesion. The ParaTex was removed surgically in all patients with a good outcome. Conclusions: ParaTexs are more common in obese patients, after emergency surgery, and with unplanned changes in surgical procedure. On computed tomography scan, the classic spongiform appearance is highly suggestive. Magnetic resonance imaging findings are variable and less specific, but confrontation of imaging data with the surgical history helps with the preoperative diagnosis. In the early postoperative period symptoms are related to the exudative response; at later times symptoms may be linked to pseudotumor formation clinically and radiologically. Appropriate antibiotic therapy is recommended when a septic complication is present or suspected. Strict measures must be taken to prevent this complication. Surgical sponges should always be counted at least three times (preoperatively, at closure, and at the end), radiopaque markers should be used, and if there is doubt, intraoperative radiography must be performed. © 2012 Elsevier Inc.
AD  - A. Akhaddar, Department of Neurosurgery, Mohammed v Military Teaching Hospital, University of Mohammed v Souissi, Rabat, Morocco
AU  - Akhaddar, A.
AU  - Boulahroud, O.
AU  - Naama, O.
AU  - Al-Bouzidi, A.
AU  - Boucetta, M.
DB  - Embase
DO  - 10.1016/j.wneu.2011.07.017
IS  - 2
KW  - adult
clinical article
clinical feature
diagnostic imaging
female
foreign body granuloma
human
image analysis
lumbar spine
male
paraspinal textiloma
retrospective study
review
spine surgery
symptom
treatment outcome
LA  - English
M3  - Review
N1  - L51825062
2012-01-28
2012-04-26
PY  - 2012
SN  - 1878-8750
1878-8769
SP  - 375-380
ST  - Paraspinal textiloma after posterior lumbar surgery: A wolf in sheep's clothing
T2  - World Neurosurgery
TI  - Paraspinal textiloma after posterior lumbar surgery: A wolf in sheep's clothing
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L51825062&from=export
http://dx.doi.org/10.1016/j.wneu.2011.07.017
VL  - 77
ID  - 525
ER  - 

TY  - JOUR
AB  - Even if gossypibomas are extremely rare in the Oro-Maxillofacial region, they should be evoked in bizarre tumors when repeated histology tests are not contributive, especially in patients with a history of dento-sinusal surgery. As it is recommended in general surgery, gauzes should be carefully counted when used in dentistry.
AD  - A. Guerrouani, Oral and Maxillofacial Surgeon, Al Farabi Hospital, Oujda, Morocco
AU  - Guerrouani, A.
AU  - Kairouani, M.
C1  - biogaze(Bottu,Morocco)
C2  - Bottu(Morocco)
DB  - Embase
DO  - 10.1002/ccr3.1273
IS  - 1
KW  - acetylsalicylic acid
biogaze
aged
aggression
article
basal cell carcinoma
blood pressure
blood transfusion
case report
clinical article
computer assisted tomography
coughing
endoscopy
epistaxis
epithelization
human
male
nose cavity
paranasal sinus disease
pharynx tumor
priority journal
suffocation
vascularization
very elderly
LA  - English
M3  - Article
N1  - L619460108
2017-12-04
2018-01-29
PY  - 2018
SN  - 2050-0904
SP  - 71-77
ST  - Paranasal gossypiboma mimicking an aggressive tumor: a case report
T2  - Clinical Case Reports
TI  - Paranasal gossypiboma mimicking an aggressive tumor: a case report
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L619460108&from=export
http://dx.doi.org/10.1002/ccr3.1273
VL  - 6
ID  - 353
ER  - 

TY  - JOUR
AB  - Palmar-plantar fibromatosis, the most common type of fibromatosis, is well recognized in the adult population, but many clinicians and pathologists are unfamiliar with the fact that children may also be affected by this process. This report describes the clinicopathologic findings in 56 cases of palmar-plantar fibromatosis in children and preadolescents. Our study group included 19 males and 37 females, ranging from 2 to 12 years of age at the time of their first surgical procedure (median age, 9 years). The patients typically presented with solitary, lobular or multilobular masses in the 0.5- to 2.5-cm size range. The preoperative duration of the lesions ranged from 1 month to 6 years, with 1 patient purportedly having clinical evidence of disease since birth. All but two of the initial lesions occurred on the plantar aspect of the feet, typically in the region of the arch. Only 2 patients presented with palmar disease. The tumors were usually painless, except when pressure was applied. Seven patients had a history of trauma, sometimes involving a foreign body. One patient presented with concurrent disease involving both feet, and 12 additional patients subsequently developed palmar-plantar fibromatosis in another extremity, knuckle pads on the hands, or had other clinical findings linked to this disease. A family history was available for 25 patients, and 11 individuals had relatives with palmar-plantar fibromatosis, and 4 others had relatives with a history that was either suspicious for palmar-plantar disease or positive for other disorders associated with this disease. Histologically, the tumors involved aponeurosis and commonly formed discontinuous, moderately cellular, nodular masses composed of spindled cells with intervening collagen. Mitotic counts for 79 separately submitted tumor specimens ranged from 0 to 31 mitotic figures per 25 wide-field high power fields (mean mitotic count, 3.4 mitotic figures per 25 wide-field high power fields). Eight tumor had ≥ 10 mitoses per 25 wide-field high power fields. All patients were initially managed by local excision, and in most of cases, histologic examination showed tumor extending to the tissue edge. Thirty-two of 38 patients (84.2%) with clinical follow-up, ranging from 4 months to 33 years (mean, 14 years 9 months; median, 16 years 1 month), had one (n = 16) or more (n = 16) local recurrence of their fibromatosis. Copyright © 2005 by Lippincott Williams & Wilkins.
AD  - Department of Soft Tissue Pathology, Armed Forces Institute of Pathology, Washington, DC 20306-6000, United States
Department of Pathology, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
AU  - Fetsch, J. F.
AU  - Laskin, W. B.
AU  - Miettinen, M.
DB  - Scopus
IS  - 8
KW  - Aponeurosis
Clinodactyly
Contracture
Dupuytren's disease
Epilepsy
Fibroma
Fibromatosis
Foot
Hand
Keloid
Ledderhose's disease
Palmar
Plantar
Soft tissue tumor
Superficial fibromatosis
M3  - Article
N1  - Cited By :43
Export Date: 10 November 2020
PY  - 2005
SP  - 1095-1105
ST  - Palmar-plantar fibromatosis in children and preadolescents: A clinicopathologic study of 56 cases with newly recognized demographics and extended follow-up information
T2  - American Journal of Surgical Pathology
TI  - Palmar-plantar fibromatosis in children and preadolescents: A clinicopathologic study of 56 cases with newly recognized demographics and extended follow-up information
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-22944486040&partnerID=40&md5=72360cd593ef017d683a676378a4913f
VL  - 29
ID  - 1603
ER  - 

TY  - JOUR
AB  - Palmar-plantar fibromatosis, the most common type of fibromatosis, is well recognized in the adult population, but many clinicians and pathologists are unfamiliar with the fact that children may also be affected by this process. This report describes the clinicopathologic findings in 56 cases of palmar-plantar fibromatosis in children and preadolescents. Our study group included 19 males and 37 females, ranging from 2 to 12 years of age at the time of their first surgical procedure (median age, 9 years). The patients typically presented with solitary, lobular or multilobular masses in the 0.5- to 2.5-cm size range. The preoperative duration of the lesions ranged from 1 month to 6 years, with 1 patient purportedly having clinical evidence of disease since birth. All but two of the initial lesions occurred on the plantar aspect of the feet, typically in the region of the arch. Only 2 patients presented with palmar disease. The tumors were usually painless, except when pressure was applied. Seven patients had a history of trauma, sometimes involving a foreign body. One patient presented with concurrent disease involving both feet, and 12 additional patients subsequently developed palmar-plantar fibromatosis in another extremity, knuckle pads on the hands, or had other clinical findings linked to this disease. A family history was available for 25 patients, and 11 individuals had relatives with palmar-plantar fibromatosis, and 4 others had relatives with a history that was either suspicious for palmar-plantar disease or positive for other disorders associated with this disease. Histologically, the tumors involved aponeurosis and commonly formed discontinuous, moderately cellular, nodular masses composed of spindled cells with intervening collagen. Mitotic counts for 79 separately submitted tumor specimens ranged from 0 to 31 mitotic figures per 25 wide-field high power fields (mean mitotic count, 3.4 mitotic figures per 25 wide-field high power fields). Eight tumor had ≥ 10 mitoses per 25 wide-field high power fields. All patients were initially managed by local excision, and in most of cases, histologic examination showed tumor extending to the tissue edge. Thirty-two of 38 patients (84.2%) with clinical follow-up, ranging from 4 months to 33 years (mean, 14 years 9 months; median, 16 years 1 month), had one (n = 16) or more (n = 16) local recurrence of their fibromatosis. Copyright © 2005 by Lippincott Williams & Wilkins.
AD  - J.F. Fetsch, Department of Soft Tissue Pathology, Armed Forces Institute of Pathology, Washington, DC 20306-6000, United States
AU  - Fetsch, J. F.
AU  - Laskin, W. B.
AU  - Miettinen, M.
DB  - Embase
Medline
IS  - 8
KW  - adolescent
aponeurosis
article
birth
child
clinical feature
clinodactyly
demography
Dupuytren contracture
epilepsy
excision
family history
female
fibromatosis
follow up
foot
foreign body
hand
histopathology
human
human tissue
infant
injury
keloid
major clinical study
male
mitosis
palmar plantar fibromatosis
preoperative evaluation
soft tissue tumor
LA  - English
M3  - Article
N1  - L41045556
2005-08-25
PY  - 2005
SN  - 0147-5185
SP  - 1095-1105
ST  - Palmar-plantar fibromatosis in children and preadolescents: A clinicopathologic study of 56 cases with newly recognized demographics and extended follow-up information
T2  - American Journal of Surgical Pathology
TI  - Palmar-plantar fibromatosis in children and preadolescents: A clinicopathologic study of 56 cases with newly recognized demographics and extended follow-up information
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L41045556&from=export
VL  - 29
ID  - 626
ER  - 

TY  - JOUR
AD  - MSN, RNC, Women's & Children's Services, Christiana Care Health Services, Newark, DE.
AN  - 104663237. Language: English. Entry Date: 20110901. Revision Date: 20150711. Publication Type: Journal Article
AU  - Skinner, Nancy
DB  - ccm
DO  - 10.1111/j.1552-6909.2010.01119_27.x
DP  - EBSCOhost
KW  - Obstetric Emergencies -- Surgery
Critical Care
Surgical Count Procedure
Intensive Care Units
Female
Pregnancy
N1  - abstract. Supplement Title: Sep2010 Supplement 1. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. NLM UID: 8503123.
PY  - 2010
SN  - 0884-2175
SP  - S39-40
ST  - Packed and Wearing Pink: Damage Control Surgery in the Obstetric Operating Room
T2  - JOGNN: Journal of Obstetric, Gynecologic & Neonatal Nursing
TI  - Packed and Wearing Pink: Damage Control Surgery in the Obstetric Operating Room
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104663237&site=ehost-live&scope=site
VL  - 39
ID  - 922
ER  - 

TY  - JOUR
AB  - Purpose: To report outcomes of retinal detachment (RD) repair following posterior open globe injury. Methods: This retrospective, consecutive case series examined patients who underwent RD repair following Zone II and/or III open globe injury repair between January 1, 2007 and October 31, 2013. Patients with<3 months of follow-up since their last vitreoretinal surgery, and those who underwent pars plana vitrectomy (e.g., for intraocular foreign body) during their initial open globe injury repair were excluded. Results: Of 30 patients who met inclusion criteria, reattachment of the retina was achieved in 25 (83%) during the first vitreoretinal surgical procedure and 5 (17%) were deemed inoperable intraoperatively. Ten patients (30%) developed recurrent RD, and 8 underwent additional surgery. At last follow-up, reattachment was observed in 4 of these 8. The overall rate of final reattachment was 63% (19 patients). The mean number of surgeries for RD was 1.5 (range, 1-3). Fifteen patients (50%) achieved final visual acuity of counting fingers or better. Mean follow-up from the last vitreoretinal surgery was 23 months (range, 3-52). Conclusion: Although RD following posterior open globe injury confers a grave prognosis, successful anatomic reattachment of the retina was achieved in the majority of patients in this series, with half achieving ambulatory vision.
AD  - Retina Service of Wills Eye Hospital, 840 Walnut Street, Philadelphia, PA 19107, United States
Mid Atlantic Retina, Plymouth Meeting, PA, United States
AU  - Reed, D. C.
AU  - Juhn, A. T.
AU  - Rayess, N.
AU  - Hsu, J.
AU  - Chiang, A.
DB  - Scopus
DO  - 10.1097/IAE.0000000000000772
IS  - 4
KW  - open globe injury
pars plana vitrectomy
retinal detachment
ruptured globe
M3  - Article
N1  - Cited By :5
Export Date: 10 November 2020
PY  - 2016
SP  - 758-763
ST  - Outcomes of retinal detachment repair after posterior open globe injury
T2  - Retina
TI  - Outcomes of retinal detachment repair after posterior open globe injury
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84944340116&doi=10.1097%2fIAE.0000000000000772&partnerID=40&md5=7205407edec0f238c3c463822c53d0ea
VL  - 36
ID  - 1207
ER  - 

TY  - JOUR
AB  - Purpose: To report outcomes of retinal detachment (RD) repair following posterior open globe injury. Methods: This retrospective, consecutive case series examined patients who underwent RD repair following Zone II and/or III open globe injury repair between January 1, 2007 and October 31, 2013. Patients with<3 months of follow-up since their last vitreoretinal surgery, and those who underwent pars plana vitrectomy (e.g., for intraocular foreign body) during their initial open globe injury repair were excluded. Results: Of 30 patients who met inclusion criteria, reattachment of the retina was achieved in 25 (83%) during the first vitreoretinal surgical procedure and 5 (17%) were deemed inoperable intraoperatively. Ten patients (30%) developed recurrent RD, and 8 underwent additional surgery. At last follow-up, reattachment was observed in 4 of these 8. The overall rate of final reattachment was 63% (19 patients). The mean number of surgeries for RD was 1.5 (range, 1-3). Fifteen patients (50%) achieved final visual acuity of counting fingers or better. Mean follow-up from the last vitreoretinal surgery was 23 months (range, 3-52). Conclusion: Although RD following posterior open globe injury confers a grave prognosis, successful anatomic reattachment of the retina was achieved in the majority of patients in this series, with half achieving ambulatory vision.
AD  - A. Chiang, Retina Service of Wills Eye Hospital, 840 Walnut Street, Philadelphia, PA, United States
AU  - Reed, D. C.
AU  - Juhn, A. T.
AU  - Rayess, N.
AU  - Hsu, J.
AU  - Chiang, A.
DB  - Embase
Medline
DO  - 10.1097/IAE.0000000000000772
IS  - 4
KW  - balanced salt solution
silicone oil
adolescent
adult
aged
article
child
clinical article
eye injury
female
follow up
human
intraocular pressure
laceration
male
penetrating trauma
perforating eye injury
posterior open globe injury
prognosis
recurrent disease
retina detachment
retinopexy
retrospective study
treatment outcome
visual acuity
vitreoretinal surgery
LA  - English
M3  - Article
N1  - L606468897
2015-10-22
2016-04-27
PY  - 2016
SN  - 1539-2864
0275-004X
SP  - 758-763
ST  - Outcomes of retinal detachment repair after posterior open globe injury
T2  - Retina
TI  - Outcomes of retinal detachment repair after posterior open globe injury
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L606468897&from=export
http://dx.doi.org/10.1097/IAE.0000000000000772
VL  - 36
ID  - 415
ER  - 

TY  - JOUR
AB  - Recounted are some, not all, of the most significant contributions to otology. The history of otology has, for the most part, followed the history of medicine: Little was known of otology by the ancient physicians, but their work must be reviewed to appreciate the progress that has been made. Most of the otology produced during the Middle Ages was limited to those structures that were readily accessible; otologic surgery was confined to trauma and removal of foreign bodies from the external auditory canals. Examination of the ear began after studies of the ear by Italian anatomists during the seventeenth century. It was not until the end of the eighteenth century that magnification was used so that the minute anatomic details could be observed. The clinical specialty of otology started in France (1850s), emerged as a scientific specialty in England, and received explosive progress from the German-speaking countries at the end of the nineteenth century. Otology has a remarkable background.
AU  - Pappas, D. G.
DB  - Scopus
DO  - 10.1016/S0194-5998(96)70162-6
IS  - 2
M3  - Article
N1  - Cited By :13
Export Date: 10 November 2020
PY  - 1996
SP  - 173-196
ST  - Otology through the ages
T2  - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
TI  - Otology through the ages
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0030076514&doi=10.1016%2fS0194-5998%2896%2970162-6&partnerID=40&md5=e6fa56362b9d50dc1286f982eae52441
VL  - 114
ID  - 1718
ER  - 

TY  - JOUR
AB  - Recounted are some, not all, of the most significant contributions to otology. The history of otology has, for the most part, followed the history of medicine: Little was known of otology by the ancient physicians, but their work must be reviewed to appreciate the progress that has been made. Most of the otology produced during the Middle Ages was limited to those structures that were readily accessible; otologic surgery was confined to trauma and removal of foreign bodies from the external auditory canals. Examination of the ear began after studies of the ear by Italian anatomists during the seventeenth century. It was not until the end of the eighteenth century that magnification was used so that the minute anatomic details could be observed. The clinical specialty of otology started in France (1850s), emerged as a scientific specialty in England, and received explosive progress from the German-speaking countries at the end of the nineteenth century. Otology has a remarkable background.
AD  - D.G. Pappas
AU  - Pappas, D. G.
DB  - Medline
DO  - 10.1016/S0194-5998(96)70162-6
IS  - 2
KW  - art
article
ear
ear disease
Europe
foreign body
histology
history
human
injury
otorhinolaryngology
LA  - English
M3  - Article
N1  - L126225501
1996-07-09
PY  - 1996
SN  - 0194-5998
SP  - 173-196
ST  - Otology through the ages
T2  - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
TI  - Otology through the ages
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L126225501&from=export
http://dx.doi.org/10.1016/S0194-5998(96)70162-6
VL  - 114
ID  - 668
ER  - 

TY  - JOUR
AB  - Development of endovascular abdominal aortic aneurysms repair (EVAR), now in its 4th decade, has involved at least 16 different devices, not counting major modifications of some, only 4 of which have emerged from clinical trials and gained US Food and Drug Administration approval. The main impetus behind EVAR has been its potential for significantly reducing procedural mortality and morbidity, but it was also expected to speed recovery and reduce costs through decreased use of hospital resources. At the outset, EVAR was touted as a better alternative to OPEN in high-risk patients with large abdominal aortic aneurysms, and to "watchful waiting" (periodic ultrasound surveillance) for those with small abdominal aortic aneurysms. This new technology has evoked a mixed response with enthusiasts and detractors debating its pros and cons. Bias and conflict of interest exist on both sides. This review will attempt to present a balanced review of the development and current status of this controversial competition between EVAR and OPEN, comparing them in terms of the following key considerations: mortality and morbidity, complications, failure modes and durability, and costs. © 2012 Elsevier Inc.
AD  - Emeritus Professor of Surgery, University of Colorado School of Medicine, Denver, CO, United States
AU  - Rutherford, R. B.
DB  - Scopus
DO  - 10.1053/j.semvascsurg.2012.03.005
IS  - 1
M3  - Article
N1  - Cited By :13
Export Date: 10 November 2020
PY  - 2012
SP  - 39-48
ST  - Open Versus Endovascular Stent Graft Repair for Abdominal Aortic Aneurysms: An Historical View
T2  - Seminars in Vascular Surgery
TI  - Open Versus Endovascular Stent Graft Repair for Abdominal Aortic Aneurysms: An Historical View
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84861006249&doi=10.1053%2fj.semvascsurg.2012.03.005&partnerID=40&md5=ec50abdcb302fc190f4355f2563c7462
VL  - 25
ID  - 1376
ER  - 

TY  - JOUR
AB  - A 27-year-old man presented to the emergency department with metallic-like foreign-body deposition on the entire aspect of both corneas associated with intense irritation, tearing, and photophobia. The corrected distance visual acuity (CDVA) was counting fingers in the right eye and light perception (LP) in the left eye. Slitlamp examination revealed diffuse, galaxy-like, golden-brown confluent deposits on the cornea, sclera, and conjunctiva of both eyes. The eyes were irrigated several times, followed by foreign-body removal and corneal repair. A penetrating keratoplasty was later performed in the right eye. After 1 year of follow-up, the patient was asymptomatic and the CDVA improved in the right eye but remained LP in the left eye due to macular scar formation secondary to severe tractional macular edema. © 2013 ASCRS and ESCRS.
AD  - Department of Ophthalmology, Baqiyatallah University of Medical Sciences, Bina Eye Hospital Research Center, Tehran, Iran
AU  - Naderi, M.
AU  - Jadidi, K.
AU  - Alishiri, A.
AU  - Mosavi, S. A.
DB  - Scopus
DO  - 10.1016/j.jcro.2013.08.003
IS  - 2
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2013
SP  - e41-e43
ST  - Ocular golden galaxy
T2  - JCRS Online Case Reports
TI  - Ocular golden galaxy
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84921981568&doi=10.1016%2fj.jcro.2013.08.003&partnerID=40&md5=112300d138845817a2482d5ac15f0112
VL  - 1
ID  - 1342
ER  - 

TY  - JOUR
AD  - Columbus Hospital, Newark, N.J., USA.
AU  - Erickson, S.
DB  - Scopus
IS  - 7
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2003
SP  - 32-34
ST  - O.R. Left behind. Counting surgical instruments reduces medical errors
T2  - Materials management in health care
TI  - O.R. Left behind. Counting surgical instruments reduces medical errors
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0042384585&partnerID=40&md5=35137030745bd2259d7abbd2d3868ed8
VL  - 12
ID  - 1650
ER  - 

TY  - JOUR
AD  - S. Erickson, Columbus Hospital, Newark, N.J., USA.
AU  - Erickson, S.
DB  - Medline
IS  - 7
KW  - article
foreign body
human
medical error
operating room personnel
organization and management
standard
surgical equipment
United States
LA  - English
M3  - Article
N1  - L37043519
2003-09-07
PY  - 2003
SN  - 1059-4531
SP  - 32-34
ST  - O.R. Left behind. Counting surgical instruments reduces medical errors
T2  - Materials management in health care
TI  - O.R. Left behind. Counting surgical instruments reduces medical errors
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L37043519&from=export
VL  - 12
ID  - 641
ER  - 

TY  - JOUR
AU  - Tammeleo, A. D.
DB  - Scopus
IS  - 10
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 1986
SP  - 1
ST  - Nurses, doctors and sponge counts: liability
T2  - The Regan report on nursing law
TI  - Nurses, doctors and sponge counts: liability
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0022683458&partnerID=40&md5=3c46a6890f126095eba03b1a7e693974
VL  - 26
ID  - 1748
ER  - 

TY  - JOUR
AB  - During the 2007 meeting of the Child Health Corporation of America Operating Room Director's Forum, members identified two major discrepancies in surgical count policies among the member hospitals: variations for instrument counts in pediatrics and exceptions to radiographic verification when needle counts were incorrect. The group agreed to collaboratively develop a pediatric count policy based on directors' expertise and current literature to help improve count practices. The task force members reviewed the literature as well as count policies from 30 member hospitals to identify and combine best practices and to create a single, standardized count policy. The project exemplifies a successful nurse-led, national group effort. The outcome is a policy that represents best practice in pediatrics and is a first step toward future opportunities to improve patient safety. © 2012 AORN, Inc.
AD  - Children's Hospital, Boston, MA, United States
Child Health Corporation of America, Shawnee Mission, KS, United States
AU  - Norton, E. K.
AU  - Micheli, A. J.
AU  - Gedney, J.
AU  - Felkerson, T. M.
DB  - Scopus
DO  - 10.1016/j.aorn.2011.11.009
IS  - 2
KW  - Collaboration
Count policy
Pediatrics
Prevention of retained surgical items
Surgical counts
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2012
SP  - 222-227
ST  - A Nurse-led Approach to Developing and Implementing a Collaborative Count Policy
T2  - AORN Journal
TI  - A Nurse-led Approach to Developing and Implementing a Collaborative Count Policy
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84856300597&doi=10.1016%2fj.aorn.2011.11.009&partnerID=40&md5=46e0e3985bc389f638043e5bf0e72a0e
VL  - 95
ID  - 1381
ER  - 

TY  - JOUR
AB  - During the 2007 meeting of the Child Health Corporation of America Operating Room Director's Forum, members identified two major discrepancies in surgical count policies among the member hospitals: variations for instrument counts in pediatrics and exceptions to radiographic verification when needle counts were incorrect. The group agreed to collaboratively develop a pediatric count policy based on directors' expertise and current literature to help improve count practices. The task force members reviewed the literature as well as count policies from 30 member hospitals to identify and combine best practices and to create a single, standardized count policy. The project exemplifies a successful nurse-led, national group effort. The outcome is a policy that represents best practice in pediatrics and is a first step toward future opportunities to improve patient safety.
AD  - Children's Hospital, Boston, Massachusetts
Child Health Corporation of America, Shawnee Mission, KS
AN  - 104518938. Language: English. Entry Date: 20120323. Revision Date: 20150818. Publication Type: Journal Article. Journal Subset: Core Nursing
AU  - Norton, Elizabeth K.
AU  - Micheli, Anne J.
AU  - Gedney, Jennifer
AU  - Felkerson, Tiffin M.
DB  - ccm
DO  - 10.1016/j.aorn.2011.11.009
DP  - EBSCOhost
IS  - 2
KW  - Hospital Policies
Perioperative Nursing
Retained Instruments -- Prevention and Control
Surgical Count Procedure -- In Infancy and Childhood
AORN
Child
Decision Making
Hospitals, Pediatric
Information Resources
Operating Rooms -- Administration
Policy Making
Teamwork
World Wide Web
N1  - Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Patient Safety; Pediatric Care; Perioperative Care. NLM UID: 0372403.
PMID: NLM22283913.
PY  - 2012
SN  - 0001-2092
SP  - 222-227
ST  - A Nurse-led Approach to Developing and Implementing a Collaborative Count Policy
T2  - AORN Journal
TI  - A Nurse-led Approach to Developing and Implementing a Collaborative Count Policy
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104518938&site=ehost-live&scope=site
VL  - 95
ID  - 744
ER  - 

TY  - JOUR
AB  - During the 2007 meeting of the Child Health Corporation of America Operating Room Director's Forum, members identified two major discrepancies in surgical count policies among the member hospitals: variations for instrument counts in pediatrics and exceptions to radiographic verification when needle counts were incorrect. The group agreed to collaboratively develop a pediatric count policy based on directors' expertise and current literature to help improve count practices. The task force members reviewed the literature as well as count policies from 30 member hospitals to identify and combine best practices and to create a single, standardized count policy. The project exemplifies a successful nurse-led, national group effort. The outcome is a policy that represents best practice in pediatrics and is a first step toward future opportunities to improve patient safety. © 2012 AORN, Inc.
AD  - E.K. Norton, Children's Hospital, Boston, MA, United States
AU  - Norton, E. K.
AU  - Micheli, A. J.
AU  - Gedney, J.
AU  - Felkerson, T. M.
DB  - Medline
DO  - 10.1016/j.aorn.2011.11.009
IS  - 2
KW  - article
foreign body
human
medical error
methodology
needle
nurse
nursing
patient safety
pediatrics
perioperative nursing
practice guideline
standard
surgery
surgical equipment
LA  - English
M3  - Article
N1  - L364156050
2012-05-24
PY  - 2012
SN  - 0001-2092
SP  - 222-227
ST  - A Nurse-led Approach to Developing and Implementing a Collaborative Count Policy
T2  - AORN Journal
TI  - A Nurse-led Approach to Developing and Implementing a Collaborative Count Policy
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L364156050&from=export
http://dx.doi.org/10.1016/j.aorn.2011.11.009
VL  - 95
ID  - 522
ER  - 

TY  - JOUR
AU  - Langslow, A.
DB  - Scopus
IS  - 11
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 1992
SP  - 31-32
ST  - Nurse and the law. Relying on the count
T2  - The Australian nurses" journal
TI  - Nurse and the law. Relying on the count
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0026876584&partnerID=40&md5=f5602a7ff7658e8a94d392f5d7f17820
VL  - 21
ID  - 1733
ER  - 

TY  - JOUR
AD  - A. Langslow
AU  - Langslow, A.
DB  - Medline
IS  - 11
KW  - article
case report
cesarean section
cholecystectomy
female
foreign body
human
legal aspect
male
malpractice
medical staff
nursing staff
pregnancy
United States
uterine tube sterilization
LA  - English
M3  - Article
N1  - L22958295
1992-10-15
PY  - 1992
SN  - 0045-0758
SP  - 31-32
ST  - Nurse and the law. Relying on the count
T2  - The Australian nurses' journal
TI  - Nurse and the law. Relying on the count
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L22958295&from=export
VL  - 21
ID  - 671
ER  - 

TY  - JOUR
AB  - In orthopedic patients, foreign body-associated infections, especially periprosthetic joint infections (PJIs), are a devastating complication of arthroplasty. Infection requires complex treatment, may result in long hospitalization and causes considerable costs. Multiple surgical revisions can be necessary in these patients, with a loss in function as well as in quality of life. The routine preoperative diagnostics include blood examination for C-reactive protein (CRP) and other biomarkers, as well as joint aspirate analysis for cell count, differentiation, and culture. Intraoperative specimens for histology and microbiology are also standard procedure. The microbiological examination of removed implants with sonication, in combination with the implementation of molecular biology techniques in microbiology, represent two novel techniques currently employed to enhance the differential diagnostics of PJI. We present here the step-wise procedure of analyzing joint aspirate and sonication fluid, using a cartridge-based multiplex polymerase chain reaction (PCR) system. Results were matched against conventional cultures and consensus criteria for PJI. Conventional microbiological cultures from tissue biopsies, joint aspirate and sonication fluid showed a sensitivity of 66.7%, 66.7%, and 88.9%, respectively, and a specificity of 82.3%, 54.6%, and 61.5%, respectively. The PCR diagnostic of the sonication fluid and the joint fluid showed a sensitivity of 50.0% and 55.6%, respectively, and both a specificity of 100.0%. Both PCR diagnostics combined had a sensitivity of 66.7% and a specificity of 100.0%. The multiplex PCR therefore presents a rapid diagnostic tool with moderate sensitivity but high specificity in diagnosing PJI. © 2017, Journal of Visualized Experiments. All rights reserved.
AD  - Institute of Medical Microbiology, Immunology and Parasitology, University Hospital Bonn, Germany
Department of Orthopaedics and Trauma Surgery, University Hospital Bonn, Germany
Division of EU Cooperation/Microbiology, Paul-Ehrlich-Institute, Germany
AU  - Hischebeth, G. T. R.
AU  - Gravius, S.
AU  - Buhr, J. K.
AU  - Molitor, E.
AU  - Wimmer, M. D.
AU  - Hoerauf, A.
AU  - Bekeredjian-Ding, I.
AU  - Randau, T. M.
C7  - e55147
DB  - Scopus
DO  - 10.3791/55147
IS  - 130
KW  - Arthroplasty
Hip
Issue 130
Knee
Medicine
Periprosthetic joint infection
Polymerase chain reaction
Revision surgery
Sonication
M3  - Article
N1  - Cited By :6
Export Date: 10 November 2020
PY  - 2017
ST  - Novel diagnostics in revision arthroplasty: Implant sonication and multiplex polymerase chain reaction
T2  - Journal of Visualized Experiments
TI  - Novel diagnostics in revision arthroplasty: Implant sonication and multiplex polymerase chain reaction
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85037654847&doi=10.3791%2f55147&partnerID=40&md5=9ca4200fb92e5a29b4021b4c338726c5
VL  - 2017
ID  - 1105
ER  - 

TY  - JOUR
AB  - In orthopedic patients, foreign body-associated infections, especially periprosthetic joint infections (PJIs), are a devastating complication of arthroplasty. Infection requires complex treatment, may result in long hospitalization and causes considerable costs. Multiple surgical revisions can be necessary in these patients, with a loss in function as well as in quality of life. The routine preoperative diagnostics include blood examination for C-reactive protein (CRP) and other biomarkers, as well as joint aspirate analysis for cell count, differentiation, and culture. Intraoperative specimens for histology and microbiology are also standard procedure. The microbiological examination of removed implants with sonication, in combination with the implementation of molecular biology techniques in microbiology, represent two novel techniques currently employed to enhance the differential diagnostics of PJI. We present here the step-wise procedure of analyzing joint aspirate and sonication fluid, using a cartridge-based multiplex polymerase chain reaction (PCR) system. Results were matched against conventional cultures and consensus criteria for PJI. Conventional microbiological cultures from tissue biopsies, joint aspirate and sonication fluid showed a sensitivity of 66.7%, 66.7%, and 88.9%, respectively, and a specificity of 82.3%, 54.6%, and 61.5%, respectively. The PCR diagnostic of the sonication fluid and the joint fluid showed a sensitivity of 50.0% and 55.6%, respectively, and both a specificity of 100.0%. Both PCR diagnostics combined had a sensitivity of 66.7% and a specificity of 100.0%. The multiplex PCR therefore presents a rapid diagnostic tool with moderate sensitivity but high specificity in diagnosing PJI.
AU  - Hischebeth, G. T. R.
AU  - Gravius, S.
AU  - Buhr, J. K.
AU  - Molitor, E.
AU  - Wimmer, M. D.
AU  - Hoerauf, A.
AU  - Bekeredjian-Ding, I.
AU  - Randau, T. M.
DB  - Medline
DO  - 10.3791/55147
IS  - 130
KW  - arthroplasty
human
infection
microbiology
polymerase chain reaction
procedures
prostheses and orthoses
ultrasound
LA  - English
M3  - Article
N1  - L622775388
2018-07-03
PY  - 2017
SN  - 1940-087X
ST  - Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction
T2  - Journal of visualized experiments : JoVE
TI  - Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L622775388&from=export
http://dx.doi.org/10.3791/55147
ID  - 358
ER  - 

TY  - JOUR
AB  - The counting process is designed to prevent retained foreign bodies while providing optimal perioperative patient safety. Intraoperative distractions are prevalent and potentially contribute to patient safety risks. Counting is an important preventative measure that is a human process prone to error, especially in this busy environment where multiple things are happening simultaneously. We sought to evaluate the impact of distractions during the count process on patient safety. Trained, nationally certified registered nurses used a validated tool to observe the number of interruptions that occurred during the count process in cardiac surgery. Observation included the key personnel that lead the count process including the scrub person, circulating nurse, attending surgeons, fellows, and residents of all disciplines. Observation included scheduled cases in the cardiac specialty for the adult population including all shifts (24 hours). The predictor in this study was distraction. The primary measure of distraction was the total number of distraction for each case. There are different distraction levels for each distraction. Thus, weighted distraction score for each case was created as the summation of distraction level and it is the secondary measure of distraction. To detect a medium effect size with 80% power at 0.05 level, we needed a minimum sample size of 54. We correlated the relationship between the number of interruptions observed and sequelae. Working together as a cohesive team to minimize interruptions can enhance patient safety and decrease additional workload across departments. © 2020
AD  - NewYork-Presbyterian Hospital, Perioperative Services, New York, NY, United States
AU  - Kertesz, L.
AU  - Cordella, C. M.
AU  - Nadera, N. M.
AU  - Nelson, P. E.
AU  - Kahil, M.
AU  - Shim, S. H.
AU  - Holtzman, J. S.
DB  - Scopus
DO  - 10.1016/j.jradnu.2019.09.004
IS  - 1
KW  - Interruptions
Operating room
Retained foreign body
Surgical counts
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
SP  - 57-62
ST  - No Surgical Items Left Behind: A Multidisciplinary Approach to the Surgical Count Process
T2  - Journal of Radiology Nursing
TI  - No Surgical Items Left Behind: A Multidisciplinary Approach to the Surgical Count Process
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85076539367&doi=10.1016%2fj.jradnu.2019.09.004&partnerID=40&md5=9c22e048ae066a6bd859ddeef3757c2f
VL  - 39
ID  - 972
ER  - 

TY  - JOUR
AB  - The counting process is designed to prevent retained foreign bodies while providing optimal perioperative patient safety. Intraoperative distractions are prevalent and potentially contribute to patient safety risks. Counting is an important preventative measure that is a human process prone to error, especially in this busy environment where multiple things are happening simultaneously. We sought to evaluate the impact of distractions during the count process on patient safety. Trained, nationally certified registered nurses used a validated tool to observe the number of interruptions that occurred during the count process in cardiac surgery. Observation included the key personnel that lead the count process including the scrub person, circulating nurse, attending surgeons, fellows, and residents of all disciplines. Observation included scheduled cases in the cardiac specialty for the adult population including all shifts (24 hours). The predictor in this study was distraction. The primary measure of distraction was the total number of distraction for each case. There are different distraction levels for each distraction. Thus, weighted distraction score for each case was created as the summation of distraction level and it is the secondary measure of distraction. To detect a medium effect size with 80% power at 0.05 level, we needed a minimum sample size of 54. We correlated the relationship between the number of interruptions observed and sequelae. Working together as a cohesive team to minimize interruptions can enhance patient safety and decrease additional workload across departments. • This study aimed to investigate the prevalence and description of surgical count interruptions. • Used an observational design that has been shown to be reliable in capturing interruptions and distractions. • The wound count had highest interruption level with counts being completely halted. • Future research should focus on whether interruptions lead to adverse reactions in surgical care.
AD  - NewYork-Presbyterian Hospital, Perioperative Services, New York, NY
AN  - 141941398. Language: English. Entry Date: 20200303. Revision Date: 20200313. Publication Type: Article
AU  - Kertesz, Louise
AU  - Cordella, Christopher Michael
AU  - Nadera, Nenita Magpantay
AU  - Nelson, Patricia Elaine
AU  - Kahil, Mona
AU  - Shim, Soon-Hye
AU  - Holtzman, Judith Sarah
DB  - ccm
DO  - 10.1016/j.jradnu.2019.09.004
DP  - EBSCOhost
IS  - 1
KW  - Retained Instruments -- Prevention and Control
Multidisciplinary Care Team
Surgical Count Procedure -- Psychosocial Factors
Distraction -- Evaluation
Patient Safety
Human
Heart Surgery
Adult
Effect Size
Descriptive Statistics
Nonexperimental Studies
Prospective Studies
Academic Medical Centers
New York
Surgeons
Interns and Residents
Physician Assistants
Registered Nurses
Anesthesiologists
Nurse Anesthetists
Cardiopulmonary Technicians
Surgical Technologists
Pilot Studies
Reliability
N1  - research; tables/charts. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Patient Safety. NLM UID: 101189931.
PY  - 2020
SN  - 1546-0843
SP  - 57-62
ST  - No Surgical Items Left Behind: A Multidisciplinary Approach to the Surgical Count Process
T2  - Journal of Radiology Nursing
TI  - No Surgical Items Left Behind: A Multidisciplinary Approach to the Surgical Count Process
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141941398&site=ehost-live&scope=site
VL  - 39
ID  - 709
ER  - 

TY  - JOUR
AB  - Background: Wear-resistant bearing materials may hypothetically reduce chronic inflammation in the pseudosynovial membrane as compared to less wear-resistant bearing materials such as polyethylene. We assessed the foreign body response in the pseudosynovial membrane in vivo after total hip replacement. Methods: 37 patients from a larger prospective randomized trial of 225 patients had biopsies taken arthroscopically from the artificial hip joint (i.e. the pseudosynovial membrane) 1 year after insertion of the implant. All patients had an identical hip prosthesis (Bimetric-RingLoc) except for the bearing materials, which consisted of polyethylene on zirconia, CoCr on CoCr, or alumina on alumina. Histological quantification was performed on 2-μm-thick semi-thin plastic sections or paraffin sections by point counting technique to compare the volume fraction of macrophages, granulomas and endothelial cells in biopsies of the pseudosynovial membrane. Results: The median macrophage volume fractions for polyethylene-on-zirconia bearing material (n = 15), CoCr-on-CoCr (n = 9), and alumina-on-alumina (n = 11) were 0.02, 0.04, and 0.004, respectively. The median granuloma volume fractions for polyethylene-on-zirconia (n = 13), CoCr-on-CoCr (n = 9), and alumina-on-alumina (n = 13) were 0.02, 0.04, and 0.02, respectively. The median endothelial cell volume fractions for polyethylene-on-zirconia (n = 15), CoCr-on-CoCr (n = 9), and alumina-on-alumina (n = 11) were 0.03, 0.02, and 0.05, respectively. Statistical analysis showed no significant differences between the three groups with the different bearings with respect to volume fraction of macrophages, granulomas and endothelial cells. Interpretation: Our study demonstrated that a granulomatous inflammation is a common finding in non-loose implants as early as 1 year after the operation not demonstrating a difference in macrophages and granuloma formation with the various bearing materials. Thus a high volume fraction of macrophages was found in the osteoarthritis control group compared to the operated group. Copyright© Taylor & Francis 2006.
AD  - Department of Orthopaedic Surgery, Frederiksberg University Hospital, Frederiksberg, Denmark
Institute of Molecular Pathology, University of Copenhagen, Copenhagen, Denmark
Department of Orthopaedic Surgery, Aarhus University Hospital, Aarhus, Denmark
AU  - Nygaard, M.
AU  - Elling, F.
AU  - Bastholm, L.
AU  - Søballe, K.
AU  - Borgwardt, A.
DB  - Scopus
DO  - 10.1080/17453670610046325
IS  - 3
M3  - Article
N1  - Cited By :10
Export Date: 10 November 2020
PY  - 2006
SP  - 402-412
ST  - No difference in early cellular response of the pseudo-synovial membrane after total hip arthroplasty: Comparison of 3 combinations of bearing materials
T2  - Acta Orthopaedica
TI  - No difference in early cellular response of the pseudo-synovial membrane after total hip arthroplasty: Comparison of 3 combinations of bearing materials
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-33745536995&doi=10.1080%2f17453670610046325&partnerID=40&md5=0c2139471ea9100d852b7a23a2fe278c
VL  - 77
ID  - 1582
ER  - 

TY  - JOUR
AB  - Background Wear-resistant bearing materials may hypothetically reduce chronic inflammation in the pseudosynovial membrane as compared to less wear-resistant bearing materials such as polyethylene. We assessed the foreign body response in the pseudosynovial membrane in vivo after total hip replacement. Methods 37 patients from a larger prospective randomized trial of 225 patients had biopsies taken arthroscopically from the artificial hip joint (i.e. the pseudosynovial membrane) 1 year after insertion of the implant. All patients had an identical hip prosthesis (Bimetric-RingLoc) except for the bearing materials, which consisted of polyethylene on zirconia, CoCr on CoCr, or alumina on alumina. Histological quantification was performed on 2-mum-thick semi-thin plastic sections or paraffin sections by point counting technique to compare the volume fraction of macrophages, granulomas and endothelial cells in biopsies of the pseudosynovial membrane. Results The median macrophage volume fractions for polyethylene-on-zirconia bearing material (n = 15), CoCr-on-CoCr (n = 9), and alumina-on-alumina (n = 11) were 0.02, 0.04, and 0.004, respectively. The median granuloma volume fractions for polyethylene-on-zirconia (n = 13), CoCr-on-CoCr (n = 9), and alumina-on-alumina (n = 13) were 0.02, 0.04, and 0.02, respectively. The median endothelial cell volume fractions for polyethylene-on-zirconia (n = 15), CoCr-on-CoCr (n = 9), and alumina-on-alumina (n = 11) were 0.03, 0.02, and 0.05, respectively. Statistical analysis showed no significant differences between the three groups with the different bearings with respect to volume fraction of macrophages, granulomas and endothelial cells. Interpretation Our study demonstrated that a granulomatous inflammation is a common finding in non-loose implants as early as 1 year after the operation not demonstrating a difference in macrophages and granuloma formation with the various bearing materials. Thus a high volume fraction of macrophages was found in the osteoarthritis control group compared to the operated group.
AD  - Department of Orthopaedic Surgery, Frederiksberg University Hospital, Frederiksberg, Denmark
AN  - 106288018. Language: English. Entry Date: 20070518. Revision Date: 20200708. Publication Type: Journal Article
AU  - Nygaard, M.
AU  - Elling, F.
AU  - Bastholm, L.
AU  - Søballe, K.
AU  - Borgwardt, A.
DB  - ccm
DO  - 10.1080/17453670610046325
DP  - EBSCOhost
IS  - 3
KW  - Arthroplasty, Replacement, Hip -- Adverse Effects
Arthroplasty, Replacement, Hip -- Methods
Foreign-Body Reaction -- Pathology
Joint Prosthesis -- Adverse Effects
Osteoarthritis -- Pathology
Adult
Aged
Aged, 80 and Over
Biopsy -- Methods
Comparative Studies
Data Analysis Software
Descriptive Statistics
Female
Foreign-Body Reaction -- Etiology
Foreign-Body Reaction -- Immunology
Funding Source
Histological Techniques
Intervention Trials
Male
Mann-Whitney U Test
Materials Testing
Middle Age
Nonparametric Statistics
Osteoarthritis -- Surgery
Osteonecrosis -- Surgery
Prospective Studies
Prosthesis Design
Prosthesis Failure
Synovial Membrane -- Pathology
Human
N1  - clinical trial; pictorial; research; tables/charts. Journal Subset: Allied Health; Biomedical; Continental Europe; Europe; Peer Reviewed. Grant Information: Supported by Biomet Merck Company. NLM UID: 101231512.
PMID: NLM16819678.
PY  - 2006
SN  - 1745-3674
SP  - 402-412
ST  - No difference in early cellular response of the pseudo-synovial membrane after total hip arthroplasty: comparison of 3 combinations of bearing materials
T2  - Acta Orthopaedica
TI  - No difference in early cellular response of the pseudo-synovial membrane after total hip arthroplasty: comparison of 3 combinations of bearing materials
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106288018&site=ehost-live&scope=site
VL  - 77
ID  - 785
ER  - 

TY  - JOUR
AB  - Background: Wear-resistant bearing materials may hypothetically reduce chronic inflammation in the pseudosynovial membrane as compared to less wear-resistant bearing materials such as polyethylene. We assessed the foreign body response in the pseudosynovial membrane in vivo after total hip replacement. Methods: 37 patients from a larger prospective randomized trial of 225 patients had biopsies taken arthroscopically from the artificial hip joint (i.e. the pseudosynovial membrane) 1 year after insertion of the implant. All patients had an identical hip prosthesis (Bimetric-RingLoc) except for the bearing materials, which consisted of polyethylene on zirconia, CoCr on CoCr, or alumina on alumina. Histological quantification was performed on 2-μm-thick semi-thin plastic sections or paraffin sections by point counting technique to compare the volume fraction of macrophages, granulomas and endothelial cells in biopsies of the pseudosynovial membrane. Results: The median macrophage volume fractions for polyethylene-on-zirconia bearing material (n = 15), CoCr-on-CoCr (n = 9), and alumina-on-alumina (n = 11) were 0.02, 0.04, and 0.004, respectively. The median granuloma volume fractions for polyethylene-on-zirconia (n = 13), CoCr-on-CoCr (n = 9), and alumina-on-alumina (n = 13) were 0.02, 0.04, and 0.02, respectively. The median endothelial cell volume fractions for polyethylene-on-zirconia (n = 15), CoCr-on-CoCr (n = 9), and alumina-on-alumina (n = 11) were 0.03, 0.02, and 0.05, respectively. Statistical analysis showed no significant differences between the three groups with the different bearings with respect to volume fraction of macrophages, granulomas and endothelial cells. Interpretation: Our study demonstrated that a granulomatous inflammation is a common finding in non-loose implants as early as 1 year after the operation not demonstrating a difference in macrophages and granuloma formation with the various bearing materials. Thus a high volume fraction of macrophages was found in the osteoarthritis control group compared to the operated group. Copyright© Taylor & Francis 2006.
AD  - M. Nygaard, Department of Orthopaedic Surgery, Frederiksberg University Hospital, Frederiksberg, Denmark
AU  - Nygaard, M.
AU  - Elling, F.
AU  - Bastholm, L.
AU  - Søballe, K.
AU  - Borgwardt, A.
DB  - Embase
Medline
DO  - 10.1080/17453670610046325
IS  - 3
KW  - aluminum oxide
chromium derivative
cobalt derivative
polyethylene
zirconium oxide
article
clinical article
clinical trial
controlled clinical trial
controlled study
endothelium cell
foreign body reaction
granuloma
granulomatous inflammation
human
human tissue
inflammation
macrophage
osteoarthritis
randomized controlled trial
synovium
total hip prosthesis
Bimetric-RingLoc
Ti-alloy
Universal RingLoc
LA  - English
M3  - Article
N1  - L43977395
2006-07-17
PY  - 2006
SN  - 1745-3674
1745-3682
SP  - 402-412
ST  - No difference in early cellular response of the pseudo-synovial membrane after total hip arthroplasty: Comparison of 3 combinations of bearing materials
T2  - Acta Orthopaedica
TI  - No difference in early cellular response of the pseudo-synovial membrane after total hip arthroplasty: Comparison of 3 combinations of bearing materials
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L43977395&from=export
http://dx.doi.org/10.1080/17453670610046325
VL  - 77
ID  - 620
ER  - 

TY  - JOUR
AB  - Study Design: Retrospective study. Purpose: Missing cottonoids during and after spinal surgery is a persistent problem and account for the most commonly retained surgical instruments (RSIs) noticed during a final cottonoid count. The aim of this study was to enumerate risk factors and describe the sequence to look out for misplaced cottonoids during spinal surgery and provide an algorithm for resolving the problem. Overview of Literature: There are only a few case reports on RSIs among various surgical branches. The data is inconclusive and there is little evidence in the literature that relates to spinal surgery. Methods: This retrospective study was conducted at Indian Spinal Injuries Centre. The data was collected from hospital records ranging from January 2013 to December 2017. The surgical cases in which cottonoid counts were inconsistent during or after the procedure were included in the study. The case files along with operating theater records were thoroughly screened for selecting those in which there was confirmed evidence of such an event. Results: There were 7,059 spinal surgeries performed during the study period. Fifteen cases of miscounts were recorded with an incidence of one in every 471 cases. Cottonoids were most commonly lost under the shoes of the surgeon or assistants. In two instances, cottonoids were found in the surgical field and trapped in the interbody cage site. Based on these locations, a systematic search algorithm was created Conclusions: This study enumerates RSI risk factors in spinal surgical procedures and describes steps that can be followed to account for any missing cottonoids. The incidence of missing cottonoids can be decreased using a goal-oriented approach and ensuring that surgical teams work in collaboration. © 2019 by Korean Society of Spine Surgery.
AD  - Department of Spine Surgery, Indian Spinal Injuries Center, New Delhi, India
AU  - Reddy, A.
AU  - Mahajan, R.
AU  - Rustagi, T.
AU  - Goel, S. A.
AU  - Bansal, M. L.
AU  - Chhabra, H. S.
DB  - Scopus
DO  - 10.31616/ASJ.2018.0136
IS  - 1
KW  - Algorithms
Cottonoids
Re-exploration
Retained foreign body
Spine
Surgical sponges
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2019
SP  - 1-6
ST  - A new search algorithm for reducing the incidence of missing cottonoids in the operating theater
T2  - Asian Spine Journal
TI  - A new search algorithm for reducing the incidence of missing cottonoids in the operating theater
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85065031627&doi=10.31616%2fASJ.2018.0136&partnerID=40&md5=10079cd45935e22d2247426fb90fb650
VL  - 13
ID  - 1029
ER  - 

TY  - JOUR
AB  - Retained surgical sponge is an infrequently reported condition that may be recognized incidentally during the early postoperative period, produce serious complications, or remain dormant for years. Clinical manifestations of the retained surgical sponge are a function of bacterial contamination and of the location of the sponge within the body cavity. Few sequelae follow external extrusion but internal erosion may lead to abscess, fistulas, and intestinal obstruction. Prevention requires constant sensitivity of the surgeon to this potential threat to the safe practice of surgery. The surgeon must account for an incorrect sponge count by adequate examination of the operative Held and by roentgenographic studies when the issue remains in doubt. A correct sponge count does not fully preclude a retained sponge, however, and inspection of the operative field should be routine in all patients at risk. © 1982 Southern Medical Association.
AD  - Department of Surgery, Medical College of Virginia, Richmond, VA, United States
AU  - Hyslop, J. W.
AU  - Maull, K. I.
DB  - Scopus
DO  - 10.1097/00007611-198206000-00006
IS  - 6
M3  - Article
N1  - Cited By :115
Export Date: 10 November 2020
PY  - 1982
SP  - 657-660
ST  - Natural history of the retained surgical sponge
T2  - Southern Medical Journal
TI  - Natural history of the retained surgical sponge
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0020147264&doi=10.1097%2f00007611-198206000-00006&partnerID=40&md5=b89edc7e8f4fc38fbc602b7dc53bb21e
VL  - 75
ID  - 1762
ER  - 

TY  - JOUR
AB  - Retained surgical sponge is an infrequently reported condition that may be recognized incidentally during the early postoperative period, produce serious complications, or remain dormant for years. Clinical manifestations of the retained surgical sponge are a function of bacterial contamination and of the location of the sponge within the body cavity. Few sequelae follow external extrusion but internal erosion may lead to abscess, fistulas, and intestinal obstruction. Prevention requires constant sensitivity of the surgeon to this potential threat to the safe practice of surgery. The surgeon must account for an incorrect sponge count by adequate examination of the operative field and by roentgenographic studies when the issue remains in doubt. A correct sponge count does not fully preclude a retained sponge, however, and inspection of the operative field should be routine in all patients at risk.
AD  - J.W. Hyslop
AU  - Hyslop, J. W.
AU  - Maull, K. I.
DB  - Medline
IS  - 6
KW  - abdominal radiography
article
bacterial infection
case report
female
human
intestine obstruction
male
malpractice
middle aged
peroperative complication
surgery
surgical equipment
LA  - English
M3  - Article
N1  - L12650902
1982-08-06
PY  - 1982
SN  - 0038-4348
SP  - 657-660
ST  - Natural history of the retained surgical sponge
T2  - Southern medical journal
TI  - Natural history of the retained surgical sponge
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L12650902&from=export
VL  - 75
ID  - 682
ER  - 

TY  - JOUR
AB  - Nail punctures through rubber-soled shoes expose the foot to the possibility of deep infection and foreign body retention. In this article, we describe characteristics of adult patients who sustained nail puncture wounds through a rubber-soled shoe and were treated at our institution from January 1, 2000, to January 8, 2008. Of the 96 patients, 36 (37.5%) were treated conservatively and 60 (62.5%) were treated surgically in the operating room. Of those treated surgically, 15 (25%) had a foreign body extracted during the operation. The operated group had a longer duration of time from injury to hospital admission than did the nonoperated group (5.0 ± 6.8 days versus 2.7 ± 3.8 days, P < .05). Treatment success was observed in 91 (94.8%) of the patients, and the median lag time before admission for the less successfully treated group was longer than that for the successfully treated group (10 days versus 2 days, P < .002); and, the less successfully treated group was more likely to receive antibiotics in the community before hospitalization (100.0% versus 47.2%, P < .06), and was more likely to be diabetic (40.0% versus 9.9%, P < .10). Fever, white blood cell count, and erythrocyte sedimentation rate were not significantly associated with treatment outcome. Success of the treatment did not depend on white blood cell count, erythrocyte sedimentation rate, or fever. Ultrasonography was useful in detecting the presence of a foreign body. © 2010 American College of Foot and Ankle Surgeons.
AD  - Orthopaedic Department, Central Emek Hospital, Afula, Israel
Infectious Disease Unit, Central Emek Hospital, Afula, Israel
Faculty of Medicine, Technion, Haifa, Israel
AU  - Rubin, G.
AU  - Chezar, A.
AU  - Raz, R.
AU  - Rozen, N.
DB  - Scopus
DO  - 10.1053/j.jfas.2010.06.017
IS  - 5
KW  - Foreign body
Sole
Surgery
Trauma
Ultrasonography
M3  - Article
N1  - Cited By :6
Export Date: 10 November 2020
PY  - 2010
SP  - 421-425
ST  - Nail puncture wound through a rubber-soled shoe: A retrospective study of 96 adult patients
T2  - Journal of Foot and Ankle Surgery
TI  - Nail puncture wound through a rubber-soled shoe: A retrospective study of 96 adult patients
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-77955976923&doi=10.1053%2fj.jfas.2010.06.017&partnerID=40&md5=889e8b4c969e15c8bab327a07ff62b11
VL  - 49
ID  - 1450
ER  - 

TY  - JOUR
AB  - Abstract: Nail punctures through rubber-soled shoes expose the foot to the possibility of deep infection and foreign body retention. In this article, we describe characteristics of adult patients who sustained nail puncture wounds through a rubber-soled shoe and were treated at our institution from January 1, 2000, to January 8, 2008. Of the 96 patients, 36 (37.5%) were treated conservatively and 60 (62.5%) were treated surgically in the operating room. Of those treated surgically, 15 (25%) had a foreign body extracted during the operation. The operated group had a longer duration of time from injury to hospital admission than did the nonoperated group (5.0 ± 6.8 days versus 2.7 ± 3.8 days, P < .05). Treatment success was observed in 91 (94.8%) of the patients, and the median lag time before admission for the less successfully treated group was longer than that for the successfully treated group (10 days versus 2 days, P < .002); and, the less successfully treated group was more likely to receive antibiotics in the community before hospitalization (100.0% versus 47.2%, P < .06), and was more likely to be diabetic (40.0% versus 9.9%, P < .10). Fever, white blood cell count, and erythrocyte sedimentation rate were not significantly associated with treatment outcome. Success of the treatment did not depend on white blood cell count, erythrocyte sedimentation rate, or fever. Ultrasonography was useful in detecting the presence of a foreign body.
AD  - Resident, Orthopaedic Department, Central Emek Hospital, Afula, Israel
AN  - 104921235. Language: English. Entry Date: 20101229. Revision Date: 20200708. Publication Type: Journal Article
AU  - Rubin, G.
AU  - Chezar, A.
AU  - Raz, R.
AU  - Rozen, N.
DB  - ccm
DO  - 10.1053/j.jfas.2010.06.017
DP  - EBSCOhost
IS  - 5
KW  - Wounds, Penetrating -- Therapy
Rubber
Shoes
Foot Injuries -- Therapy
Foreign Bodies -- Complications
Human
Retrospective Design
Record Review
Female
Male
Adolescence
Adult
Middle Age
Aged
Foot Injuries -- Surgery
Wounds, Penetrating -- Diagnosis
Foreign Bodies -- Surgery
Foreign Bodies -- Ultrasonography
Antibiotics -- Therapeutic Use
Soft Tissue Injuries -- Microbiology
Time Factors
Treatment Outcomes
P-Value
Descriptive Statistics
Wounds, Penetrating -- Surgery
N1  - algorithm; diagnostic images; pictorial; research; tables/charts. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 9308427.
PMID: NLM20797584.
PY  - 2010
SN  - 1067-2516
SP  - 421-425
ST  - Nail Puncture Wound Through a Rubber-Soled Shoe: A Retrospective Study of 96 Adult Patients
T2  - Journal of Foot & Ankle Surgery
TI  - Nail Puncture Wound Through a Rubber-Soled Shoe: A Retrospective Study of 96 Adult Patients
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104921235&site=ehost-live&scope=site
VL  - 49
ID  - 842
ER  - 

TY  - JOUR
AB  - Nail punctures through rubber-soled shoes expose the foot to the possibility of deep infection and foreign body retention. In this article, we describe characteristics of adult patients who sustained nail puncture wounds through a rubber-soled shoe and were treated at our institution from January 1, 2000, to January 8, 2008. Of the 96 patients, 36 (37.5%) were treated conservatively and 60 (62.5%) were treated surgically in the operating room. Of those treated surgically, 15 (25%) had a foreign body extracted during the operation. The operated group had a longer duration of time from injury to hospital admission than did the nonoperated group (5.0 ± 6.8 days versus 2.7 ± 3.8 days, P < .05). Treatment success was observed in 91 (94.8%) of the patients, and the median lag time before admission for the less successfully treated group was longer than that for the successfully treated group (10 days versus 2 days, P < .002); and, the less successfully treated group was more likely to receive antibiotics in the community before hospitalization (100.0% versus 47.2%, P < .06), and was more likely to be diabetic (40.0% versus 9.9%, P < .10). Fever, white blood cell count, and erythrocyte sedimentation rate were not significantly associated with treatment outcome. Success of the treatment did not depend on white blood cell count, erythrocyte sedimentation rate, or fever. Ultrasonography was useful in detecting the presence of a foreign body. © 2010 American College of Foot and Ankle Surgeons.
AD  - G. Rubin, Orthopaedic Department, Haemek Medical Center, Afula, Israel
AU  - Rubin, G.
AU  - Chezar, A.
AU  - Raz, R.
AU  - Rozen, N.
DB  - Embase
Medline
DO  - 10.1053/j.jfas.2010.06.017
IS  - 5
KW  - amoxicillin
amoxicillin plus clavulanic acid
cefalexin
cefonicid
ciprofloxacin
cloxacillin
gentamicin
adolescent
adult
aged
article
conservative treatment
controlled study
demography
diabetes mellitus
echography
erythrocyte sedimentation rate
female
fever
foot injury
foot surgery
foreign body
hospital admission
human
leukocyte count
major clinical study
male
nail puncture wound
retrospective study
shoe
LA  - English
M3  - Article
N1  - L359418565
2010-09-01
2010-09-09
PY  - 2010
SN  - 1067-2516
SP  - 421-425
ST  - Nail puncture wound through a rubber-soled shoe: A retrospective study of 96 adult patients
T2  - Journal of Foot and Ankle Surgery
TI  - Nail puncture wound through a rubber-soled shoe: A retrospective study of 96 adult patients
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L359418565&from=export
http://dx.doi.org/10.1053/j.jfas.2010.06.017
VL  - 49
ID  - 557
ER  - 

TY  - JOUR
AB  - Background. Nafamostat mesilate (FUT-175) is a synthetic serine protease inhibitor that inactivates coagulation, fibrinolysis, and platelet aggregation. Nafamostat mesilate may suppress the blood-foreign surface reaction similar to biocompatible materials by blocking factor XIIa. Methods. We performed an in vitro study of cardiopulmonary bypass (CPB) with fresh human blood among the following three groups: standard CPB sets (C), biocompatible CPB sets (B), and standard CPB sets with FUT-175 (10 mg/L) (F). A clinical study using these same CPB groups also was performed in 45 patients undergoing aortocoronary bypass operations (15 patients each). We injected FUT-175 at 40 mg/h during CPB. Results. In the in vitro study, both groups B and F showed significantly lower levels of coagulation factors, thrombin-antithrombin III complex, fibrinopeptide A, β-thromboglobulin, complement C3a, granulocyte elastase, and free hemoglobin than group C at the conclusion of the study. Thrombin-antithrombin III complex and free hemoglobin in group F also were lower than in group B. The platelet count remained at a higher level in group F than in the other groups. Separation of bradykinin was suppressed most significantly in group F. In the clinical study, group F also showed significantly lower levels of α2-plasmin inhibitor plasmin complex and C3a than both groups C and B. There were minimal levels of free hemoglobin in group F. Conclusions. Nafamostat mesilate may contribute major beneficial effects toward conservation of blood during CPB and prevention of coagulopathy after CPB.
AD  - Division of Cardiac Surgery, Owari Prefectural Hospital, Nagoya Univ., School of Medicine, Aichi, Japan
2-903 Umegaoka, Tenpaku-ku, Nagoya 468, Japan
AU  - Usui, A.
AU  - Hiroura, M.
AU  - Kawamura, M.
AU  - Hibi, M.
AU  - Yoshida, K.
AU  - Murakami, F.
AU  - Tomita, Y.
AU  - Ooshima, H.
AU  - Murase, M.
DB  - Scopus
DO  - 10.1016/0003-4975(96)00634-0
IS  - 5
M3  - Article
N1  - Cited By :11
Export Date: 10 November 2020
PY  - 1996
SP  - 1404-1411
ST  - Nafamostat mesilate reduces blood-foreign surface reactions similar to biocompatible materials
T2  - Annals of Thoracic Surgery
TI  - Nafamostat mesilate reduces blood-foreign surface reactions similar to biocompatible materials
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0030296360&doi=10.1016%2f0003-4975%2896%2900634-0&partnerID=40&md5=3735b358e80490bf2764fcc3845b6150
VL  - 62
ID  - 1721
ER  - 

TY  - JOUR
AB  - Objective: It has been reported previously that granulomas can occur around nonabsorbable sutures, but that granuloma formation around the staple line is very rare. However, the increased use of thoracoscopic surgery is creating more opportunities to use automatic mechanical suturing equipment for pulmonary surgery, and it is expected that the incidence of granuloma around the staple line will increase. Methods: We retrospectively investigated the clinical records of 6 patients who developed nontuberculous mycobacterial granuloma on the staple line after pulmonary resection. We investigated their clinical characteristics and compared them with data in 16 cases of cancer recurrence. Results: Fluorodeoxyglucose uptake was detected in all 6 patients. Laboratory data including white blood cell counts and C-reactive protein levels were within normal ranges in all patients. There was no evident tendency in terms of age, sex, maximal standardized uptake value, or radiological findings. However, compared to cancer recurrence, mycobacterial granuloma around the staple line appeared after a longer period of time, and the proportion of patients who had a segmentectomy as the initial surgery was significantly higher. Conclusion: When growing shadows are observed near the staple line, it is difficult to differentiate between cancer recurrence and nontuberculous mycobacterial granuloma from computed tomography and laboratory findings. However, if a mass shadow around the staple line appears 2, 3, or more years after segmentectomy, it could be considered likely to be a granuloma. “Post-segmentectomy” and “late occurrence” are important attributes for distinguishing staple line granuloma from cancer recurrence. © The Author(s) 2018.
AD  - Department of Thoracic Surgery, National Hospital Organization Himeji Medical Center, Himeji-City, Hyogo, Japan
AU  - Matsuoka, K.
AU  - Ueda, M.
AU  - Miyamoto, Y.
DB  - Scopus
DO  - 10.1177/0218492318798228
IS  - 7
KW  - foreign-body
Granuloma
Lung neoplasms
Mycobacterium
Pneumonectomy
Surgical staplers
Thoracic surgery
video-assisted
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2018
SP  - 540-545
ST  - Mycobacterial granuloma on the staple line after pulmonary resection
T2  - Asian Cardiovascular and Thoracic Annals
TI  - Mycobacterial granuloma on the staple line after pulmonary resection
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85053864681&doi=10.1177%2f0218492318798228&partnerID=40&md5=50c718d9a479d86c7411bb30ff89cf89
VL  - 26
ID  - 1063
ER  - 

TY  - JOUR
AB  - Introduction: the use of a perioperative nursing chart in a Head and Neck Surgery, prepared by a group of nurse coordinators, aims to reduce risks and optimize the clinical care process. Objective: The introduction of the surgical nursing chart aims to verify the completeness of the patient's data collected on the clinical episode and to assess the health care providers' level of satisfaction in using this tool. Methods: the chart has been used for 700 patients admitted for surgery in the period from 2st February 2011 and 30th March 2011. The analysis of the filled charts allowed to draw up reports and point out elements concerning the filling of the charts. Nursing staff opinions on the new tool were collected through a questionnaire (customer satisfaction). Results: the 700 charts analysed are relevant to operations performed in a quarter. The first section of the sheet was used to highlight the completeness rate of the anamnesis data on the total number of charts filled and analysed (77%) and the completeness rate of data collection on specific target of patients versus the total number of patients to specific target (83%). In the third section the average time spent on the surgical gauze count was assessed and compared with the overall operative time (17%) and in the fourth section, the nursing activities requiring the highest level of commitment were identified and rated on the overall activities: 39%. The anonymous satisfaction survey resulted into 153 YES and 18 NO and in 1 unfilled questionnaire. Discussion: the monitoring of the chart use, as a result of a local and departmental research, is designed to understand and predict all conditions and behaviors being consequent and therefore related to the recording and reporting process applied by the health team. Conclusions: the results of the 2011 monitoring was satisfactory, although it highlighted areas of improvements in the filling phase and in some key note.
Introduzione: l’utilizzo della scheda peri-operatoria nel Dipartimento Testa-Collo, elaborata da un gruppo di coordinatori, ha l’intento di ridurrei rischi clinici e ottimizzare il processo assistenziale.Obiettivo: l’inserimentodella scheda peri-operatoria ha lo scopo di verificare la completezza della raccolta dati del paziente concernente l’episodioclinico, valutando nel contempo il grado di soddisfacimento del personale d’assistenza nell’utilizzo di questo strumento.Metodo: la scheda è stata utilizzata in 700 pazienti ricoverati per interventi chirurgici nel periodo dal 01-02-2011 al 30-03-2011. L’analisi delleschede compilate ha permesso di stilare dei report e individuare dati relativi alla compilazione delle schede. Il gradimento della scheda è statotestato con un questionario somministrato al personale infermieristico (customer satisfaction).Risultati: le 700 schede peri-operatorie analizzate riguardano gli interventi eseguiti in un trimestre. Nella prima sezione della scheda è stata valutatala completezza della raccolta anamnestica rispetto al numero di schede compilate e analizzate (77%) e la completezza della raccolta deidati su specifici target di pazienti rispetto il totale di pazienti di specifico target (83%). Nella terza sezione è stato valutato il tmedio per contagarze sul totale tempo operatorio (%)e nella quarta sezione le attività soggette ad osservazione infermieristica con maggior impegno professionaletotale di attività censite in schede (39%). Il questionario anonimo sul grado di soddisfazione dell’utilizzo delle schede ha raccolto 153 SI e 18NO, con una scheda inevasa.Discussione: il monitoraggio della scheda, frutto di una ricerca locale e dipartimentale, ha la funzione di capire o prevedere alcune condizionio comportamenti dovuti ad un passaggio di consegna tra operatori.Conclusioni: il risultato del monitoraggio 2011 è stato soddisfacente, ottimizzabile per il prosieguo, con migliorie compilative e la correzione dialcune note.
AN  - 87472050. Language: English. Entry Date: 20130509. Revision Date: 20130525. Publication Type: Article
DB  - ccm
DP  - EBSCOhost
IS  - 1
KW  - Charting
Perioperative Nursing
Nursing Records -- Utilization
Human
Inpatients
Academic Medical Centers
Italy
Patient Satisfaction
Surgery, Otorhinolaryngologic
Surgical Count Procedure
Surveys
Questionnaires
N1  - forms; research; tables/charts. Journal Subset: Continental Europe; Europe; Nursing; Peer Reviewed. Special Interest: Perioperative Care.
PY  - 2013
SN  - 1592-5951
SP  - 29-35
ST  - Monitoraggio utilizzo scheda peri-operatoria infermieristica Azienda Ospedaliero-Universitaria di Parma
T2  - SCENARIO: Official Italian Journal of ANIARTI
TI  - Monitoraggio utilizzo scheda peri-operatoria infermieristica Azienda Ospedaliero-Universitaria di Parma
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=87472050&site=ehost-live&scope=site
VL  - 30
ID  - 742
ER  - 

TY  - JOUR
AB  - A 30-year-old patient went to the emergency department because of a chemical burn to the left eye more than 10 days ago by toilet cleanser. Surprisingly, a small piece of glass was found in the inferior anterior chamber in the same eye. The visual acuity was counting fingers. There was conjunctival congestion, corneal oedema and Descemet's membrane striae. And there was also a corneal leukoma around 4 to 5 o'clock. Through repeated questioning he recalled that he was injured by an exploded light bulb around 21 years ago. He was asymptomatic until he saw “something moving” in front of the left eye one month ago. Computed tomography (CT) scanning, ultrasonography, ultrasound biomicroscopy (UBM), anterior segment optical coherence tomography (AS-OCT) verified the presence of multiple intraocular foreign bodies (IOFBs) in the anterior chamber and vitreous cavity. B-scan verified the IOFB in the vitreous cavity. Thus, he was diagnosed with corneal chemical burn, IOFBs and corneal leukoma of the left eye. The IOFB in the anterior chamber was removed through surgery. An attempt was made to remove the IOFB in the vitreous cavity with electromagnet, but it was not successful. Vitrectomy could not be performed as it was hindered by the opacity of cornea. After surgery, the visual acuity remained counting fingers and the corneal oedema still existed. This case is a reminder that a detailed history taking, a thorough physical examination and modern imaging techniques are beneficial for establishing the diagnosis and treatment of IOFBs. © 2017 British Contact Lens Association
AD  - Department of Ophthalmology, West China Hospital of Sichuan University, 37 Guoxue Xiang, Chengdu, Sichuan 610041, China
Department of Optometry and Visual Science, West China Hospital of Sichuan University, 37 Guoxue Xiang, Chengdu, Sichuan 610041, China
AU  - Yang, X.
AU  - Liu, C.
AU  - Liu, L.
AU  - Zhang, L.
DB  - Scopus
DO  - 10.1016/j.clae.2017.08.002
IS  - 6
KW  - Asymptomatic
Glass
Intraocular foreign body
Ocular trauma
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2017
SP  - 432-435
ST  - A missed diagnosis of multiple intraocular foreign bodies for 21 years
T2  - Contact Lens and Anterior Eye
TI  - A missed diagnosis of multiple intraocular foreign bodies for 21 years
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85028319557&doi=10.1016%2fj.clae.2017.08.002&partnerID=40&md5=e3f122825c1d98e0c2364c3574dd5198
VL  - 40
ID  - 1111
ER  - 

TY  - JOUR
AB  - A 30-year-old patient went to the emergency department because of a chemical burn to the left eye more than 10 days ago by toilet cleanser. Surprisingly, a small piece of glass was found in the inferior anterior chamber in the same eye. The visual acuity was counting fingers. There was conjunctival congestion, corneal oedema and Descemet's membrane striae. And there was also a corneal leukoma around 4 to 5 o'clock. Through repeated questioning he recalled that he was injured by an exploded light bulb around 21 years ago. He was asymptomatic until he saw "something moving" in front of the left eye one month ago. Computed tomography (CT) scanning, ultrasonography, ultrasound biomicroscopy (UBM), anterior segment optical coherence tomography (AS-OCT) verified the presence of multiple intraocular foreign bodies (IOFBs) in the anterior chamber and vitreous cavity. B-scan verified the IOFB in the vitreous cavity. Thus, he was diagnosed with corneal chemical burn, IOFBs and corneal leukoma of the left eye. The IOFB in the anterior chamber was removed through surgery. An attempt was made to remove the IOFB in the vitreous cavity with electromagnet, but it was not successful. Vitrectomy could not be performed as it was hindered by the opacity of cornea. After surgery, the visual acuity remained counting fingers and the corneal oedema still existed. This case is a reminder that a detailed history taking, a thorough physical examination and modern imaging techniques are beneficial for establishing the diagnosis and treatment of IOFBs.
AD  - Department of Ophthalmology, West China Hospital of Sichuan University, 37 Guoxue Xiang, Chengdu, Sichuan, 610041, PR China
Department of Optometry and Visual Science, West China Hospital of Sichuan University, 37 Guoxue Xiang, Chengdu, Sichuan, 610041, PR China
AN  - 126211052. Language: English. Entry Date: 20180720. Revision Date: 20190411. Publication Type: journal article
AU  - Yang, Xubo
AU  - Liu, Chunling
AU  - Liu, Longqian
AU  - Zhang, Lanlan
DB  - ccm
DO  - 10.1016/j.clae.2017.08.002
DP  - EBSCOhost
IS  - 6
KW  - Diagnostic Errors
Eye Foreign Bodies -- Diagnosis
Cornea
Visual Acuity
Time Factors
Adult
Anterior Chamber -- Injuries
Tomography, X-Ray Computed
Eye Injuries
Male
Eye Foreign Bodies -- Etiology
Eye Foreign Bodies -- Physiopathology
Diagnosis, Differential
Anterior Chamber
Tomography, Optical Coherence
N1  - case study. Journal Subset: Biomedical; Europe; UK & Ireland. NLM UID: 9712714.
PMID: NLM28844655.
PY  - 2017
SN  - 1367-0484
SP  - 432-435
ST  - A missed diagnosis of multiple intraocular foreign bodies for 21 years
T2  - Contact Lens & Anterior Eye
TI  - A missed diagnosis of multiple intraocular foreign bodies for 21 years
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126211052&site=ehost-live&scope=site
VL  - 40
ID  - 725
ER  - 

TY  - JOUR
AB  - A 30-year-old patient went to the emergency department because of a chemical burn to the left eye more than 10 days ago by toilet cleanser. Surprisingly, a small piece of glass was found in the inferior anterior chamber in the same eye. The visual acuity was counting fingers. There was conjunctival congestion, corneal oedema and Descemet's membrane striae. And there was also a corneal leukoma around 4 to 5 o'clock. Through repeated questioning he recalled that he was injured by an exploded light bulb around 21 years ago. He was asymptomatic until he saw “something moving” in front of the left eye one month ago. Computed tomography (CT) scanning, ultrasonography, ultrasound biomicroscopy (UBM), anterior segment optical coherence tomography (AS-OCT) verified the presence of multiple intraocular foreign bodies (IOFBs) in the anterior chamber and vitreous cavity. B-scan verified the IOFB in the vitreous cavity. Thus, he was diagnosed with corneal chemical burn, IOFBs and corneal leukoma of the left eye. The IOFB in the anterior chamber was removed through surgery. An attempt was made to remove the IOFB in the vitreous cavity with electromagnet, but it was not successful. Vitrectomy could not be performed as it was hindered by the opacity of cornea. After surgery, the visual acuity remained counting fingers and the corneal oedema still existed. This case is a reminder that a detailed history taking, a thorough physical examination and modern imaging techniques are beneficial for establishing the diagnosis and treatment of IOFBs.
AD  - C. Liu, Department of Ophthalmology, West China Hospital of Sichuan University, 37 Guoxue Xiang, Chengdu, Sichuan, China
AU  - Yang, X.
AU  - Liu, C.
AU  - Liu, L.
AU  - Zhang, L.
DB  - Embase
Medline
DO  - 10.1016/j.clae.2017.08.002
IS  - 6
KW  - adult
article
B scan
biomicroscopy
case report
chemical burn
clinical article
clinical feature
computer assisted tomography
conjunctiva disease
conjunctival congestion
cornea disease
cornea edema
corneal leukoma
diagnostic error
disease duration
echography
human
intraocular foreign body
male
optical coherence tomography
priority journal
stria
visual acuity
LA  - English
M3  - Article
N1  - L618019433
2017-09-01
2017-11-30
PY  - 2017
SN  - 1476-5411
1367-0484
SP  - 432-435
ST  - A missed diagnosis of multiple intraocular foreign bodies for 21 years
T2  - Contact Lens and Anterior Eye
TI  - A missed diagnosis of multiple intraocular foreign bodies for 21 years
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L618019433&from=export
http://dx.doi.org/10.1016/j.clae.2017.08.002
VL  - 40
ID  - 360
ER  - 

TY  - JOUR
AB  - Background: An estimated 1,500 operations result in retained surgical items (RSIs) each year in the United States, resulting in substantial morbidity. The rarity of these events makes studying them difficult, but miscount incidents may provide a window into understanding risk factors for RSIs. Methods: A cohort study of all consecutive operative cases during a 12-month period was conducted at a large academic medical center to identify risk factors for surgical miscounts. A multidisciplinary electronic miscount reconciliation checklist (necessitating both surgeon and nurse input) was introduced into the internally developed electronic Perioperative Information Management System to build a predictive model for RSI cases. Results: Among 23,955 operations, 84 resulted in miscount incidents (0.35% [95% confidence interval: 0.28% to 0.43%]). Increased case duration was strongly associated with increased risk of a miscount in unadjusted analyses (p <.0001). In the nested case-control analysis, both the case duration and the number of providers present were independently associated with a more than doubling of the odds of a miscount, even after adjustment for one another, the elective/urgent/emergent status of a case, and personnel changes occurring during the case. Conclusions: The finding that both the length of the case and the number of providers involved in the case were independent risk factors for miscount incidents may offer insight into risk-targeted strategies to prevent RSIs, such as postoperative imaging, bar-coded surgical items, and radiofrequency technology. Miscounts trigger use of the Incorrect Count Safety Checklist, which can be used to determine whether a count completed at the procedure's conclusion is consistent across disciplines (circulating nurses, scrub persons, surgeons).
AD  - Weill Cornell Medical College, New York City, United States
Harvard Medical School, United States
Center for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, United States
Clinical Quality, University of Chicago Medicine, United States
Pritzker School of Medicine, University of Chicago, United States
Nurse Specialist, Beth Israel Deaconess Medical Center, United States
Perioperative Services, Beth Israel Deaconess Medical Center, United States
Beth Israel Deaconess Medical Center, United States
AU  - Judson, T. J.
AU  - Howell, M. D.
AU  - Guglielmi, C.
AU  - Canacari, E.
AU  - Sands, K.
DB  - Scopus
DO  - 10.1016/s1553-7250(13)39060-6
IS  - 10
M3  - Article
N1  - Cited By :7
Export Date: 10 November 2020
PY  - 2013
SP  - 468-474
ST  - Miscount incidents: A novel approach to exploring risk factors for unintentionally retained surgical items
T2  - Joint Commission Journal on Quality and Patient Safety
TI  - Miscount incidents: A novel approach to exploring risk factors for unintentionally retained surgical items
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84884782525&doi=10.1016%2fs1553-7250%2813%2939060-6&partnerID=40&md5=ee4594deac6d6c6acc38c05c51e08f40
VL  - 39
ID  - 1334
ER  - 

TY  - JOUR
AD  - Medical Student, Weill Cornell Medical College, New York City
Director, Center for Healthcare Delivery Science, Beth Israel Deaconess Medical Center, Boston
Associate Chief Medical Officer for Clinical Quality, University of Chicago Medicine
Associate Professor of Medicine, Pritzker School of Medicine, University of Chicago
Perioperative Nurse Specialist, Beth Israel Deaconess Medical Center
Associate Chief Nurse, Perioperative Services, Beth Israel Deaconess Medical Center
Senior Vice President and Chief Quality Officer, Beth Israel Deaconess Medical Center
AN  - 121218594. Language: English. Entry Date: 20170214. Revision Date: 20200123. Publication Type: Article
AU  - Judson, Timothy J.
AU  - Howell, Michael D.
AU  - Guglielmi, Charlotte
AU  - Canacari, Elena
AU  - Sands, Kenneth
DB  - ccm
DO  - 10.1016/s1553-7250(13)39060-6
DP  - EBSCOhost
IS  - 10
KW  - Retained Instruments -- Risk Factors
Health Care Errors -- Risk Factors
Health Care Errors -- Prevention and Control
Human
Academic Medical Centers
Checklists
Descriptive Statistics
Confidence Intervals
P-Value
Case Control Studies
Time Factors
Health Personnel
Massachusetts
Operating Room Personnel
Databases
Fisher's Exact Test
Wilcoxon Rank Sum Test
Multiple Logistic Regression
Spearman's Rank Correlation Coefficient
Middle Age
Aged
Odds Ratio
N1  - forms; research; tables/charts. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; USA. Instrumentation: Incorrect Count Safety Checklist. NLM UID: 101238023.
PY  - 2013
SN  - 1553-7250
SP  - 468-474
ST  - Miscount Incidents: A Novel Approach to Exploring Risk Factors for Unintentionally Retained Surgical Items
T2  - Joint Commission Journal on Quality & Patient Safety
TI  - Miscount Incidents: A Novel Approach to Exploring Risk Factors for Unintentionally Retained Surgical Items
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121218594&site=ehost-live&scope=site
VL  - 39
ID  - 818
ER  - 

TY  - JOUR
AB  - BACKGROUND: An estimated 1,500 operations result in retained surgical items (RSIs) each year in the United States, resulting in substantial morbidity. The rarity of these events makes studying them difficult, but miscount incidents may provide a window into understanding risk factors for RSIs. METHODS: A cohort study of all consecutive operative cases during a 12-month period was conducted at a large academic medical center to identify risk factors for surgical miscounts. A multidisciplinary electronic miscount reconciliation checklist (necessitating both surgeon and nurse input) was introduced into the internally developed electronic Perioperative Information Management System to build a predictive model for RSI cases. RESULTS: Among 23,955 operations, 84 resulted in miscount incidents (0.35% [95% confidence interval: 0.28% to 0.43%]). Increased case duration was strongly associated with increased risk of a miscount in unadjusted analyses (p < .0001). In the nested case-control analysis, both the case duration and the number of providers present were independently associated with a more than doubling of the odds of a miscount, even after adjustment for one another, the elective/urgent/emergent status of a case, and personnel changes occurring during the case. CONCLUSIONS: The finding that both the length of the case and the number of providers involved in the case were independent risk factors for miscount incidents may offer insight into risk-targeted strategies to prevent RSIs, such as postoperative imaging, bar-coded surgical items, and radiofrequency technology. Miscounts trigger use of the Incorrect Count Safety Checklist, which can be used to determine whether a count completed at the procedure's conclusion is consistent across disciplines (circulating nurses, scrub persons, surgeons).
AU  - Judson, T. J.
AU  - Howell, M. D.
AU  - Guglielmi, C.
AU  - Canacari, E.
AU  - Sands, K.
DB  - Medline
IS  - 10
KW  - age
classification
cohort analysis
foreign body
health care quality
hospital personnel
human
risk factor
statistics and numerical data
surgery
time
United States
university hospital
LA  - English
M3  - Article
N1  - L604541411
2015-06-02
PY  - 2013
SN  - 1553-7250
SP  - 468-474
ST  - Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items
T2  - Joint Commission journal on quality and patient safety / Joint Commission Resources
TI  - Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L604541411&from=export
VL  - 39
ID  - 471
ER  - 

TY  - JOUR
AB  - An estimated 1,500 operations result in retained surgical items (RSIs) each year in the United States, resulting in substantial morbidity. The rarity of these events makes studying them difficult, but miscount incidents may provide a window into understanding risk factors for RSIs. A cohort study of all consecutive operative cases during a 12-month period was conducted at a large academic medical center to identify risk factors for surgical miscounts. A multidisciplinary electronic miscount reconciliation checklist (necessitating both surgeon and nurse input) was introduced into the internally developed electronic Perioperative Information Management System to build a predictive model for RSI cases. Among 23,955 operations, 84 resulted in miscount incidents (0.35% [95% confidence interval: 0.28% to 0.43%]). Increased case duration was strongly associated with increased risk of a miscount in unadjusted analyses (p < .0001). In the nested case-control analysis, both the case duration and the number of providers present were independently associated with a more than doubling of the odds of a miscount, even after adjustment for one another, the elective/urgent/emergent status of a case, and personnel changes occurring during the case. The finding that both the length of the case and the number of providers involved in the case were independent risk factors for miscount incidents may offer insight into risk-targeted strategies to prevent RSIs, such as postoperative imaging, bar-coded surgical items, and radiofrequency technology. Miscounts trigger use of the Incorrect Count Safety Checklist, which can be used to determine whether a count completed at the procedure's conclusion is consistent across disciplines (circulating nurses, scrub persons, surgeons).
AD  - T.J. Judson, Weill Cornell Medical College, New York City, NY, USA.
AU  - Judson, T. J.
AU  - Howell, M. D.
AU  - Guglielmi, C.
AU  - Canacari, E.
AU  - Sands, K.
DB  - Medline
IS  - 10
KW  - age
article
classification
cohort analysis
foreign body
health care quality
hospital personnel
human
risk factor
statistics
surgery
time
United States
university hospital
LA  - English
M3  - Article
N1  - L563005921
2014-01-13
PY  - 2013
SN  - 1553-7250
SP  - 468-474
ST  - Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items
T2  - Joint Commission journal on quality and patient safety / Joint Commission Resources
TI  - Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L563005921&from=export
VL  - 39
ID  - 470
ER  - 

TY  - JOUR
AB  - Three cemented femoral components from total hip arthroplasties retrieved at autopsy were examined in regard to the migration of birefringent polyethylene particles across the fixation interfaces. They were obtained from two patients who died from unrelated causes. They had been in place, respectively, for 8 and 9 years (first patient) and for 9 years (second patient). Osteolysis was present in the acetabular side only. The femoral components were not loosened. Histologic sections were performed at four levels of the femoral components, and polyethylene particles were counted with the use of a semiautomatic image analyzer. Sections below the tip of the stem were treated by deorganification and the lysate was centrifuged in the attempt to isolate wear debris. Particles were found at both interfaces (bone-cement and metal-cement) and in the cancellous bone between the trabeculae. They were also present in the Haversian canals of the cortical bone. Particles of various sizes were found in the medullary canal beneath the tip of the stem. In scanning electron microscopy, they appeared to have irregular shapes. Wear debris can migrate across the cement-bone interface of nonloosened implants. They appear to progress through the porosity of the cancellous bone. © 2004 Wiley Periodicals, Inc.
AD  - Department of Orthopaedic Surgery, Angers University Hospital, 4 rue Larrey, 49033 Angers Cedex 01, France
INSERM EMI 0335, Faculté de Médecine, 1 Rue de Haute-Reculée, 49045 Angers, France
Inst. Rech. les Biomat. et les Biot., Université du Littoral, Côte d'Opale, 52 rue du Docteur Calot, 62608 Berck S/Mer Cedex, France
AU  - Massin, P.
AU  - Chappard, D.
AU  - Flautre, B.
AU  - Hardouin, P.
DB  - Scopus
DO  - 10.1002/jbm.b.30001
IS  - 2
KW  - Foreign body response
Hip replacement prosthesis
Osteolysis
Polyethylene
Wear debris
M3  - Article
N1  - Cited By :17
Export Date: 10 November 2020
PY  - 2004
SP  - 205-215
ST  - Migration of Polyethylene Particles Around Nonloosened Cemented Femoral Components from a Total Hip Arthroplasty - An Autopsy Study
T2  - Journal of Biomedical Materials Research - Part B Applied Biomaterials
TI  - Migration of Polyethylene Particles Around Nonloosened Cemented Femoral Components from a Total Hip Arthroplasty - An Autopsy Study
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-2442495049&doi=10.1002%2fjbm.b.30001&partnerID=40&md5=53fce0be23a74ce8f5ff3b43d31a70ab
VL  - 69
ID  - 1629
ER  - 

TY  - JOUR
AB  - OBJECTIVE: Preventing retained foreign bodies is critical for patient safety. However, the value of counting surgical instruments and the reliability of the information provided have never been quantified. This study examines the diagnostic characteristics of counting and its impact on surgical costs. METHODS: We examined data from the Medical Event Reporting System-Total HealthSystem (MERS-TH), administrative hospital, and the New York State Cardiac Surgery Report databases (2000-2004). The cost per count discrepancy was examined by studying a cohort of patients undergoing coronary artery bypass graft (CABG) surgery. Linear and logistic multivariable regression models were used for statistical analysis. RESULTS: Of 153,263 operations, there were 1062 count discrepancies. The rate of retained items was 1 of 7000 surgeries or 1 of 70 discrepancy cases. Final count discrepancies identified 77% and prevented 54% of retained items. The sensitivity of counting was 77.2%, specificity was 99.2%, but the positive predictive value was only 1.6%. Count discrepancies increased with surgery duration, late time procedures, and number of nursing teams. Bypass time, intravenous nitroglycerin injections, or myocardial infarction in the previous 24 hours were independent predictors of count discrepancies in CABG surgery. The incremental OR cost for CABG because of a count discrepancy was $932. Nationally, this would amount to an additional $24 million/yr in OR CABG cost. CONCLUSIONS: This study, for the first time, quantifies the diagnostic accuracy of counting and defines the parameters against which alternative strategies of prevention should be measured, before being adopted in standard practice. © 2008 Lippincott Williams & Wilkins, Inc.
AD  - InCHOIR-International Center for Health Outcomes and Innovation Research, Columbia University, New York, NY, United States
Department of Surgery, Columbia University, New York, NY, United States
Department of Pathology, Columbia University, New York, NY, United States
New York Presbyterian Hospital, New York, NY, United States
International Center for Health Outcomes and Innovation Research, Columbia University, 600 W 168th Street, New York, NY 10032, United States
AU  - Egorova, N. N.
AU  - Moskowitz, A.
AU  - Gelijns, A.
AU  - Weinberg, A.
AU  - Curty, J.
AU  - Rabin-Fastman, B.
AU  - Kaplan, H.
AU  - Cooper, M.
AU  - Fowler, D.
AU  - Emond, J. C.
AU  - Greco, G.
DB  - Scopus
DO  - 10.1097/SLA.0b013e3180f633be
IS  - 1
M3  - Article
N1  - Cited By :107
Export Date: 10 November 2020
PY  - 2008
SP  - 13-18
ST  - Managing the prevention of retained surgical instruments: What is the value of counting?
T2  - Annals of Surgery
TI  - Managing the prevention of retained surgical instruments: What is the value of counting?
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-37549030914&doi=10.1097%2fSLA.0b013e3180f633be&partnerID=40&md5=81f09a855abb1ece305f3bdfa600a4c9
VL  - 247
ID  - 1538
ER  - 

TY  - JOUR
AB  - OBJECTIVE: Preventing retained foreign bodies is critical for patient safety. However, the value of counting surgical instruments and the reliability of the information provided have never been quantified. This study examines the diagnostic characteristics of counting and its impact on surgical costs. METHODS: We examined data from the Medical Event Reporting System-Total HealthSystem (MERS-TH), administrative hospital, and the New York State Cardiac Surgery Report databases (2000-2004). The cost per count discrepancy was examined by studying a cohort of patients undergoing coronary artery bypass graft (CABG) surgery. Linear and logistic multivariable regression models were used for statistical analysis. RESULTS: Of 153,263 operations, there were 1062 count discrepancies. The rate of retained items was 1 of 7000 surgeries or 1 of 70 discrepancy cases. Final count discrepancies identified 77% and prevented 54% of retained items. The sensitivity of counting was 77.2%, specificity was 99.2%, but the positive predictive value was only 1.6%. Count discrepancies increased with surgery duration, late time procedures, and number of nursing teams. Bypass time, intravenous nitroglycerin injections, or myocardial infarction in the previous 24 hours were independent predictors of count discrepancies in CABG surgery. The incremental OR cost for CABG because of a count discrepancy was $932. Nationally, this would amount to an additional $24 million/yr in OR CABG cost. CONCLUSIONS: This study, for the first time, quantifies the diagnostic accuracy of counting and defines the parameters against which alternative strategies of prevention should be measured, before being adopted in standard practice. © 2008 Lippincott Williams & Wilkins, Inc.
AD  - N.N. Egorova, International Center for Health Outcomes and Innovation Research, Columbia University, 600 W 168th Street, New York, NY 10032, United States
AU  - Egorova, N. N.
AU  - Moskowitz, A.
AU  - Gelijns, A.
AU  - Weinberg, A.
AU  - Curty, J.
AU  - Rabin-Fastman, B.
AU  - Kaplan, H.
AU  - Cooper, M.
AU  - Fowler, D.
AU  - Emond, J. C.
AU  - Greco, G.
DB  - Embase
Medline
DO  - 10.1097/SLA.0b013e3180f633be
IS  - 1
KW  - article
coronary artery bypass graft
foreign body
health care cost
heart infarction
human
linear regression analysis
logistic regression analysis
operation duration
patient safety
priority journal
sensitivity and specificity
surgical equipment
LA  - English
M3  - Article
N1  - L351011961
2008-01-31
PY  - 2008
SN  - 0003-4932
SP  - 13-18
ST  - Managing the prevention of retained surgical instruments: What is the value of counting?
T2  - Annals of Surgery
TI  - Managing the prevention of retained surgical instruments: What is the value of counting?
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L351011961&from=export
http://dx.doi.org/10.1097/SLA.0b013e3180f633be
VL  - 247
ID  - 606
ER  - 

TY  - JOUR
AB  - Traumatic wounds are always contaminated by bacteria, soil, and other foreign bodies. There is a delicate balance between the deleterious effects of the contaminants and the resistance of the host wound to infection. Successful management of the contaminated wound must include cleansing techniques that remove these contaminants while inflicting minimal injury to the tissue. The number of residual bacteria in the wound after cleansing is a critical determinant of infection. Most traumatic wounds containing &gt;10 5 bacteria/g tissue are very likely to develop infection. When the bacterial count of a wound is below this level, and after soil and devitalized tissue are removed, wound healing without infection is consistently noted in healthy patients. Fortunately, most soft tissue wounds contain &lt;10 5 organisms/g tissue. Those exhibiting high levels of bacterial inoculum must be subjected to treatments that reduce the bacterial count, remove all nonvital tissue, and prevent the development of infection.
AD  - Dept. Plast. Surg., Univ. Virginia, Charlottesville, Va., United States
AU  - Edlich, R. F.
AU  - Rodeheaver, G. T.
AU  - Stevenson, T. R.
AU  - Magee, C. M.
AU  - Thacker, J. G.
AU  - Edgerton, M. T.
DB  - Scopus
IS  - 1
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 1977
SP  - 67-74
ST  - Management of the contaminated wound
T2  - COMPR.THER.
TI  - Management of the contaminated wound
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0017577090&partnerID=40&md5=3310a7f4a710c9a753395bb9bf96f2bd
VL  - 3
ID  - 1767
ER  - 

TY  - JOUR
AB  - The fate of a surgical wound is held in a delicate balance between the host's resistance to infection and the causal factors of infection. Considerable insight into this relationship between the host and pathogen can be gained from the results of quantitative bacteriologic measurements. Newer rapid slide techniques have been developed which provide the surgeon with this information within 20 minutes. In most soft tissue injuries, the wound bacterial count gives an accurate prediction of subsequent infection. Wounds combining greater than 10(5) bacteria per gram of tissue are destined to develop infection. When the bacterial count is below that level, the wounds will usually heal per primam without infection. This large number of bacteria required to elicit infection reflects the remarkable ability of soft tissues to resist infection. This state of high resistance to infection can be reduced by several factors which include circulatory embarrassment, tissue injury, dead space, and the presence of foreign bodies (dirt, sutures, drains, etc.). When treating soft tissue injuries, the surgeon must employ specific therapeutic modalities that allow the wound to heal per primam without infection. On the basis of experimental studies supported by clinical experience, the following treatment protocol for soft tissue injuries is recommended. Using strict aseptic technique, the wound must be first anesthetized with 1 per cent Xylocaine to permit painless sound cleansing. All wounds should be subjected to high pressure syringe irrigation to remove bacteria, foreign bodies, and blood clots. When necessary, debridement of all devitalized tissue should be performed with a stainless steel scalpel. Many wounds caused by sharp wounding agents contain no foreign bodies and few bacteria and exhibit considerable resistance to infection. In these wounds, primary closure can be initiated after irrigation without the development of infection. Wounds resulting from impact forces have a diminished resistance to infection and are susceptible to infection by low level of bacterial contamination. Immediate antibiotic treatment of patients with impact injuries subjected to meticulous debridement and cleansing will permit a safe primary closure. In wounds contacted by pus or feces, open wound management followed by delayed primary closure is usually indicated. Antimicrobial prophylaxis is also recommended for patients with such wounds. Ideal postoperative care of all traumatic wounds includes a surgical dressing and immobilization and elevation of the site of injury.
AU  - Edlich, R. F.
AU  - Rodeheaver, G. T.
AU  - Thacker, J. G.
AU  - Winn, H. R.
AU  - Edgerton, M. T.
DB  - Scopus
IS  - 2
M3  - Article
N1  - Cited By :10
Export Date: 10 November 2020
PY  - 1977
SP  - 191-198
ST  - Management of soft tissue injury
T2  - Clinics in Plastic Surgery
TI  - Management of soft tissue injury
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0017481787&partnerID=40&md5=cd34082eb2397cbcdd09fddaf2c472b1
VL  - 4
ID  - 1769
ER  - 

TY  - JOUR
AB  - The fate of a surgical wound is held in a delicate balance between the host's resistance to infection and the causal factors of infection. Considerable insight into this relationship between the host and pathogen can be gained from the results of quantitative bacteriologic measurements. Newer rapid slide techniques have been developed which provide the surgeon with this information within 20 minutes. In most soft tissue injuries, the wound bacterial count gives an accurate prediction of subsequent infection. Wounds combining greater than 10(5) bacteria per gram of tissue are destined to develop infection. When the bacterial count is below that level, the wounds will usually heal per primam without infection. This large number of bacteria required to elicit infection reflects the remarkable ability of soft tissues to resist infection. This state of high resistance to infection can be reduced by several factors which include circulatory embarrassment, tissue injury, dead space, and the presence of foreign bodies (dirt, sutures, drains, etc.). When treating soft tissue injuries, the surgeon must employ specific therapeutic modalities that allow the wound to heal per primam without infection. On the basis of experimental studies supported by clinical experience, the following treatment protocol for soft tissue injuries is recommended. Using strict aseptic technique, the wound must be first anesthetized with 1 per cent Xylocaine to permit painless sound cleansing. All wounds should be subjected to high pressure syringe irrigation to remove bacteria, foreign bodies, and blood clots. When necessary, debridement of all devitalized tissue should be performed with a stainless steel scalpel. Many wounds caused by sharp wounding agents contain no foreign bodies and few bacteria and exhibit considerable resistance to infection. In these wounds, primary closure can be initiated after irrigation without the development of infection. Wounds resulting from impact forces have a diminished resistance to infection and are susceptible to infection by low level of bacterial contamination. Immediate antibiotic treatment of patients with impact injuries subjected to meticulous debridement and cleansing will permit a safe primary closure. In wounds contacted by pus or feces, open wound management followed by delayed primary closure is usually indicated. Antimicrobial prophylaxis is also recommended for patients with such wounds. Ideal postoperative care of all traumatic wounds includes a surgical dressing and immobilization and elevation of the site of injury.
AD  - R.F. Edlich
AU  - Edlich, R. F.
AU  - Rodeheaver, G. T.
AU  - Thacker, J. G.
AU  - Winn, H. R.
AU  - Edgerton, M. T.
DB  - Medline
IS  - 2
KW  - article
debridement
human
injury
lavage
local anesthesia
postoperative care
suture
suture technique
wound infection
LA  - English
M3  - Article
N1  - L7513863
1977-06-21
PY  - 1977
SN  - 0094-1298
SP  - 191-198
ST  - Management of soft tissue injury
T2  - Clinics in plastic surgery
TI  - Management of soft tissue injury
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L7513863&from=export
VL  - 4
ID  - 685
ER  - 

TY  - JOUR
AB  - A 60-year-old lady with mild fever, blood tinged sputum, and a left upper lung mass had whole body F-18 2-deoxy-D-glucose (FDG) positron emission tomography (PET)-computer tomography (CT) for cancer staging. The PET-CT imaging revealed FDG accumulation in the left upper lung lesion. The histopathology of the left upper lobe lung resection showed a parasite tunnel with necrosis, parasite ova, and foreign body giant cells. After surgery, eosinophiles in the peripheral blood dropped from 20% of white cell counts before operation to 5.5% at 7 weeks postoperation. © 2009 by Lippincott Williams & Wilkins.
AD  - Department of Nuclear Medicine, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
Department of Chest Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan
Department of Chest Surgery, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
Department of Pathology, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
Department of Diagnostic Radiology, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan
Department of Nuclear Medicine, Chung Shan Medical University Hospital, 110, Jianguo North Rd, Taichung 40201, Taiwan
AU  - Kao, P. F.
AU  - Tsao, T. C. Y.
AU  - Kuo, K. T.
AU  - Yue, C. T.
AU  - Lim, K. R.
AU  - Chou, Y. H.
DB  - Scopus
DO  - 10.1097/RLU.0b013e31819a1f28
IS  - 4
KW  - F-18 2-deoxy-D-glucose
Granuloma
Lung cancer
Parasite ova
Solitary pulmonary nodule
M3  - Article
N1  - Cited By :8
Export Date: 10 November 2020
PY  - 2009
SP  - 243-244
ST  - Lung Parasite Ova Granuloma Mimicking Lung Malignancy on FDG PET-CT
T2  - Clinical Nuclear Medicine
TI  - Lung Parasite Ova Granuloma Mimicking Lung Malignancy on FDG PET-CT
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-67650585846&doi=10.1097%2fRLU.0b013e31819a1f28&partnerID=40&md5=aa981ce1548d09bc0c621116d5680c29
VL  - 34
ID  - 1496
ER  - 

TY  - JOUR
AB  - A 60-year-old lady with mild fever, blood tinged sputum, and a left upper lung mass had whole body F-18 2-deoxy-D-glucose (FDG) positron emission tomography (PET)-computer tomography (CT) for cancer staging. The PET-CT imaging revealed FDG accumulation in the left upper lung lesion. The histopathology of the left upper lobe lung resection showed a parasite tunnel with necrosis, parasite ova, and foreign body giant cells. After surgery, eosinophiles in the peripheral blood dropped from 20% of white cell counts before operation to 5.5% at 7 weeks postoperation. © 2009 by Lippincott Williams & Wilkins.
AD  - P.-F. Kao, Department of Nuclear Medicine, Chung Shan Medical University Hospital, 110, Jianguo North Rd, Taichung 40201, Taiwan
AU  - Kao, P. F.
AU  - Tsao, T. C. Y.
AU  - Kuo, K. T.
AU  - Yue, C. T.
AU  - Lim, K. R.
AU  - Chou, Y. H.
DB  - Embase
Medline
DO  - 10.1097/RLU.0b013e31819a1f28
IS  - 4
KW  - fluorodeoxyglucose f 18
adult
article
bronchoscopy
case report
computer assisted emission tomography
computer assisted tomography
disease severity
eosinophil
female
fever
foreign body
giant cell
hemoptysis
histopathology
human
leukocyte count
lung granuloma
lung resection
oocyte
Paragonimus
postoperative period
body weight loss
LA  - English
M3  - Article
N1  - L354928489
2009-08-20
PY  - 2009
SN  - 0363-9762
SP  - 243-244
ST  - Lung Parasite Ova Granuloma Mimicking Lung Malignancy on FDG PET-CT
T2  - Clinical Nuclear Medicine
TI  - Lung Parasite Ova Granuloma Mimicking Lung Malignancy on FDG PET-CT
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L354928489&from=export
http://dx.doi.org/10.1097/RLU.0b013e31819a1f28
VL  - 34
ID  - 583
ER  - 

TY  - JOUR
AB  - Background: Eosinophilic esophagitis (EoE) is the most common cause of dysphagia and esophageal food impaction (EFI) in the USA, Western Europe, and Australia. In Mexico, the uncomplicated form of this disease is infrequent, and prevalence in patients with EFI is unknown.Aims: To determine the prevalence and causes of EFI, endoscopic and therapeutic aspects, and establish the prevalence of biopsy-proven EoE in patients with EFI.Methods: Diagnostic upper gastrointestinal endoscopy reports from January 2011 to December 2016 were retrospectively reviewed. Patients with therapeutic procedures, gastrointestinal hemorrhage, or non-food foreign body impaction were excluded. The number of patients with EFI was determined. Additionally, patients with esophageal biopsy were retained for EoE prevalence calculation. The diagnosis of EoE was defined with the presence of eosinophil infiltration count ≥ 15/high-power field with or without typical endoscopic abnormalities.Results: A total of 4700 reports of the same number of patients were selected; 2209 were males (47%) with a mean age of 57.6 ± 12.3 years (range 14-93). We identified 36 patients with EFI (0.76, 95% CI 0.51-1.01), 16 males (44.4%) with a mean age of 54.9 ± 19.7 (range 22-92). Esophageal biopsies were obtained in 17/36 (47.2%) cases. The diagnosis of EoE was confirmed in 2 patients (11.7%). Peptic stenosis was the most frequent cause of EFI.Conclusions: EoE is an infrequent cause of EFI in the Mexican population (11.7%). EoE had the lowest prevalence compared to that reported in Caucasian populations. The prevalence of EFI was also low.
AD  - Gastroenterology Service and Department of Internal Medicine, University Hospital ``Dr. José E. González'' and Medical School, Universidad Autónoma de Nuevo León, Monterrey, Mexico
Gastroenterology Service and Department of Internal Medicine, University Hospital ``Dr. José E. González'' and Faculty of Medicine, Universidad Autónoma de Nuevo León, Madero y Gonzalitos S/N, Monterrey, NL, Mexico
AN  - 129628308. Language: English. Entry Date: 20180526. Revision Date: 20190715. Publication Type: journal article. Journal Subset: Biomedical
AU  - García-Compeán, Diego
AU  - González-González, José A.
AU  - Duran-Castro, José J.
AU  - Herrera-Quiñones, Gilberto
AU  - Borjas-Almaguer, Omar D.
AU  - Maldonado-Garza, Héctor J.
DB  - ccm
DO  - 10.1007/s10620-018-5037-0
DP  - EBSCOhost
IS  - 6
KW  - Deglutition Disorders -- Epidemiology
Esophagus -- Pathology
Deglutition
Eosinophilic Esophagitis -- Epidemiology
Prognosis
Eosinophilic Esophagitis -- Pathology
Predictive Value of Tests
Middle Age
Retrospective Design
Female
Adolescence
Biopsy
Mexico
Esophagoscopy
Risk Factors
Deglutition Disorders -- Pathology
Prevalence
Aged, 80 and Over
Male
Deglutition Disorders
Esophagus -- Physiopathology
Deglutition Disorders -- Physiopathology
Young Adult
Adult
Aged
Eosinophilic Esophagitis -- Therapy
Eosinophilic Esophagitis -- Physiopathology
Arthritis Impact Measurement Scales
N1  - Continental Europe; Europe. Instrumentation: Arthritis Impact Measurement Scale (AIMS) (Meenan). NLM UID: 7902782.
PMID: NLM29594977.
PY  - 2018
SN  - 0163-2116
SP  - 1506-1512
ST  - Low Prevalence of Biopsy-Proven Eosinophilic Esophagitis in Patients with Esophageal Food Impaction in Mexican Population
T2  - Digestive Diseases & Sciences
TI  - Low Prevalence of Biopsy-Proven Eosinophilic Esophagitis in Patients with Esophageal Food Impaction in Mexican Population
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129628308&site=ehost-live&scope=site
VL  - 63
ID  - 729
ER  - 

TY  - JOUR
AD  - Assistant Professors, Department of Plastic Reconstructive and Aesthetic Surgery, Gaziosmanpasa University, Faculty of Medicine, Tokat, Turkey
Assistant Professor, Sakarya University, Faculty of Medicine, Department of Biostatistics, Sakarya, Turkey
Associate Professor, Gazi Medical School, Department of Histology and Embryology, Ankara, Turkey
Professor and Head, Department of Plastic Reconstructive and Aesthetic Surgery, Gaziosmanpasa University
AN  - 95303652. Language: English. Entry Date: 20140404. Revision Date: 20170203. Publication Type: Article
AU  - Tuncel, Umut
AU  - Turan, Aydin
AU  - Markoc, Fatma
AU  - Erkorkmaz, Unal
AU  - Elmas, Cigdem
AU  - Kostakoglu, Naci
DB  - ccm
DP  - EBSCOhost
IS  - 3
KW  - Negative Pressure Wound Therapy
Bandages and Dressings
Surgical Count Procedure
Animal Studies
Melon
Turkey
Rabbits
Descriptive Research
Kruskal-Wallis Test
Analysis of Variance
Post Hoc Analysis
Mann-Whitney U Test
McNemar's Test
Data Analysis Software
N1  - pictorial; research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 8912029.
PY  - 2014
SN  - 0889-5899
SP  - 37-45
ST  - Loofah Sponge as an Interface Dressing Material in Negative Pressure Wound Therapy: Results of an In Vivo Study
T2  - Ostomy Wound Management
TI  - Loofah Sponge as an Interface Dressing Material in Negative Pressure Wound Therapy: Results of an In Vivo Study
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=95303652&site=ehost-live&scope=site
VL  - 60
ID  - 814
ER  - 

TY  - JOUR
AB  - Purpose: Synthetic prosthetic materials that are fully absorbable seek to reduce the host foreign body reaction and promote host tissue regeneration. This preclinical trial was designed to analyse, in the long term, the behaviour of two prosthetic meshes, one synthetic and one composed of porcine collagen, in abdominal wall reconstruction. Methods: Partial defects were created in the abdominal walls of New Zealand rabbits and repaired using a synthetic absorbable mesh (Phasix™) or a non-crosslinked collagen bioprosthesis (Protexa™). After 3, 6, 12 and 18 months, specimens were recovered for light microscopy and collagen expression analysis to examine new host tissue incorporation, macrophage response and biomechanical strength. Results: Both materials showed good host tissue incorporation in line with their spatial structure. At 18 months postimplant, Protexa™ was highly reabsorbed while the biodegradation of Phasix™ was still incomplete. Collagenization of both materials was good. Macrophage counts steadily decreased over time in response to Phasix™, yet persisted in the collagen meshes. At 18 months, zones of loose tissue were observed at the implant site in the absence of herniation in both implant types. The stress–stretch behaviour of Phasix™ implants decreased over time, being more pronounced during the period of 12–18 months. Nevertheless, the abdominal wall repaired with Protexa™ became stiffer over time. Conclusion: Eighteen months after the implant both materials showed good compatibility but the biodegradation of Phasix™ and Protexa™ was incomplete. No signs of hernia were observed at 18 months with the stress–stretch relations being similar for both implants, regardless of the more compliant abdominal wall repaired with Protexa™ at short term. © 2020, Springer-Verlag France SAS, part of Springer Nature.
AD  - Department of Medicine and Medical Specialties, Faculty of Medicine and Health Sciences, University of Alcalá. Ramón y Cajal Health Research Institute (IRYCIS), Madrid, Spain
Department of Surgery, Medical and Social Sciences, Faculty of Medicine and Health Sciences, University of Alcalá. Ramón y Cajal Health Research Institute (IRYCIS), Madrid, Spain
Aragon Institute of Engineering Research (I3A), University of Zaragoza, Zaragoza, Spain
Networking Biomedical Research Centre on Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), Madrid, Spain
AU  - Pascual, G.
AU  - Rodríguez, M.
AU  - Pérez-Köhler, B.
AU  - Benito-Martínez, S.
AU  - Calvo, B.
AU  - García-Moreno, F.
AU  - Bellón, J. M.
DB  - Scopus
DO  - 10.1007/s10029-020-02201-x
KW  - Abdominal wall repair
Bioprostheses
Collagen mesh
Hernia repair
Mesh repair
Poly-4-hydroxybutyrate (P4HB)
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
ST  - Long term comparative evaluation of two types of absorbable meshes in partial abdominal wall defects: an experimental study in rabbits
T2  - Hernia
TI  - Long term comparative evaluation of two types of absorbable meshes in partial abdominal wall defects: an experimental study in rabbits
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85084502406&doi=10.1007%2fs10029-020-02201-x&partnerID=40&md5=e0f5ef17095869048eed00cfc377de5e
ID  - 987
ER  - 

TY  - JOUR
AU  - Regan, W. A.
DB  - Scopus
IS  - 3
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 1982
SP  - 3
ST  - Legal case briefs for nurses. IN: Pediatrics: pre-discharge injury; ME: Surgery: sponge count error
T2  - The Regan report on nursing law
TI  - Legal case briefs for nurses. IN: Pediatrics: pre-discharge injury; ME: Surgery: sponge count error
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0020174009&partnerID=40&md5=2f66b3763bca2484a136d431a468d59e
VL  - 23
ID  - 1761
ER  - 

TY  - JOUR
AD  - W.A. Regan
AU  - Regan, W. A.
DB  - Medline
IS  - 3
KW  - article
case report
female
femur fracture
foreign body
human
hysterectomy
malpractice
newborn
newborn disease
surgical equipment
United States
LA  - English
M3  - Article
N1  - L12687118
1982-10-20
PY  - 1982
SN  - 0034-3196
SP  - 3
ST  - Legal case briefs for nurses. IN: Pediatrics: pre-discharge injury; ME: Surgery: sponge count error
T2  - The Regan report on nursing law
TI  - Legal case briefs for nurses. IN: Pediatrics: pre-discharge injury; ME: Surgery: sponge count error
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L12687118&from=export
VL  - 23
ID  - 681
ER  - 

TY  - JOUR
AB  - INTRODUCTION: Leaving a foreign object (retained surgical item, or RSI) during surgery involving the abdominal cavity and pelvis minor is a relatively frequent, underestimated phenomenon which is dangerous to the health of the patient and the legal security of the medical personnel. These adverse events are easy to avoid through the use of appropriate means of prevention. The aim of the present paper is the collection of epidemiological data and determination of risk factors, symptomatology, health effects, and prevention methods associated with RSIs. MATERIAL AND METHODS: Analysis of global scientific publications in the databases PubMed, ClinicalKey, Google Scholar, ScienceDirect, and Scopus related to the subject of RSIs. RESULTS: The frequency of RSI incidents ranges from 1 to 10 in 10,000 surgeries, which results in at least one case in an average multispeciality hospital on a yearly basis. The items most frequently left behind include soft foreign objects, such as swabs and bandages (90%). Risk factors include emergency surgical procedures, high patient BMI, significant loss of blood during surgery, and neglect in counting the material and surgical tools. The postoperative course, although in many cases asymptomatic, may be complicated by inflammation, bleeding, or perforation, leading to the necessity of a second operation and, in 2 to 4% of cases, even ending in death. Imaging tests are effective diagnostic tools. Effective methods of preventing RSIs are based on checklists and systems for counting and monitoring the location of material and tools. CONCLUSIONS: The globally occurring problem of RSIs requires education of the operating block personnel regarding risk factors and identification with elimination of adverse events of this type. Diagnostics based on imaging should take into account non-specific complaints resulting from a possible oligosymptomatic course. An RSI should not be regarded as a medical error. Changes in the perception of the phenomenon aim aimed at minimising the legal liability of the staff in the event of leaving a foreign object in a patient's body.
AD  - Uniwersytet Medyczny im. Piastów Śląskich we Wrocławiu
Katedra Medycyny Sądowej, Zakład Prawa Medycznego Uniwersytetu Medycznego im. Piastów Śląskich we Wrocławiu
AU  - Szymocha, M.
AU  - Pacan, M.
AU  - Anufrowicz, M.
AU  - Jurek, T.
AU  - Rorat, M.
DB  - Scopus
DO  - 10.5604/01.3001.0013.2024
IS  - 6
KW  - adverse event
foreign object
gossypiboma
never event
retained foreign object
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2019
SP  - 35-40
ST  - Leaving a foreign object in the body of a patient during abdominal surgery: still a current problem
T2  - Polski przeglad chirurgiczny
TI  - Leaving a foreign object in the body of a patient during abdominal surgery: still a current problem
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85076832390&doi=10.5604%2f01.3001.0013.2024&partnerID=40&md5=45a676f12bcdd6d92263fbeeabe4d238
VL  - 91
ID  - 1012
ER  - 

TY  - JOUR
AB  - INTRODUCTION: Leaving a foreign object (retained surgical item, or RSI) during surgery involving the abdominal cavity and pelvis minor is a relatively frequent, underestimated phenomenon which is dangerous to the health of the patient and the legal security of the medical personnel. These adverse events are easy to avoid through the use of appropriate means of prevention. The aim of the present paper is the collection of epidemiological data and determination of risk factors, symptomatology, health effects, and prevention methods associated with RSIs. MATERIAL AND METHODS: Analysis of global scientific publications in the databases PubMed, ClinicalKey, Google Scholar, ScienceDirect, and Scopus related to the subject of RSIs. RESULTS: The frequency of RSI incidents ranges from 1 to 10 in 10,000 surgeries, which results in at least one case in an average multispeciality hospital on a yearly basis. The items most frequently left behind include soft foreign objects, such as swabs and bandages (90%). Risk factors include emergency surgical procedures, high patient BMI, significant loss of blood during surgery, and neglect in counting the material and surgical tools. The postoperative course, although in many cases asymptomatic, may be complicated by inflammation, bleeding, or perforation, leading to the necessity of a second operation and, in 2 to 4% of cases, even ending in death. Imaging tests are effective diagnostic tools. Effective methods of preventing RSIs are based on checklists and systems for counting and monitoring the location of material and tools. CONCLUSIONS: The globally occurring problem of RSIs requires education of the operating block personnel regarding risk factors and identification with elimination of adverse events of this type. Diagnostics based on imaging should take into account non-specific complaints resulting from a possible oligosymptomatic course. An RSI should not be regarded as a medical error. Changes in the perception of the phenomenon aim aimed at minimising the legal liability of the staff in the event of leaving a foreign object in a patient's body.
AU  - Szymocha, M.
AU  - Pacan, M.
AU  - Anufrowicz, M.
AU  - Jurek, T.
AU  - Rorat, M.
DB  - Medline
DO  - 10.5604/01.3001.0013.2024
IS  - 6
KW  - abdominal cavity
foreign body
human
medical error
patient care
patient safety
prevention and control
risk factor
surgery
surgical equipment
LA  - English
M3  - Review
N1  - L630308123
2019-12-30
2020-07-09
PY  - 2019
SN  - 2299-2847
SP  - 35-40
ST  - Leaving a foreign object in the body of a patient during abdominal surgery: still a current problem
T2  - Polski przeglad chirurgiczny
TI  - Leaving a foreign object in the body of a patient during abdominal surgery: still a current problem
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L630308123&from=export
http://dx.doi.org/10.5604/01.3001.0013.2024
VL  - 91
ID  - 315
ER  - 

TY  - JOUR
AB  - Background The use of a Fobi ring to prevent pouch dilation is sometimes used in Roux-en-Y gastric bypass (RYGB). Recently, it has been extrapolated to laparoscopic sleeve gastrectomy (LSG) procedures by placing a fixed-ring band a few centimeters below the gastroesophageal junction (GEJ). Objectives What is the consequence if a patient develops a leak? Setting Tertiary metropolitan referral center, Australia. Methods Over 18 months, all patients with either a conventional LSG or a fixed-ring banded sleeve gastrectomy (BLSG) who presented with a proven leak complication were included. The management approaches along with the surgical, endoscopic, and percutaneous procedures used were examined. Results Six patients had a BLSG leak and 6 had a LSG leak. All patients had leak resolution. There was no significant difference in body mass index (BMI), time to leak, initial white cell count (WCC), and C-reactive protein (CRP) levels between the 2 groups. LSG patients required a median of 2 endoscopic procedures (range: 1–3). Stents were deployed in 3 patients. All BLSG patients required a single surgical intervention with laparoscopic washout, drainage, removal of band±feeding jejunostomy. One stent was deployed in 1 BLSG patient. BLSG leak resolution was found at 34±12 days versus 85±12 days in the LSG group (P<.05). Conclusion The BLSG is a new modification of the sleeve gastrectomy procedure. This study presents a management strategy for leak resolution employed in BLSG patients. The presence of a foreign body as a persistent nidus of infection mandates band removal. © 2017 American Society for Bariatric Surgery
AD  - Department of General Surgery, Sir Charles Gairdner Hospital, Nedlands, Perth, Western Australia, Australia
University of Notre Dame, Fremantle, Western Australia, Australia
Department of General Surgery, Sir Charles Gairdner Hospital Nedlands, Perth, Western Australia, Australia
AU  - Foo, J. W.
AU  - Balshaw, J.
AU  - Tan, M. H. L.
AU  - Tan, J. T. H.
DB  - Scopus
DO  - 10.1016/j.soard.2017.03.031
IS  - 8
KW  - Banded sleeve gastrectomy
Bariatric surgery
Complications
Fixed-ring sleeve gastrectomy
Gastric leak
Minimizer ring
Sleeve gastrectomy
Sleeve gastrectomy leak
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2017
SP  - 1259-1264
ST  - Leaks in fixed-ring banded sleeve gastrectomies: a management approach
T2  - Surgery for Obesity and Related Diseases
TI  - Leaks in fixed-ring banded sleeve gastrectomies: a management approach
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85019943749&doi=10.1016%2fj.soard.2017.03.031&partnerID=40&md5=bc724d440678e65e7e5f7ad002ab466c
VL  - 13
ID  - 1125
ER  - 

TY  - JOUR
AB  - Background The use of a Fobi ring to prevent pouch dilation is sometimes used in Roux-en-Y gastric bypass (RYGB). Recently, it has been extrapolated to laparoscopic sleeve gastrectomy (LSG) procedures by placing a fixed-ring band a few centimeters below the gastroesophageal junction (GEJ). Objectives What is the consequence if a patient develops a leak? Setting Tertiary metropolitan referral center, Australia. Methods Over 18 months, all patients with either a conventional LSG or a fixed-ring banded sleeve gastrectomy (BLSG) who presented with a proven leak complication were included. The management approaches along with the surgical, endoscopic, and percutaneous procedures used were examined. Results Six patients had a BLSG leak and 6 had a LSG leak. All patients had leak resolution. There was no significant difference in body mass index (BMI), time to leak, initial white cell count (WCC), and C-reactive protein (CRP) levels between the 2 groups. LSG patients required a median of 2 endoscopic procedures (range: 1–3). Stents were deployed in 3 patients. All BLSG patients required a single surgical intervention with laparoscopic washout, drainage, removal of band±feeding jejunostomy. One stent was deployed in 1 BLSG patient. BLSG leak resolution was found at 34±12 days versus 85±12 days in the LSG group (P<.05). Conclusion The BLSG is a new modification of the sleeve gastrectomy procedure. This study presents a management strategy for leak resolution employed in BLSG patients. The presence of a foreign body as a persistent nidus of infection mandates band removal.
AD  - J.T.H. Tan, P.O. Box 3057, Broadway, Nedlands, WA, Australia
AU  - Foo, J. W.
AU  - Balshaw, J.
AU  - Tan, M. H. L.
AU  - Tan, J. T. H.
DB  - Embase
Medline
DO  - 10.1016/j.soard.2017.03.031
IS  - 8
KW  - C reactive protein
adult
article
Australia
body mass
clinical article
computer assisted tomography
diet supplementation
endoscopic surgery
enteric feeding
female
fixed ring banded sleeve gastrectomy
gastric banding
gastric leak
human
jejunostomy
laparoscopic sleeve gastrectomy
length of stay
leukocyte count
male
middle aged
percutaneous drainage
postoperative complication
priority journal
reconstructive surgery
sleeve gastrectomy
stomach disease
LA  - English
M3  - Article
N1  - L616365459
2017-05-29
2018-05-29
PY  - 2017
SN  - 1878-7533
1550-7289
SP  - 1259-1264
ST  - Leaks in fixed-ring banded sleeve gastrectomies: a management approach
T2  - Surgery for Obesity and Related Diseases
TI  - Leaks in fixed-ring banded sleeve gastrectomies: a management approach
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L616365459&from=export
http://dx.doi.org/10.1016/j.soard.2017.03.031
VL  - 13
ID  - 368
ER  - 

TY  - JOUR
AB  - BACKGROUND: Laparoscopy is widely used as a tool in many clinical situations allowing for diagnosis and/or surgical management in a minimally invasive fashion. Most laparoscopic cases are ambulatory and allow patients to recover quickly. Nonetheless, attention to surgical technique is paramount to avoid both short and long term complications. CASE: A 32-year-old woman had a laparoscopy and a reported left salpingoophorectomy for benign disease of the ovary in September, 1994. Shortly thereafter, in January, 1995, she was diagnosed with an intrauterine pregnancy and delivered in October of 1995 by spontaneous vaginal delivery. The pregnancy and delivery were both uncomplicated. The patient presented four weeks postpartum with clinical suspicion of appendicitis. However, at the time of laparotomy, the patient was found to have a retained foreign body from her prior laparoscopy in the right lower quadrant with a pelvic abscess and evidence of prior right salpingoophorectomy. The appendix appeared grossly normal. CONCLUSION: Laparoscopy is a safe, effective modality for various surgical and gynecologic conditions. Although laparoscopy is usually done on an outpatient basis, complications can manifest several weeks or months later. This case illustrates and reminds us of the importance of adherence to surgical laparoscopic principles. These include direct visualization when removing equipment and a complete count of surgical instrumentation to confirm the integrity of such at the end of each procedure.
AD  - University of Miami/Jackson Memorial Hospital Department of Obstetrics and GynecologyFL 33136, United States
AU  - Mendez, L. E.
AU  - Medina, C.
DB  - Scopus
IS  - 1
M3  - Article
N1  - Cited By :5
Export Date: 10 November 2020
PY  - 1997
SP  - 79-81
ST  - Late complication of laparoscopic salpingoophorectomy: retained foreign body presenting as an acute abdomen
T2  - JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons
TI  - Late complication of laparoscopic salpingoophorectomy: retained foreign body presenting as an acute abdomen
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0030621801&partnerID=40&md5=6cadb667452eb8d3383f0270165bbfa8
VL  - 1
ID  - 1707
ER  - 

TY  - JOUR
AB  - BACKGROUND: Laparoscopy is widely used as a tool in many clinical situations allowing for diagnosis and/or surgical management in a minimally invasive fashion. Most laparoscopic cases are ambulatory and allow patients to recover quickly. Nonetheless, attention to surgical technique is paramount to avoid both short and long term complications. CASE: A 32-year-old woman had a laparoscopy and a reported left salpingoophorectomy for benign disease of the ovary in September, 1994. Shortly thereafter, in January, 1995, she was diagnosed with an intrauterine pregnancy and delivered in October of 1995 by spontaneous vaginal delivery. The pregnancy and delivery were both uncomplicated. The patient presented four weeks postpartum with clinical suspicion of appendicitis. However, at the time of laparotomy, the patient was found to have a retained foreign body from her prior laparoscopy in the right lower quadrant with a pelvic abscess and evidence of prior right salpingoophorectomy. The appendix appeared grossly normal. CONCLUSION: Laparoscopy is a safe, effective modality for various surgical and gynecologic conditions. Although laparoscopy is usually done on an outpatient basis, complications can manifest several weeks or months later. This case illustrates and reminds us of the importance of adherence to surgical laparoscopic principles. These include direct visualization when removing equipment and a complete count of surgical instrumentation to confirm the integrity of such at the end of each procedure.
AD  - L.E. Mendez, University of Miami/Jackson Memorial Hospital Department of Obstetrics and Gynecology, FL 33136, USA.
AU  - Mendez, L. E.
AU  - Medina, C.
DB  - Medline
IS  - 1
KW  - abscess
acute abdomen
adult
article
case report
female
follow up
foreign body
human
laparoscopy
methodology
omentum
ovariectomy
ovary cyst
peritoneal disease
time
treatment outcome
Fallopian tube
LA  - English
M3  - Article
N1  - L129378603
1999-01-28
PY  - 1997
SN  - 1086-8089
SP  - 79-81
ST  - Late complication of laparoscopic salpingoophorectomy: retained foreign body presenting as an acute abdomen
T2  - JSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons
TI  - Late complication of laparoscopic salpingoophorectomy: retained foreign body presenting as an acute abdomen
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L129378603&from=export
VL  - 1
ID  - 663
ER  - 

TY  - JOUR
AB  - Introduction: Ileal perforation due to fish bone is a rare event. The condition is difficult to diagnose due to lack of specific clinical features and low sensitivity of imaging techniques. We report a case of ileal perforation by a fish bone that was detected laparoscopically and managed nonsurgically. Case presentation: A 45-year-old Sinhalese man presented with acute onset right iliac fossa pain and fever for three days. On examination, he had significant right iliac fossa tenderness and guarding. His white cell count and C-reactive protein level were elevated and an ultrasound scan was indicative of a bowel mass formation. A clinical diagnosis of acute appendicitis was made and laparoscopic appendicectomy was scheduled. At initial survey, a thin spike-like structure was retrieved from the bowel mass, which was revealed to be a fish bone. Our patient was managed with antibiotics only and did not develop any complications. Conclusions: Ileal perforation due to fish bone is a rare condition that can mimic common conditions like appendicitis. Preoperative diagnosis is rarely made. The slow process of fish bone migration results in concomitant sealing of the perforation, reducing contamination. Use of laparoscopy may be useful in diagnosing this condition and preventing the morbidity of laparotomy in these patients. © 2015 Chandrasinghe and Pathirana; licensee BioMed Central.
AD  - Department of Surgery, University of Kelaniya, North Colombo Teaching Hospital, Ragama, 11010, Sri Lanka
District General Hospital, Homagama, 10200, Sri Lanka
AU  - Chandrasinghe, P. C.
AU  - Pathirana, C. K.
C7  - 43
DB  - Scopus
DO  - 10.1186/s13256-015-0526-7
IS  - 1
KW  - Ileal perforation
Ingested fish bone
Laparoscopy
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2015
ST  - Laparoscopically detected and nonsurgically managed ileal perforation by an ingested fish bone: A case report
T2  - Journal of Medical Case Reports
TI  - Laparoscopically detected and nonsurgically managed ileal perforation by an ingested fish bone: A case report
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84928742197&doi=10.1186%2fs13256-015-0526-7&partnerID=40&md5=41cd1987ed4c79f5240cee57f142b24f
VL  - 9
ID  - 1233
ER  - 

TY  - JOUR
AB  - Introduction: Ileal perforation due to fish bone is a rare event. The condition is difficult to diagnose due to lack of specific clinical features and low sensitivity of imaging techniques. We report a case of ileal perforation by a fish bone that was detected laparoscopically and managed nonsurgically. Case presentation: A 45-year-old Sinhalese man presented with acute onset right iliac fossa pain and fever for three days. On examination, he had significant right iliac fossa tenderness and guarding. His white cell count and C-reactive protein level were elevated and an ultrasound scan was indicative of a bowel mass formation. A clinical diagnosis of acute appendicitis was made and laparoscopic appendicectomy was scheduled. At initial survey, a thin spike-like structure was retrieved from the bowel mass, which was revealed to be a fish bone. Our patient was managed with antibiotics only and did not develop any complications. Conclusions: Ileal perforation due to fish bone is a rare condition that can mimic common conditions like appendicitis. Preoperative diagnosis is rarely made. The slow process of fish bone migration results in concomitant sealing of the perforation, reducing contamination. Use of laparoscopy may be useful in diagnosing this condition and preventing the morbidity of laparotomy in these patients.
AD  - P.C. Chandrasinghe, Department of Surgery, University of Kelaniya, North Colombo Teaching Hospital, Ragama, Sri Lanka
AU  - Chandrasinghe, P. C.
AU  - Pathirana, C. K.
DB  - Embase
Medline
DO  - 10.1186/s13256-015-0526-7
IS  - 1
KW  - C reactive protein
cefuroxime
clopidogrel
metronidazole
acute appendicitis
adult
appendectomy
article
bone
case report
coronary stenting
disease duration
echography
fever
fish
foreign body
gastrointestinal radiography
hospital discharge
human
ileum disease
iliac fossa pain
ischemic heart disease
laparoscopy
leukocyte count
male
middle aged
pain
physical examination
priority journal
protein blood level
Sinhalese (people)
small intestine perforation
treatment outcome
LA  - English
M3  - Article
N1  - L604885050
2015-06-30
2015-07-02
PY  - 2015
SN  - 1752-1947
ST  - Laparoscopically detected and nonsurgically managed ileal perforation by an ingested fish bone: A case report
T2  - Journal of Medical Case Reports
TI  - Laparoscopically detected and nonsurgically managed ileal perforation by an ingested fish bone: A case report
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L604885050&from=export
http://dx.doi.org/10.1186/s13256-015-0526-7
VL  - 9
ID  - 436
ER  - 

TY  - JOUR
AB  - Introduction: Ingestion of a toothpick, both accidentally and intentionally, is a rare event. Presentation of case: We present the case of a 42-years old man who was admitted to the emergency department at our Institution presenting with a 5-days history of right sided abdominal pain. Laboratory blood count reported leukocytosis and alteration of principal inflammation index; at the abdominal ultrasound no signs of perforation or collection were described. Discussion: Indication to surgery was posed and an explorative laparoscopy was performed. The presence of local peritonitis at the right colonic flexure secondary to a full thickness bowel perforation caused by a toothpick was found. There was also an acute phlegmonous appendicitis. A laparoscopic appendectomy and a full-thickness double running suture of the perforation were performed. Conclusion: Awareness about dangers of ingested toothpicks needs to be taken and the intestinal track/trace of the toothpick is mandatory until its expulsion. © 2020
AD  - Department of General Surgery, Emergencies and New Technologies, Baggiovara Civil Hospital, Modena, Italy
AU  - Casoni Pattacini, G.
AU  - Pecchini, F.
AU  - Mullineris, B.
AU  - De Maria, R.
AU  - Trapani, V.
AU  - Francescato, A.
AU  - Piccoli, M.
DB  - Scopus
DO  - 10.1016/j.ijscr.2020.09.056
KW  - Foreign bodies
Laparoscopic suture
Wooden toothpick
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
ST  - Laparoscopic treatment of right colic flexure perforation by an ingested wooden toothpick
T2  - International Journal of Surgery Case Reports
TI  - Laparoscopic treatment of right colic flexure perforation by an ingested wooden toothpick
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85091068796&doi=10.1016%2fj.ijscr.2020.09.056&partnerID=40&md5=29bb4d30642f0f228762a2edc1eaeb16
ID  - 983
ER  - 

TY  - JOUR
AB  - Introduction: Ingestion of a toothpick, both accidentally and intentionally, is a rare event. Presentation of case: We present the case of a 42-years old man who was admitted to the emergency department at our Institution presenting with a 5-days history of right sided abdominal pain. Laboratory blood count reported leukocytosis and alteration of principal inflammation index; at the abdominal ultrasound no signs of perforation or collection were described. Discussion: Indication to surgery was posed and an explorative laparoscopy was performed. The presence of local peritonitis at the right colonic flexure secondary to a full thickness bowel perforation caused by a toothpick was found. There was also an acute phlegmonous appendicitis. A laparoscopic appendectomy and a full-thickness double running suture of the perforation were performed. Conclusion: Awareness about dangers of ingested toothpicks needs to be taken and the intestinal track/trace of the toothpick is mandatory until its expulsion.
AD  - G. Casoni Pattacini, Department of General Surgery, Emergencies and New Technologies, Baggiovara Civil Hospital, Modena, Italy
AU  - Casoni Pattacini, G.
AU  - Pecchini, F.
AU  - Mullineris, B.
AU  - De Maria, R.
AU  - Trapani, V.
AU  - Francescato, A.
AU  - Piccoli, M.
DB  - Embase
DO  - 10.1016/j.ijscr.2020.09.056
KW  - abdominal pain
adult
appendectomy
appendicitis
article
awareness
blood cell count
case report
clinical article
colic
colon
emergency ward
foreign body
human
intestine perforation
laparoscopic suture
laparoscopy
leukocytosis
male
peritonitis
running
thickness
ultrasound
LA  - English
M3  - Article in Press
N1  - L2007884541
2020-09-23
PY  - 2020
SN  - 2210-2612
ST  - Laparoscopic treatment of right colic flexure perforation by an ingested wooden toothpick
T2  - International Journal of Surgery Case Reports
TI  - Laparoscopic treatment of right colic flexure perforation by an ingested wooden toothpick
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L2007884541&from=export
http://dx.doi.org/10.1016/j.ijscr.2020.09.056
ID  - 296
ER  - 

TY  - JOUR
AB  - Ketorolac 0.45 ophthalmic solution is a topical NSAID indicated in the US for the treatment of ocular pain and inflammation following cataract surgery.In animal studies, the ocular relative bioavailability of single-dose topical ketorolac 0.45 ophthalmic solution was 2- to 3-fold higher than that of ketorolac 0.4 ophthalmic solution.In two identically designed, randomized, double-masked, multicentre trials in adult patients undergoing cataract extraction, the proportions of patients with a summed ocular inflammation score of zero for anterior chamber cell count plus anterior chamber flare on day 14 after surgery were significantly greater in those treated with topical ketorolac 0.45 ophthalmic solution than in those treated with vehicle placebo.Compared with placebo, topical ketorolac 0.45 ophthalmic solution significantly increased the proportion of patients who were pain-free on the day after surgery in both trials.Ketorolac 0.45 ophthalmic solution was generally well tolerated in clinical trials with lower overall incidences of treatment-emergent and treatment-related adverse events than placebo, and with no single treatment-related adverse event having a higher incidence than with placebo. © 2011 Adis Data Information BV. All rights reserved.
AD  - Adis A Wolters Kluwer Business, 41 Centorian Drive, North Shore 0754, Auckland, New Zealand
AU  - McCormack, P. L.
DB  - Scopus
DO  - 10.2165/11207450-000000000-00000
IS  - 7
KW  - Adis-Drug-Profiles
Ketorolac
Ocular-inflammation
Ocular-pain
Ophthalmic
M3  - Article
N1  - Cited By :8
Export Date: 10 November 2020
PY  - 2011
SP  - 583-589
ST  - Ketorolac 0.45% ophthalmic solution
T2  - Drugs and Aging
TI  - Ketorolac 0.45% ophthalmic solution
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-79959984438&doi=10.2165%2f11207450-000000000-00000&partnerID=40&md5=b550d2db97f62ed059b36f8e16e7202e
VL  - 28
ID  - 1412
ER  - 

TY  - JOUR
AB  - Animal models of Staphylococcus aureus infective endocarditis (IE), especially in rodents, are commonly used to investigate the underlying pathogenesis, disease progression, potential diagnostic approaches, and therapeutic treatment. All these models are based on surgical interventions, and imply valve trauma by placing a polyurethane catheter at the aortic root. While the influence of endothelial damage and inflammation on the induction of IE has been studied intensively, the role of the catheter, as permanent source of bacteremia, and the interplay with bacterial virulence factors during the formation of IE is poorly understood. In our study, we aimed at identifying which set of preconditions is required for induction and formation of IE: (1) tissue injury, (2) permanent presence of bacteria, and (3) presence of the full bacterial repertoire of adhesion proteins. We investigated the manifestation of the disease in different modifications of the animal model, considering different degrees of endothelial damage and the presence or absence of the catheter. In four infection models the induction of IE was assessed by using two bacterial strains with different expression patterns of virulence factors – S. aureus 6850 and Newman. In vivo magnetic resonance imaging showed conspicuous morphological structures on the aortic valves, when an endothelial damage and a continuous bacterial source were present simultaneously. Cellular and inflammatory pathophysiology were characterized additionally by histology, real-time quantitative polymerase chain reaction analysis, and bacterial counts, revealing strain-specific pathogenesis and manifestation of IE, crucially influenced by bacterial adherence and toxicity. The severity of IE was dependent on the degree of endothelial irritation. However, even severe endothelial damage in the absence of a permanent bacterial source resulted in reduced valve infection. The spread of bacteria to other organs was also dependent on the pathogenic profile of the infectious agent. © Copyright © 2020 Schwarz, Hoerr, Töre, Hösker, Hansen, Van de Vyver, Niemann, Kuhlmann, Jeibmann, Wildgruber and Faber.
AD  - Translational Research Imaging Center, Department of Clinical Radiology, University Hospital Muenster, Muenster, Germany
Institute of Medical Microbiology, University Hospital Jena, Jena, Germany
Institute of Musculoskeletal Medicine, University Hospital Muenster, Muenster, Germany
Institute of Medical Microbiology, University Hospital Muenster, Muenster, Germany
European Institute for Molecular Imaging, University of Muenster, Muenster, Germany
Institute for Neuropathology, University Hospital Muenster, Muenster, Germany
Klinik und Poliklinik für Radiologie, Klinikum, Universität München, Munich, Germany
AU  - Schwarz, C.
AU  - Hoerr, V.
AU  - Töre, Y.
AU  - Hösker, V.
AU  - Hansen, U.
AU  - Van de Vyver, H.
AU  - Niemann, S.
AU  - Kuhlmann, M. T.
AU  - Jeibmann, A.
AU  - Wildgruber, M.
AU  - Faber, C.
C7  - 1325
DB  - Scopus
DO  - 10.3389/fmicb.2020.01325
KW  - endocarditis
foreign body
mouse model
MRI
Staphylococcus aureus
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2020
ST  - Isolating Crucial Steps in Induction of Infective Endocarditis With Preclinical Modeling of Host Pathogen Interaction
T2  - Frontiers in Microbiology
TI  - Isolating Crucial Steps in Induction of Infective Endocarditis With Preclinical Modeling of Host Pathogen Interaction
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85087286940&doi=10.3389%2ffmicb.2020.01325&partnerID=40&md5=54fbcf541f38a0e9ac578c050fec808c
VL  - 11
ID  - 963
ER  - 

TY  - JOUR
AB  - Abuse of an otherwise properly installed and maintained operating room system may result in rendering the environment unsatisfactory for critical types of surgery, especially when a patient's resistance is lowered by disease or drugs, or when a large foreign body is implanted. No type of special air handling system will correct these abuses even though it may reduce ambient bioparticle counts. From all available valid evidence, the conclusion is drawn that laminar flow is less effective against wound infection than adherence to proper techniques and correction of abuses of the operating room environment by the surgical team and support personnel. Abuse of an otherwise properly installed and maintained operating room system may result in rendering the environment unsatisfactory for critical types of surgery, especially when a patient's resistance is lowered by disease or drugs, or when a large foreign body is implanted. No type of special air-handling system will correct these abuses even though it may reduce ambient bioparticle counts. From all available valid evidence, the conclusion is drawn that laminar flow is less effective against wound infection than adherence to proper techniques and correction of abuses of the operating room environment by the surgical team and support personnel.
AD  - Inst. Surg. Studies, Montefiore Hosp. Med. Cent., Bronx, N.Y. 10467, United States
AU  - Laufman, H.
DB  - Scopus
IS  - 6
M3  - Article
N1  - Cited By :3
Export Date: 10 November 2020
PY  - 1976
SP  - 269-274
ST  - Is laminar airflow necessary for prophylaxis against wound infection?
T2  - Medical Instrumentation
TI  - Is laminar airflow necessary for prophylaxis against wound infection?
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0017014877&partnerID=40&md5=508a508da5fe61067aed3880e70e07ef
VL  - 10
ID  - 1771
ER  - 

TY  - JOUR
AB  - Abuse of an otherwise properly installed and maintained operating room system may result in rendering the environment unsatisfactory for critical types of surgery, especially when a patient's resistance is lowered by disease or drugs, or when a large foreign body is implanted. No type of special air handling system will correct these abuses even though it may reduce ambient bioparticle counts. From all available valid evidence, the conclusion is drawn that laminar flow is less effective against wound infection than adherence to proper techniques and correction of abuses of the operating room environment by the surgical team and support personnel.
AD  - Harold Laufman, Inst. Surg. Studies, Montefiore Hosp. Med. Cent., Bronx, N.Y. 10467
AU  - Laufman, H.
DB  - Embase
Medline
IS  - 6
KW  - operating room
prevention
wound infection
LA  - English
M3  - Article
N1  - L8020879
1978-01-01
PY  - 1976
SN  - 0090-6689
SP  - 269-274
ST  - Is laminar airflow necessary for prophylaxis against wound infection?
T2  - Medical Instrumentation
TI  - Is laminar airflow necessary for prophylaxis against wound infection?
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L8020879&from=export
VL  - 10
ID  - 686
ER  - 

TY  - JOUR
AB  - Objective: Rare disease Background: During any surgical procedure, there are several factors that may lead to morbidity and mortality. One of those factors is a retained cotton or gauze surgical sponge inadvertently left in the body during an operation, known as gossypiboma. This clinical oversight may cause serious postoperative complications and increase the risk of mortality, particularly if left undiscovered. Furthermore, this issue adds to the economic burden on healthcare systems by increasing the rate of reoperation and rehospitalization. The length of postoperative gossypiboma diagnosis varies greatly, as patients may either present acutely with symptoms such as a palpable mass, pain, nausea, and vomiting, or remain asymptomatic for several years. Case Report: We report the case of a 48-year-old man who underwent a thoracotomy after a road traffic accident. The resulting empyema led to the intraoperative discovery of an intrathoracic gossypiboma, which was initially interpreted radiologically as a part of the previous surgical staple line. The causative agent was discovered by the team’s nurses during the postsurgical count of instruments and sponges, and who were alerted to a recovered sponge differing in appearance from the sponges used for that procedure. Conclusions: In general, proper counting and adherence to the World Health Organization ‘Surgical Safety Checklist’ can greatly improve the outcome of any surgery. The diagnosis of gossypiboma is often late or missed entirely and leads to additional interventions that can be avoided or detected early when the material contains a radiopaque marker. In cases under suspicion of any mistakenly left object, the use of intraoperative radiology before skin closure is highly recommended to prevent postoperative complications for the patient and organization. © Am J Case Rep, 2020.
AD  - Thoracic Surgery Division, Department of Surgery, King Fahad Hospital of The University, College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
AU  - Othman, S. A.
AU  - Alsafwani, J. Q.
AU  - Alsahwan, A. G.
AU  - Aljehani, Y.
C7  - e923992
DB  - Scopus
DO  - 10.12659/AJCR.923992
KW  - Empyema
Gossypium
Thoracotomy
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
SP  - 1-4
ST  - Intrathoracic gossypiboma: An overlooked entity
T2  - American Journal of Case Reports
TI  - Intrathoracic gossypiboma: An overlooked entity
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85090271306&doi=10.12659%2fAJCR.923992&partnerID=40&md5=598d0dcd2185c1b89253d469a53e64db
VL  - 21
ID  - 984
ER  - 

TY  - JOUR
AB  - Objective: Rare disease Background: During any surgical procedure, there are several factors that may lead to morbidity and mortality. One of those factors is a retained cotton or gauze surgical sponge inadvertently left in the body during an operation, known as gossypiboma. This clinical oversight may cause serious postoperative complications and increase the risk of mortality, particularly if left undiscovered. Furthermore, this issue adds to the economic burden on healthcare systems by increasing the rate of reoperation and rehospitalization. The length of postoperative gossypiboma diagnosis varies greatly, as patients may either present acutely with symptoms such as a palpable mass, pain, nausea, and vomiting, or remain asymptomatic for several years. Case Report: We report the case of a 48-year-old man who underwent a thoracotomy after a road traffic accident. The resulting empyema led to the intraoperative discovery of an intrathoracic gossypiboma, which was initially interpreted radiologically as a part of the previous surgical staple line. The causative agent was discovered by the team’s nurses during the postsurgical count of instruments and sponges, and who were alerted to a recovered sponge differing in appearance from the sponges used for that procedure. Conclusions: In general, proper counting and adherence to the World Health Organization ‘Surgical Safety Checklist’ can greatly improve the outcome of any surgery. The diagnosis of gossypiboma is often late or missed entirely and leads to additional interventions that can be avoided or detected early when the material contains a radiopaque marker. In cases under suspicion of any mistakenly left object, the use of intraoperative radiology before skin closure is highly recommended to prevent postoperative complications for the patient and organization.
AD  - Y. Aljehani, Thoracic Surgery Division, Department of Surgery, King Fahad Hospital of The University, College of Medicine, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
AU  - Othman, S. A.
AU  - Alsafwani, J. Q.
AU  - Alsahwan, A. G.
AU  - Aljehani, Y.
DB  - Embase
Medline
DO  - 10.12659/AJCR.923992
KW  - accident
adult
article
case report
checklist
clinical article
complication
empyema
Gossypium
health care system
hospital readmission
human
male
middle aged
nausea and vomiting
nonhuman
nurse
pain
postoperative complication
prevention
radiology
reoperation
surgical staple
thoracotomy
traffic
World Health Organization
LA  - English
M3  - Article
N1  - L2005023169
2020-10-08
PY  - 2020
SN  - 1941-5923
SP  - 1-4
ST  - Intrathoracic gossypiboma: An overlooked entity
T2  - American Journal of Case Reports
TI  - Intrathoracic gossypiboma: An overlooked entity
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L2005023169&from=export
http://dx.doi.org/10.12659/AJCR.923992
VL  - 21
ID  - 292
ER  - 

TY  - JOUR
AB  - Gossypiboma refers to retained sponge or swab in any body cavity after surgery. Although it is a rare occurence, it can lead to various complications which include adhesions, abscess formation and subsequent infections. Gossypiboma occurs as a result of not using radioopaque sponges, poorly performed sponge counts, inadequate wound explorations on suspicion and misread intraoperative radiographs. Therefore, this event can be avoided if strict preventive measures are taken. Moreover, further complications can be avoided following the correct and early diagnosis of gossypiboma. Gossypiboma is an important topic as it carries great medicolegal consequences for the surgeon. We have presented three cases of intrathoracic gossipiboma following previous cardiothoracic surgeries. They presented years after their surgeries, with features varying from patient to patient, ranging from cough and fever to no sypmtoms at all. CT scan only showed a mass lesion in all cases, therefore we proceeded for CT-guided biopsy which was also found to be inconclusive. It was only after entering the thoracic cavity via video-assisted thoracoscopy/ thoracotomy that the diagnosis was made and sponges were taken out successfully. All our cases recovered with no further complications.
AD  - Department of Cardiothoracic Surgery, Aga Khan University Hospital, Karachi, Pakistan
Department of Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland
AU  - Hameed, A.
AU  - Naeem, A.
AU  - Azhar, M.
AU  - Fatimi, S. H.
DB  - Scopus
DO  - 10.1136/bcr-2013-201814
M3  - Article
N1  - Cited By :8
Export Date: 10 November 2020
PY  - 2014
ST  - Intrathoracic gossypiboma
T2  - BMJ Case Reports
TI  - Intrathoracic gossypiboma
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84892705776&doi=10.1136%2fbcr-2013-201814&partnerID=40&md5=2c772562a12e007e04556aeeb0133651
ID  - 1264
ER  - 

TY  - JOUR
AB  - Gossypiboma refers to retained sponge or swab in any body cavity after surgery. Although it is a rare occurence, it can lead to various complications which include adhesions, abscess formation and subsequent infections. Gossypiboma occurs as a result of not using radioopaque sponges, poorly performed sponge counts, inadequate wound explorations on suspicion and misread intraoperative radiographs. Therefore, this event can be avoided if strict preventive measures are taken. Moreover, further complications can be avoided following the correct and early diagnosis of gossypiboma. Gossypiboma is an important topic as it carries great medicolegal consequences for the surgeon. We have presented three cases of intrathoracic gossipiboma following previous cardiothoracic surgeries. They presented years after their surgeries, with features varying from patient to patient, ranging from cough and fever to no sypmtoms at all. CT scan only showed a mass lesion in all cases, therefore we proceeded for CT-guided biopsy which was also found to be inconclusive. It was only after entering the thoracic cavity via video-assisted thoracoscopy/thoracotomy that the diagnosis was made and sponges were taken out successfully. All our cases recovered with no further complications
AD  - Department of Cardiothoracic Surgery, Aga Khan University Hospital, Karachi, Pakistan
Department of Surgery, Royal College of Surgeons in Ireland, Dublin, Ireland
AN  - 104014575. Language: English. Entry Date: 20140206. Revision Date: 20200708. Publication Type: Journal Article
AU  - Hameed, Aamir
AU  - Naeem, Ayesha
AU  - Azhar, Maimoona
AU  - Fatimi, Saulat Husnain
DB  - ccm
DO  - 10.1136/bcr-2013-201814
DP  - EBSCOhost
KW  - Heart Surgery
Postoperative Complications
Retained Instruments -- Symptoms
Retained Instruments -- Diagnosis
Surgical Sponges
Health Care Errors
Male
Aged
Middle Age
Radiography, Thoracic
Cough -- Etiology
Thoracoscopy
N1  - case study; diagnostic images; pictorial. Journal Subset: Biomedical; Blind Peer Reviewed; Europe; UK & Ireland. NLM UID: 101526291.
PY  - 2014
SN  - 1757-790X
SP  - 1-4
ST  - Intrathoracic gossypiboma
T2  - BMJ Case Reports
TI  - Intrathoracic gossypiboma
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104014575&site=ehost-live&scope=site
ID  - 787
ER  - 

TY  - JOUR
AB  - Gossypiboma refers to retained sponge or swab in any body cavity after surgery. Although it is a rare occurence, it can lead to various complications which include adhesions, abscess formation and subsequent infections. Gossypiboma occurs as a result of not using radioopaque sponges, poorly performed sponge counts, inadequate wound explorations on suspicion and misread intraoperative radiographs. Therefore, this event can be avoided if strict preventive measures are taken. Moreover, further complications can be avoided following the correct and early diagnosis of gossypiboma. Gossypiboma is an important topic as it carries great medicolegal consequences for the surgeon. We have presented three cases of intrathoracic gossipiboma following previous cardiothoracic surgeries. They presented years after their surgeries, with features varying from patient to patient, ranging from cough and fever to no sypmtoms at all. CT scan only showed a mass lesion in all cases, therefore we proceeded for CT-guided biopsy which was also found to be inconclusive. It was only after entering the thoracic cavity via video-assisted thoracoscopy/ thoracotomy that the diagnosis was made and sponges were taken out successfully. All our cases recovered with no further complications.
AD  - A. Hameed, Department of Cardiothoracic Surgery, Aga Khan University Hospital, Karachi, Pakistan
AU  - Hameed, A.
AU  - Naeem, A.
AU  - Azhar, M.
AU  - Fatimi, S. H.
DB  - Embase
Medline
DO  - 10.1136/bcr-2013-201814
KW  - adult
aged
article
case report
computer assisted tomography
coughing
differential diagnosis
follow up
gossypiboma
histopathology
human
human tissue
male
middle aged
outcome assessment
postoperative complication
priority journal
thoracoscopy
thoracotomy
thorax radiography
wedge resection
LA  - English
M3  - Article
N1  - L372161581
2014-01-29
2014-02-11
PY  - 2014
SN  - 1757-790X
ST  - Intrathoracic gossypiboma
T2  - BMJ Case Reports
TI  - Intrathoracic gossypiboma
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L372161581&from=export
http://dx.doi.org/10.1136/bcr-2013-201814
http://casereports.bmj.com/content/2014/bcr-2013-201814.full.pdf+html?sid=5f30ee3a-c18a-4e2f-9111-97b9d2176d4b
ID  - 455
ER  - 

TY  - JOUR
AB  - Intraperitoneal forgotten foreign bodies are prone to create adhesions and to encapsulate, or to provoke an exudative response, with or without accompanying bacterial infection. Often a process of self-extrusion is initiated. This is also true for gossypibomas, retained surgical sponges. Presentation is possible as a pseudotumoral, occlusive, or septic syndrome; several cases, however, have remained asymptomatic for as long as several decades. Ultrasonography and radiology (especially computed tomography) contribute significantly to the detection of gossypibomas; magnetic resonance imaging is a less used technique. Detection by plain radiography is difficult. Ultrasonography demonstrates a hyperreflective mass with hypoechoic rim and a strong posterior shadow. Computed tomography shows a well defined mass with internal heterogenous densities. Therapy consists of operative removal of the foreign body in association with resolving its complications. Adding a series of five cases to the existing literature reports, the fate of intraperitoneal forgotten surgical sponges is reviewed.
AD  - Department of Surgery, University Hospital of Antwerp, Wilrijkstraat 10, B 2650 Edegem, Antwerp, Belgium
Department of Surgery, Stuivenberg General Hospital, Lange Beeldekensstraat 267, B 2000 Antwerp, Belgium
AU  - Lauwers, P. R.
AU  - Van Hee, R. H.
DB  - Scopus
DO  - 10.1007/s002689910084
IS  - 5
M3  - Article
N1  - Cited By :101
Export Date: 10 November 2020
PY  - 2000
SP  - 521-527
ST  - Intraperitoneal gossypibomas: The need to count sponges
T2  - World Journal of Surgery
TI  - Intraperitoneal gossypibomas: The need to count sponges
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0034110641&doi=10.1007%2fs002689910084&partnerID=40&md5=37b932786f4b476d3e56e6cd3cdbcd44
VL  - 24
ID  - 1675
ER  - 

TY  - JOUR
AB  - Intraperitoneal forgotten foreign bodies are prone to create adhesions and to encapsulate, or to provoke an exudative response, with or without accompanying bacterial infection. Often a process of self-extrusion is initiated. This is also true for gossypibomas, retained surgical sponges. Presentation is possible as a pseudotumoral, occlusive, or septic syndrome; several cases, however, have remained asymptomatic for as long as several decades. Ultrasonography and radiology (especially computed tomography) contribute significantly to the detection of gossypibomas; magnetic resonance imaging is a less used technique. Detection by plain radiography is difficult. Ultrasonography demonstrates a hyperreflective mass with hypoechoic rim and a strong posterior shadow. Computed tomography shows a well defined mass with internal heterogenous densities. Therapy consists of operative removal of the foreign body in association with resolving its complications. Adding a series of five cases to the existing literature reports, the fate of intraperitoneal forgotten surgical sponges is reviewed.
AD  - R.H. Van Hee, Department of Surgery, Stuivenberg General Hospital, Lange Beeldekensstraat 267, B 2000 Antwerp, Belgium
AU  - Lauwers, P. R.
AU  - Van Hee, R. H.
DB  - Embase
Medline
DO  - 10.1007/s002689910084
IS  - 5
KW  - abdominal surgery
adult
article
clinical article
clinical feature
differential diagnosis
disease course
female
foreign body
gynecologic surgery
human
male
occlusion
pseudotumor
radiodiagnosis
reoperation
sepsis
sponge
LA  - English
M3  - Article
N1  - L30210839
2000-05-01
PY  - 2000
SN  - 0364-2313
SP  - 521-527
ST  - Intraperitoneal gossypibomas: The need to count sponges
T2  - World Journal of Surgery
TI  - Intraperitoneal gossypibomas: The need to count sponges
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L30210839&from=export
http://dx.doi.org/10.1007/s002689910084
VL  - 24
ID  - 652
ER  - 

TY  - JOUR
AB  - Introduction: Gossypiboma is a retained surgical sponge inside our body after surgical intervention. It is most commonly found in abdominal cavity. Its occurrence in thoracic cavity as intrapericardial gossypiboma is extremely rare. Presentation of case: We present a 25 year old male with complaint of chest pain for 1 year. He had a history of total correction of Tetralogy of fallot 14 years back, at another hospital. On clinical examination and investigations including contrast enhanced computed tomography (CECT) of thorax; diagnosis of right anterior mediastinal mass of germ cell tumor was made and planned for thoracotomy. On exploration, the gauze piece of 31 cm was removed from the pericardial mass and a final diagnosis of gossypiboma was made. Discussion: Although gossypibomas are commonly reported in abdominal and pelvic surgery but a prolonged operative time, untrained staff, poor communication in sponge count may favour the occurrence in thoracic cavity. A patient with intrathoracic gossypiboma usually presents with chest pain, dyspnoea, thoracic mass or fever. CECT and Magnetic resonance Imaging (MRI) are useful imaging modality in such cases. Surgical exploration with histopathological examination confirms the diagnosis of gossypiboma. Conclusion: In a postoperative patient who presents with chest pain and intrathoracic mass, gossypiboma should be a differential diagnosis even it is rare to occur in thorax. © 2018 The Authors
AD  - Department of General Surgery (Trauma & Emergency), All India Institute of Medical Sciences, Bhuvneshwar, India
Department of Surgical Discipline, All India Institute of Medical Sciences, New Delhi, India
Department of Anaesthesia, Patna Medical College & Hospital, Patna, India
Department of Paediatric Surgery, All India Institute of Medical Sciences, Patna, India
Department of General Surgery, All India Institute of Medical Sciences, Patna, India
AU  - Kumar, A.
AU  - Paswan, S. S.
AU  - Prashad, R.
AU  - Kumari, R.
AU  - Kumar, B.
DB  - Scopus
DO  - 10.1016/j.ijscr.2018.04.024
KW  - Gauze piece
Gossypiboma
Intrapericardial
Intrathoracic
TOF
M3  - Article
N1  - Cited By :3
Export Date: 10 November 2020
PY  - 2018
SP  - 75-79
ST  - Intrapericardial gossypiboma: Rare cause of intrathoracic mass
T2  - International Journal of Surgery Case Reports
TI  - Intrapericardial gossypiboma: Rare cause of intrathoracic mass
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85046653339&doi=10.1016%2fj.ijscr.2018.04.024&partnerID=40&md5=a4942a6f256d7c93a3d285ef22c05a9b
VL  - 47
ID  - 1093
ER  - 

TY  - JOUR
AB  - Introduction: Gossypiboma is a retained surgical sponge inside our body after surgical intervention. It is most commonly found in abdominal cavity. Its occurrence in thoracic cavity as intrapericardial gossypiboma is extremely rare. Presentation of case: We present a 25 year old male with complaint of chest pain for 1 year. He had a history of total correction of Tetralogy of fallot 14 years back, at another hospital. On clinical examination and investigations including contrast enhanced computed tomography (CECT) of thorax; diagnosis of right anterior mediastinal mass of germ cell tumor was made and planned for thoracotomy. On exploration, the gauze piece of 31 cm was removed from the pericardial mass and a final diagnosis of gossypiboma was made. Discussion: Although gossypibomas are commonly reported in abdominal and pelvic surgery but a prolonged operative time, untrained staff, poor communication in sponge count may favour the occurrence in thoracic cavity. A patient with intrathoracic gossypiboma usually presents with chest pain, dyspnoea, thoracic mass or fever. CECT and Magnetic resonance Imaging (MRI) are useful imaging modality in such cases. Surgical exploration with histopathological examination confirms the diagnosis of gossypiboma. Conclusion: In a postoperative patient who presents with chest pain and intrathoracic mass, gossypiboma should be a differential diagnosis even it is rare to occur in thorax.
AD  - A. Kumar, Gen Surgery (Trauma & Emergency), All India Institute of Medical Sciences, Type-5, Block-B, AIIMS Residential Complex, Hydraulic Road, Patna, India
AU  - Kumar, A.
AU  - Paswan, S. S.
AU  - Prashad, R.
AU  - Kumari, R.
AU  - Kumar, B.
DB  - Embase
DO  - 10.1016/j.ijscr.2018.04.024
KW  - surgical sponge
adult
article
case report
clinical article
computer assisted tomography
contrast enhancement
echocardiography
fine needle aspiration biopsy
follow up
foreign body
germ cell tumor
gossypiboma
histopathology
human
human tissue
male
mediastinum mass
pericardial disease
priority journal
retained instrument
thoracotomy
thorax pain
thorax radiography
LA  - English
M3  - Article
N1  - L2000740404
2018-05-16
2018-05-29
PY  - 2018
SN  - 2210-2612
SP  - 75-79
ST  - Intrapericardial gossypiboma: Rare cause of intrathoracic mass
T2  - International Journal of Surgery Case Reports
TI  - Intrapericardial gossypiboma: Rare cause of intrathoracic mass
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L2000740404&from=export
http://dx.doi.org/10.1016/j.ijscr.2018.04.024
VL  - 47
ID  - 352
ER  - 

TY  - JOUR
AB  - Purpose: Retained surgical items result in substantial morbidity, health care-related expense, and legal liability. This study determines the performance of a protocol for locating surgical items after a miscount, in which intraoperative radiography included a radiograph of the unaccounted for item.Methods: Institutional review board approval was obtained. In 20,820 operations performed between January 1, 2011 and April 1, 2013, a total of 183 consecutive surgical miscounts occurred, involving 180 patients (97 male, 83 female; median age: 55 years). Departmental protocol mandated that a radiograph of an example of the potentially retained item be taken simultaneously with each patient intraoperative radiograph. Three board-certified radiologists retrospectively reviewed these radiographs and follow-up imaging, achieving consensus on interpretation. Adherence to institutional protocol was assessed. Demographic data, surgical documentation, and clinical follow-up data were recorded.Results: The incidence of surgical miscounts was 0.9% (183 of 20,820). Only 9% (17 of 183) were resolved by discovery: outside the patient (8 cases); on intraoperative radiographs (5 cases); incidentally on follow-up radiographs (2 cases); and on retrospective review (2 cases). The false-negative rate was 44% (4 of 9). Neither of the 2 retained needles discovered postoperatively was removed. The procedures most prone to miscounts were: esophagogastrectomy (33%; 2 of 6); liver transplant (18%; 12 of 66); and Whipple procedure (16%; 7 of 44). Needles (65%) and sponges (9%) were the items that were overlooked most often. Adherence to the protocol of imaging an example of a potentially retained item was 91% (167 of 183).Conclusions: Despite good adherence to a protocol of imaging the potentially retained items, small needles often were not visualized on intraoperative radiographs and were not subsequently removed, without known adverse events. This finding suggests that intraoperative radiography for small needles may be unnecessary, but further study is required.
AD  - Department of Radiology, Montefiore Medical Center & Albert Einstein School of Medicine, New York, New York
AN  - 109612735. Language: English. Entry Date: 20150923. Revision Date: 20160603. Publication Type: journal article. Journal Subset: Biomedical
AU  - Walter, William R.
AU  - Amis Jr, E. Stephen
AU  - Sprayregen, Seymour
AU  - Haramati, Linda B.
AU  - Amis, E. Stephen, Jr.
DB  - ccm
DO  - 10.1016/j.jacr.2015.03.005
DP  - EBSCOhost
IS  - 8
N1  - Double Blind Peer Reviewed; Peer Reviewed; USA. Special Interest: Diagnostic Imaging. NLM UID: 101190326.
PMID: NLM26044645.
PY  - 2015
SN  - 1546-1440
SP  - 824-829
ST  - Intraoperative radiography for evaluation of surgical miscounts
T2  - Journal of the American College of Radiology
TI  - Intraoperative radiography for evaluation of surgical miscounts
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109612735&site=ehost-live&scope=site
VL  - 12
ID  - 784
ER  - 

TY  - JOUR
AB  - Purpose Retained surgical items result in substantial morbidity, health care-related expense, and legal liability. This study determines the performance of a protocol for locating surgical items after a miscount, in which intraoperative radiography included a radiograph of the unaccounted for item. Methods Institutional review board approval was obtained. In 20,820 operations performed between January 1, 2011 and April 1, 2013, a total of 183 consecutive surgical miscounts occurred, involving 180 patients (97 male, 83 female; median age: 55 years). Departmental protocol mandated that a radiograph of an example of the potentially retained item be taken simultaneously with each patient intraoperative radiograph. Three board-certified radiologists retrospectively reviewed these radiographs and follow-up imaging, achieving consensus on interpretation. Adherence to institutional protocol was assessed. Demographic data, surgical documentation, and clinical follow-up data were recorded. Results The incidence of surgical miscounts was 0.9% (183 of 20,820). Only 9% (17 of 183) were resolved by discovery: outside the patient (8 cases); on intraoperative radiographs (5 cases); incidentally on follow-up radiographs (2 cases); and on retrospective review (2 cases). The false-negative rate was 44% (4 of 9). Neither of the 2 retained needles discovered postoperatively was removed. The procedures most prone to miscounts were: esophagogastrectomy (33%; 2 of 6); liver transplant (18%; 12 of 66); and Whipple procedure (16%; 7 of 44). Needles (65%) and sponges (9%) were the items that were overlooked most often. Adherence to the protocol of imaging an example of a potentially retained item was 91% (167 of 183). Conclusions Despite good adherence to a protocol of imaging the potentially retained items, small needles often were not visualized on intraoperative radiographs and were not subsequently removed, without known adverse events. This finding suggests that intraoperative radiography for small needles may be unnecessary, but further study is required. © 2015 American College of Radiology.
AD  - Department of Radiology, Montefiore Medical Center, Albert Einstein School of Medicine, New York, NY, United States
AU  - Walter, W. R.
AU  - Amis, E. S., Jr.
AU  - Sprayregen, S.
AU  - Haramati, L. B.
DB  - Scopus
DO  - 10.1016/j.jacr.2015.03.005
IS  - 8
KW  - Intraoperative radiograph
OR miscount
retained surgical item
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2015
SP  - 824-829
ST  - Intraoperative Radiography for Evaluation of Surgical Miscounts
T2  - Journal of the American College of Radiology
TI  - Intraoperative Radiography for Evaluation of Surgical Miscounts
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84938738162&doi=10.1016%2fj.jacr.2015.03.005&partnerID=40&md5=97f235df367cb3669200da528a2793d1
VL  - 12
ID  - 1236
ER  - 

TY  - JOUR
AB  - Purpose Retained surgical items result in substantial morbidity, health care-related expense, and legal liability. This study determines the performance of a protocol for locating surgical items after a miscount, in which intraoperative radiography included a radiograph of the unaccounted for item. Methods Institutional review board approval was obtained. In 20,820 operations performed between January 1, 2011 and April 1, 2013, a total of 183 consecutive surgical miscounts occurred, involving 180 patients (97 male, 83 female; median age: 55 years). Departmental protocol mandated that a radiograph of an example of the potentially retained item be taken simultaneously with each patient intraoperative radiograph. Three board-certified radiologists retrospectively reviewed these radiographs and follow-up imaging, achieving consensus on interpretation. Adherence to institutional protocol was assessed. Demographic data, surgical documentation, and clinical follow-up data were recorded. Results The incidence of surgical miscounts was 0.9% (183 of 20,820). Only 9% (17 of 183) were resolved by discovery: outside the patient (8 cases); on intraoperative radiographs (5 cases); incidentally on follow-up radiographs (2 cases); and on retrospective review (2 cases). The false-negative rate was 44% (4 of 9). Neither of the 2 retained needles discovered postoperatively was removed. The procedures most prone to miscounts were: esophagogastrectomy (33%; 2 of 6); liver transplant (18%; 12 of 66); and Whipple procedure (16%; 7 of 44). Needles (65%) and sponges (9%) were the items that were overlooked most often. Adherence to the protocol of imaging an example of a potentially retained item was 91% (167 of 183). Conclusions Despite good adherence to a protocol of imaging the potentially retained items, small needles often were not visualized on intraoperative radiographs and were not subsequently removed, without known adverse events. This finding suggests that intraoperative radiography for small needles may be unnecessary, but further study is required.
AD  - W.R. Walter, Department of Radiology, Montefiore Medical Center, Albert Einstein School of Medicine, New York, NY, United States
AU  - Walter, W. R.
AU  - Amis, E. S.
AU  - Sprayregen, S.
AU  - Haramati, L. B.
DB  - Embase
Medline
DO  - 10.1016/j.jacr.2015.03.005
IS  - 8
KW  - adult
article
clamp
esophagogastrectomy
false negative result
female
follow up
human
liver transplantation
major clinical study
male
medical record review
middle aged
pancreaticoduodenectomy
peroperative echography
retained instrument
retractor
retrospective study
scissors
surgical error
surgical miscount
surgical sponge
suture needle
LA  - English
M3  - Article
N1  - L604641756
2015-06-08
2015-08-12
PY  - 2015
SN  - 1558-349X
1546-1440
SP  - 824-829
ST  - Intraoperative Radiography for Evaluation of Surgical Miscounts
T2  - Journal of the American College of Radiology
TI  - Intraoperative Radiography for Evaluation of Surgical Miscounts
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L604641756&from=export
http://dx.doi.org/10.1016/j.jacr.2015.03.005
VL  - 12
ID  - 438
ER  - 

TY  - JOUR
AB  - The purpose of this manuscript was to provide a better understanding of patients with intralenticular foreign bodies (FBs) and also to review the reported cases, including clinical presentation, diagnosis, management, and visual outcome. A 50-year-old male was referred to our clinic with suspected intraocular FB. Under slit-lamp examination, a full-thickness corneal wound with localized corneal edema at the temporal lower peri-limbal area was revealed. Seidel test did not indicate any wound leakage. The corresponding iris was depigmented, but there was no penetrating hole. The anterior chamber was deep with cells, but the lens, vitreous, and fundus were normal. B-scan ultrasonography and orbital computed tomography were performed, but no intraocular FB was detected. On the 2 nd day, a zonal cortical cataract and posterior subcapsular cataract formed rapidly. Left-eye bare vision dramatically decreased from 20/100 to counting fingers. One month later, the patient received elective extracapsular cataract extraction. A fine metal thread was completely embedded in the lens; the lens and FB were removed together during the operation. The posterior capsule was not injured; an intraocular lens was implanted in the capsular bag. Two months postoperatively, left-eye vision had returned to 20/25. No adverse events were noted during the follow-up period. In addition to the case report, some 28 previously reported cases of intralenticular FB are reviewed here. Patient demographics, time and course of management, and visual outcome are all summarized and compared. © 2019 Wolters Kluwer Medknow Publications. All Rights Reserved.
AD  - Department of Ophthalmology, E-Da Hospital, I-Shou University, 1 E-Da Road, Yan-Chao District, Kaohsiung City, 824, Taiwan
Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan
AU  - Lin, Y. C.
AU  - Kuo, C. L.
AU  - Chen, Y. M.
DB  - Scopus
DO  - 10.4103/tjo.tjo_88_18
IS  - 1
KW  - Intralenticular foreign body
intraocular foreign body
metal foreign body
M3  - Review
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2019
SP  - 53-59
ST  - Intralenticular foreign body: A case report and literature review
T2  - Taiwan Journal of Ophthalmology
TI  - Intralenticular foreign body: A case report and literature review
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85062479495&doi=10.4103%2ftjo.tjo_88_18&partnerID=40&md5=4c0c7999a1ad8e77aa1e8a4cd3531f7d
VL  - 9
ID  - 1035
ER  - 

TY  - JOUR
AB  - Intraluminal gossypiboma is a serious but avoidable complication during surgery which can be averted. The whole surgical team has to be vigilant especially during the closure of surgery, the time when fatigue makes every one a bit careless which can be costly both for the surgeon and increases the morbidity and mortality of the patient. Simple precautions like gauze pieces counting and tagging the gauze pieces with markers can prevent this.
AD  - Doctors' Chummury, 41 Eden Hospital Road, Kolkata-700073 West Bengal, India
AU  - Agarwal, A. Kr
AU  - Bhattacharya, N.
AU  - Mukherjee, R.
AU  - Akash Bora, A.
DB  - Scopus
IS  - 3
KW  - Gossypiboma
M3  - Article
N1  - Cited By :4
Export Date: 10 November 2020
PY  - 2008
SP  - 461-463
ST  - Intra luminal gossypiboma
T2  - Pakistan Journal of Medical Sciences
TI  - Intra luminal gossypiboma
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-46749121454&partnerID=40&md5=266ed4052981be704d81892a905aed08
VL  - 24
ID  - 1532
ER  - 

TY  - JOUR
AB  - Dr. Verna Gibbs describes the "NoThing Left Behind" Program designed to eliminate retained devices from surgical procedures. She explains the genesis of the program along with adjuncts to counting including computer-assisted sponge count, radiofrequency detection system, radiofrequency identification system, and the Sponge ACCOUNTing system. She provides comments on the use of these adjuncts with responses on their effectiveness on improving safety. © 2011 National Association for Healthcare Quality.
AU  - Gibbs, V.
DB  - Scopus
IS  - 6
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2012
SP  - 21-26
ST  - Interview with a quality leader: Dr. Verna Gibbs on surgical safety. Interview by Susan V. White
T2  - Journal for healthcare quality : official publication of the National Association for Healthcare Quality
TI  - Interview with a quality leader: Dr. Verna Gibbs on surgical safety. Interview by Susan V. White
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84891392789&partnerID=40&md5=067d32deb63534eeb75bc5e5181d86f6
VL  - 34
ID  - 1352
ER  - 

TY  - JOUR
AB  - Dr. Verna Gibbs describes the "NoThing Left Behind" Program designed to eliminate retained devices from surgical procedures. She explains the genesis of the program along with adjuncts to counting including computer-assisted sponge count, radiofrequency detection system, radiofrequency identification system, and the Sponge ACCOUNTing system. She provides comments on the use of these adjuncts with responses on their effectiveness on improving safety. © 2011 National Association for Healthcare Quality.
AD  - V. Gibbs
AU  - Gibbs, V.
DB  - Medline
IS  - 6
KW  - article
checklist
foreign body
human
interview
medical error
methodology
patient safety
standard
surgery
surgical sponge
total quality management
LA  - English
M3  - Article
N1  - L366420588
2014-01-07
PY  - 2012
SN  - 1945-1474
SP  - 21-26
ST  - Interview with a quality leader: Dr. Verna Gibbs on surgical safety. Interview by Susan V. White
T2  - Journal for healthcare quality : official publication of the National Association for Healthcare Quality
TI  - Interview with a quality leader: Dr. Verna Gibbs on surgical safety. Interview by Susan V. White
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L366420588&from=export
VL  - 34
ID  - 500
ER  - 

TY  - JOUR
AB  - Background: Intentional ingestion of foreign objects (IIFO) is common in the incarcerated population. This study was undertaken in order to better define clinical patterns of IIFO among prisoners. We sought to determine factors associated with the need for endoscopic and surgical therapy for IIFO. Methods: After obtaining permission to conduct IIFO research in incarcerated populations, study patients were identified by ICD-9 codes. Patient charts were reviewed for demographics; past medical history; IIFO characteristics; and diagnostic, endoscopic, and surgical findings. Univariate and multivariate analyses were performed using statistical software. Results: Thirty patients with 141 episodes of IIFO were identified. The mean number of ingested items per episode was 4.60. Endoscopy was performed in 97 of 141 IIFO instances, with failure to retrieve the ingested object in 21 of 97 cases (22%). Eleven instances (7.8%) required surgical intervention. On multivariate analyses, hospital admission was associated with elevated white blood cell count (odds ratio [OR] 1.4, P < 0.05) and number of items ingested (OR 1.3, P < 0.05). The need for endoscopy was independently associated with ingestion of multiple objects (OR 3.3, P < 0.05) and elevated white blood cell count (OR 1.3, P < 0.05). Surgical therapy was significantly associated with elevated white blood cell count (OR 1.6, P < 0.01) and with increasing number of ingested items (OR 1.07 per item, P < 0.05). Endoscopy is associated with significantly lower odds of surgery (OR 0.13, P < 0.01). Conclusions: Intentional ingestion of foreign objects continues to pose a significant human and economic burden. The need for admission or therapy is frequently associated with leukocytosis. Further investigation is warranted into resource-appropriate triage of patients who present with IIFO. © 2013 Elsevier Inc. All rights reserved.
AD  - Department of Anesthesiology, Ohio State University, Columbus, OH, United States
Department of Surgery, Ohio State University, 395 W 12th Ave, Room 634D, Columbus, OH 43210-1267, United States
Division of Gastroenterology, Hepatology, and Nutrition, Ohio State University, Columbus, OH, United States
AU  - Dalal, P. P.
AU  - Otey, A. J.
AU  - McGonagle, E. A.
AU  - Whitmill, M. L.
AU  - Levine, E. J.
AU  - McKimmie, R. L.
AU  - Thomas, A. C.
AU  - Cook, C. H.
AU  - Papadimos, T. J.
AU  - Reilley, T. E.
AU  - Bergese, S. D.
AU  - Steinberg, S. M.
AU  - Stawicki, S. P. A.
AU  - Evans, D. C.
DB  - Scopus
DO  - 10.1016/j.jss.2013.04.078
IS  - 1
KW  - Correctional institutions
Endoscopy
Foreign body ingestion
Inmates
Intentional ingestion of foreign
Laparotomy
Objects
Prisoners
Swallowers
M3  - Article
N1  - Cited By :18
Export Date: 10 November 2020
PY  - 2013
SP  - 145-149
ST  - Intentional foreign object ingestions: Need for endoscopy and surgery
T2  - Journal of Surgical Research
TI  - Intentional foreign object ingestions: Need for endoscopy and surgery
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84884675728&doi=10.1016%2fj.jss.2013.04.078&partnerID=40&md5=6a28f60d9a90627603b71fc625f97e4b
VL  - 184
ID  - 1336
ER  - 

TY  - JOUR
AB  - Ingestion of multiple magnets poses a particular risk for various intraabdominal complications in children. We herein report a case of ingestion of multiple magnets, of which 3 were spontaneously expelled, and the remaining magnets were surgically removed. Since the total amount of ingestion was unknown upon presentation and the remaining intraabdominal magnets failed to pass after 24 h, emergency surgery was performed. Two magnets sandwiched the bowel walls and formed a jejunoileal fistula. There was no peritoneal contamination. We found that not all the ingested multiple magnets attracted each other, and multiple magnets could appear as single material on a plain radiograph. Confirming the exact count of ingested magnets is important; if the count is in doubt or two or more attachments are evident, prompt surgical intervention is warranted. © 2014 The Authors. Published by Elsevier Inc. All rights reserved.
AD  - Department of Surgery, Kangwon National University Hospital, 156 Baekryoung-ro, Chuncheon 200-722, South Korea
Department of Pediatrics, Kangwon National University Hospital, Chuncheon, South Korea
Kangwon National University School of Medicine, Chuncheon, South Korea
AU  - Kim, Y.
AU  - Hong, J.
AU  - Moon, S. B.
DB  - Scopus
DO  - 10.1016/j.epsc.2014.02.013
IS  - 3
KW  - Count
Ingestion
Magnets
M3  - Article
N1  - Cited By :6
Export Date: 10 November 2020
PY  - 2014
SP  - 130-132
ST  - Ingestion of multiple magnets: The count does matter
T2  - Journal of Pediatric Surgery Case Reports
TI  - Ingestion of multiple magnets: The count does matter
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84897542480&doi=10.1016%2fj.epsc.2014.02.013&partnerID=40&md5=6d21fd34ee445661a9efd67bbbf3e765
VL  - 2
ID  - 1287
ER  - 

TY  - JOUR
AB  - Introduction: Ingestion of foreign bodies and their impaction at the lumen of the appendix is a very rare finding and only few cases have been reported all over the world. A variety of metallic foreign bodies when ingested may be lodged in the lumen of the appendix such as screws, bird shots, and needles. This is called in most literatures as foreign body appendicitis. Case presentation: A 4-year-old boy with history of an accidental ingestion of a metallic nail presented to the emergency department one week later with right iliac fossa pain and one attack of vomiting. During abdominal examination there was tenderness and rebound tenderness at the right iliac fossa. Plain abdominal X-ray showed the metallic nail in the region of the right iliac fossa. Ultrasound examination was normal apart from tenderness of putting the probe on the right lilac fossa. The white blood cell counts were 14,000 cell per microliter. During surgery the nail was found to be impacted inside the lumen of the vermiform appendix causing inflammation of the appendix. Appendicectomy done and the patient discharged on the third day in a good general condition. Conclusion: Acute appendicitis may be caused by a variety of causes including ingested foreign bodies if impacted in its lumen. When the patient has signs of generalized peritonitis it is important to exclude bowel perforation. The surgery can be done by the open surgery or laparoscopically. © 2019 The Authors
AD  - University of Duhok, College of Medicine, Department of Surgery, Duhok city, Kurdistan Region, Iraq
Duhok Directorate of Health, Duhok Emergency Teaching Hospital, Duhok city, Kurdistan Region, Iraq
AU  - Mohammed, A. A.
AU  - Ghazi, D. Y.
AU  - Arif, S. H.
DB  - Scopus
DO  - 10.1016/j.ijscr.2019.03.052
KW  - Appendicectomy
Appendicitis
Foreign body appendicitis
Vermiform appendix
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2019
SP  - 201-204
ST  - Ingested metallic foreign body impacted in the vermiform appendix presenting as acute appendicitis: Case report
T2  - International Journal of Surgery Case Reports
TI  - Ingested metallic foreign body impacted in the vermiform appendix presenting as acute appendicitis: Case report
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064069566&doi=10.1016%2fj.ijscr.2019.03.052&partnerID=40&md5=878b9e8bbac53c39673ac9b627d2f004
VL  - 57
ID  - 1030
ER  - 

TY  - JOUR
AB  - Introduction: Ingestion of foreign bodies and their impaction at the lumen of the appendix is a very rare finding and only few cases have been reported all over the world. A variety of metallic foreign bodies when ingested may be lodged in the lumen of the appendix such as screws, bird shots, and needles. This is called in most literatures as foreign body appendicitis. Case presentation: A 4-year-old boy with history of an accidental ingestion of a metallic nail presented to the emergency department one week later with right iliac fossa pain and one attack of vomiting. During abdominal examination there was tenderness and rebound tenderness at the right iliac fossa. Plain abdominal X-ray showed the metallic nail in the region of the right iliac fossa. Ultrasound examination was normal apart from tenderness of putting the probe on the right lilac fossa. The white blood cell counts were 14,000 cell per microliter. During surgery the nail was found to be impacted inside the lumen of the vermiform appendix causing inflammation of the appendix. Appendicectomy done and the patient discharged on the third day in a good general condition. Conclusion: Acute appendicitis may be caused by a variety of causes including ingested foreign bodies if impacted in its lumen. When the patient has signs of generalized peritonitis it is important to exclude bowel perforation. The surgery can be done by the open surgery or laparoscopically.
AD  - A.A. Mohammed, University of Duhok, College of Medicine, Department of Surgery, Azadi Teaching Hospital, 8 Nakhoshkhana Road, 1014 AM, Kurdistan Region, Duhok City, Duhok, Iraq
AU  - Mohammed, A. A.
AU  - Ghazi, D. Y.
AU  - Arif, S. H.
DB  - Embase
DO  - 10.1016/j.ijscr.2019.03.052
KW  - abdominal radiography
abdominal tenderness
acute appendicitis
appendectomy
appendix
article
case report
child
clinical article
clinical outcome
foreign body
human
ingestion
leukocyte count
male
preschool child
priority journal
vomiting
LA  - English
M3  - Article
N1  - L2001803569
2019-04-16
2019-04-18
PY  - 2019
SN  - 2210-2612
SP  - 201-204
ST  - Ingested metallic foreign body impacted in the vermiform appendix presenting as acute appendicitis: Case report
T2  - International Journal of Surgery Case Reports
TI  - Ingested metallic foreign body impacted in the vermiform appendix presenting as acute appendicitis: Case report
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L2001803569&from=export
http://dx.doi.org/10.1016/j.ijscr.2019.03.052
VL  - 57
ID  - 321
ER  - 

TY  - JOUR
AB  - A 35-year-old woman presented with a history of vague epigastric pain which lasted for one day. She had no other gastrointestinal symptoms and had an unremarkable past history and physical examination. An ultrasound scan abdomen showed a 3x3.5 cm mass in the left lobe of liver. A CT scan showed an abnormal hypodense lesion with mild enhancement in the arterial phase, with a central calcification. Complete blood count, liver function test and alpha-fetoprotein were normal. A left lateral segmentectomy was performed after adequate pre-operative assessment. The specimen contained a 3 cm long fishbone. The post-operative period was uneventful. Histopathological examination revealed chronic non-specific inflammation with fibrosis. Inflammatory pseudotumor of liver is a rare benign tumor with uncertain etiopathogenesis. Suggested etiologies include a septic or a viral origin and it can occur after migration of sharp objects, including migrated fishbone. Inflammatory pseudotumor of liver can be a diagnostic challenge and may end up in major resection. © 2013 Hellenic Society of Gastroenterology.
AD  - Department of Surgical Gastroenterology, Madras Medical College, Chennai, Tamilnadu, India
AU  - Srinivasan, U. P.
AU  - Duraisamy, A. B.
AU  - Ilango, S.
AU  - Rathinasamy, A.
AU  - Chandramohan, S. M.
DB  - Scopus
IS  - 1
KW  - Fish bone
Foreign body
Inflammatory pseudotumor
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2013
SP  - 84-86
ST  - Inflammatory pseudotumor of liver secondary to migrated fishbone - A rare cause with an unusual presentation
T2  - Annals of Gastroenterology
TI  - Inflammatory pseudotumor of liver secondary to migrated fishbone - A rare cause with an unusual presentation
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84871784539&partnerID=40&md5=7868c824978504b0d7209050e2cfdcc9
VL  - 26
ID  - 1333
ER  - 

TY  - JOUR
AB  - Purpose: To assess the safety and tissue response of a polymethyl methacrylate (PMMA) glaucoma drainage device (GDD) in the rabbit eye. Methods: Specially constructed PMMA GDD devices were implanted into rabbit eyes and evaluated histopathologically following euthanasia on days 5, 30, and 60 after implantation surgery. Hematoxylin-eosin, Masson’s trichrome, and periodic acid-Schiff were used to stain tissue specimens dissected from the surgical site. Inflammatory cell count and capsule thickness measurements were performed. Results: Three rabbits were sacrificed on day 5, 3 on day 30, and 4 on day 60. Macrophage and lymphocyte counts increased from day 5 to day 30 then decreased (P = 0.0000) with greater counts seen in the superior regions. At day 30, a fibrous capsule had formed around the plate area. Fibroblast counts increased significantly between day 5 to day 30 and again to day 60 (P = 0.001) with greatest numbers anteriorly. The inferior capsule thickness at day 60 was 243 μm (standard deviation, 120; 95% confidence interval: 53-433). The superior capsule thickness was 388 μm (standard deviation, 136; 95% confidence interval: 172-604). No adverse reactions were seen. Conclusions: Histopathologically, the inflammatory response toward this PMMA glaucoma drainage device was comparable to other reported GDDs. No accentuated response or adverse event was seen suggesting that PMMA may be useful as a GDD material. Translational Relevance: An affordable, locally built GDD is needed in Indonesia because of the high prevalence of severe glaucoma. This rabbit study is a significant step toward justifying the use of PMMA as a GDD material. PMMA is cheap and easily manufactured and sterilized in developing economies. © 2020, Association for Research in Vision and Ophthalmology Inc.. All rights reserved.
AD  - Ophthalmology Department, Faculty of Medicine, University of Indonesia, Jakarta, Indonesia
Cipto Mangunkusumo Hospital, Jakarta, Indonesia
Faculty of Veterinary, Institute Pertanian Bogor, Bogor, West Java, Indonesia
Ophthalmology Department, University of Western Australia, Nedlands, WA, Australia
AU  - Oktariana Asrory, V. D.
AU  - Sitompul, R.
AU  - Artini, W.
AU  - Estuningsih, S.
AU  - Noviana, D.
AU  - Morgan, W. H.
C7  - 20
DB  - Scopus
DO  - 10.1167/tvst.9.3.20
IS  - 3
KW  - Foreign body reaction
Glaucoma drainage device
Inflammatory reaction
Polymethyl methacrylate
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
ST  - The inflammatory and foreign body reaction of polymethyl methacrylate glaucoma drainage device in the rabbit eye
T2  - Translational Vision Science and Technology
TI  - The inflammatory and foreign body reaction of polymethyl methacrylate glaucoma drainage device in the rabbit eye
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85081119958&doi=10.1167%2ftvst.9.3.20&partnerID=40&md5=b84f672f103f27b31152476a4aaeb9d4
VL  - 9
ID  - 981
ER  - 

TY  - JOUR
AB  - Communication and collaboration in patient care settings is vital for promoting the best possible patient outcomes. The counting of sponges, sharps, and instruments, and the surgical time out before the start of any surgical procedure are opportunities for the surgical team to address patient safety risks. Personnel in the surgical services department at St Luke's Episcopal Hospital, Houston, Texas, implemented the use of a hanging, magnetic, dry-erase board that includes the elements of a time out (eg, patient name and identifiers, procedure, site, allergies) and provides a means to document countable items. The board promotes team awareness of this time out and count information at all times during a procedure. Specific magnets on the count board identify items intentionally packed inside the patient to remind the team of the location of these items when the count is reconciled at the end of the procedure. In addition, a process of obtaining an radiograph of items similar to any missing items assists radiologists in identifying the location of retained surgical items. As a result of implementing both changes, our ability to locate missing items has significantly increased. © 2010 AORN, Inc.
AD  - St Luke's Episcopal Hospital, O'Quinn Medical Towers, Houston, TX, United States
AU  - Edel, E. M.
DB  - Scopus
DO  - 10.1016/j.aorn.2010.03.013
IS  - 4
KW  - Count verification
Retained surgical items
Surgical counts
Time out
M3  - Article
N1  - Cited By :6
Export Date: 10 November 2020
PY  - 2010
SP  - 420-424
ST  - Increasing patient safety and surgical team communication by using a count/time out board
T2  - AORN Journal
TI  - Increasing patient safety and surgical team communication by using a count/time out board
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-77957256725&doi=10.1016%2fj.aorn.2010.03.013&partnerID=40&md5=4ccc68a87a2ca03d52beb23d2a1cd52b
VL  - 92
ID  - 1448
ER  - 

TY  - JOUR
AB  - Communication and collaboration in patient care settings is vital for promoting the best possible patient outcomes. The counting of sponges, sharps, and instruments, and the surgical time out before the start of any surgical procedure are opportunities for the surgical team to address patient safety risks. Personnel in the surgical services department at St Luke's Episcopal Hospital, Houston, Texas, implemented the use of a hanging, magnetic, dry-erase board that includes the elements of a time out (eg, patient name and identifiers, procedure, site, allergies) and provides a means to document countable items. The board promotes team awareness of this time out and count information at all times during a procedure. Specific magnets on the count board identify items intentionally packed inside the patient to remind the team of the location of these items when the count is reconciled at the end of the procedure. In addition, a process of obtaining an radiograph of items similar to any missing items assists radiologists in identifying the location of retained surgical items. As a result of implementing both changes, our ability to locate missing items has significantly increased.
AD  - St Luke's Episcopal Hospital, O'Quinn Medical Towers, Houston, TX, USA.
AN  - 105010676. Language: English. Entry Date: 20101210. Revision Date: 20200708. Publication Type: Journal Article
AU  - Edel, E. M.
DB  - ccm
DO  - 10.1016/j.aorn.2010.03.013
DP  - EBSCOhost
IS  - 4
KW  - Communication -- Methods
Health Care Errors -- Prevention and Control
Interprofessional Relations
Operating Room Personnel
Patient Safety
Retained Instruments -- Prevention and Control
Surgical Count Procedure
Collaboration
Operating Rooms
Radiology Service
N1  - pictorial. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0372403.
PMID: NLM20888944.
PY  - 2010
SN  - 0001-2092
SP  - 420-424
ST  - Increasing patient safety and surgical team communication by using a count/time out board
T2  - AORN Journal
TI  - Increasing patient safety and surgical team communication by using a count/time out board
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105010676&site=ehost-live&scope=site
VL  - 92
ID  - 759
ER  - 

TY  - JOUR
AB  - Communication and collaboration in patient care settings is vital for promoting the best possible patient outcomes. The counting of sponges, sharps, and instruments, and the surgical time out before the start of any surgical procedure are opportunities for the surgical team to address patient safety risks. Personnel in the surgical services department at St Luke's Episcopal Hospital, Houston, Texas, implemented the use of a hanging, magnetic, dry-erase board that includes the elements of a time out (eg, patient name and identifiers, procedure, site, allergies) and provides a means to document countable items. The board promotes team awareness of this time out and count information at all times during a procedure. Specific magnets on the count board identify items intentionally packed inside the patient to remind the team of the location of these items when the count is reconciled at the end of the procedure. In addition, a process of obtaining an radiograph of items similar to any missing items assists radiologists in identifying the location of retained surgical items. As a result of implementing both changes, our ability to locate missing items has significantly increased. © 2010 AORN, Inc.
AD  - E.M. Edel, St Luke's Episcopal Hospital, O'Quinn Medical Towers, Houston, TX, United States
AU  - Edel, E. M.
DB  - Medline
DO  - 10.1016/j.aorn.2010.03.013
IS  - 4
KW  - article
human
interpersonal communication
medical error
safety
United States
LA  - English
M3  - Article
N1  - L359683006
2011-04-08
PY  - 2010
SN  - 0001-2092
SP  - 420-424
ST  - Increasing patient safety and surgical team communication by using a count/time out board
T2  - AORN Journal
TI  - Increasing patient safety and surgical team communication by using a count/time out board
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L359683006&from=export
http://dx.doi.org/10.1016/j.aorn.2010.03.013
VL  - 92
ID  - 553
ER  - 

TY  - JOUR
AB  - Ensuring that patients remain free of unintended retained foreign bodies is a primary responsibility of perioperative nurses and surgical technologists. However, these incidents continue to occur despite hospital policies and AORN recommended practice guidelines for their prevention. To provide insight into how incorrect surgical counts occur, researchers conducted a qualitative analysis of the tasks and challenges faced by perioperative nurses and surgical technologists in an academic medical center and a community hospital. Using hermeneutic phenomenological methodology, we identified bad behavior, general chaos, and communication difficulties as problems associated with incorrect surgical counts. As point-of-care providers, perioperative RNs are well poised to identify problematic areas and design systems and processes that protect patients. Perioperative RNs should consider using red rules or a code of conduct as tools for improving the manual counting process. These strategies could be developed in the shared governance council or a perioperative staff-led committee to ensure adherence to AORN standards. © 2010 AORN, Inc.
AD  - Martha Jefferson Hospital, Charlottesville, VA, United States
University of Virginia School of Nursing, Charlottesville, United States
AU  - Rowlands, A.
AU  - Steeves, R.
DB  - Scopus
DO  - 10.1016/j.aorn.2010.01.019
IS  - 4
KW  - Code of conduct
Incorrect surgical counts
Patient safety
Red rules
Retained foreign bodies
M3  - Article
N1  - Cited By :16
Export Date: 10 November 2020
PY  - 2010
SP  - 410-419
ST  - Incorrect surgical counts: A qualitative analysis
T2  - AORN Journal
TI  - Incorrect surgical counts: A qualitative analysis
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-77957267076&doi=10.1016%2fj.aorn.2010.01.019&partnerID=40&md5=9330b25e56f64ae5f4308860ef4e8756
VL  - 92
ID  - 1447
ER  - 

TY  - JOUR
AB  - Ensuring that patients remain free of unintended retained foreign bodies is a primary responsibility of perioperative nurses and surgical technologists. However, these incidents continue to occur despite hospital policies and AORN recommended practice guidelines for their prevention. To provide insight into how incorrect surgical counts occur, researchers conducted a qualitative analysis of the tasks and challenges faced by perioperative nurses and surgical technologists in an academic medical center and a community hospital. Using hermeneutic phenomenological methodology, we identified bad behavior, general chaos, and communication difficulties as problems associated with incorrect surgical counts. As point-of-care providers, perioperative RNs are well poised to identify problematic areas and design systems and processes that protect patients. Perioperative RNs should consider using red rules or a code of conduct as tools for improving the manual counting process. These strategies could be developed in the shared governance council or a perioperative staff-led committee to ensure adherence to AORN standards.
AD  - RN first assistant and nurse researcher, Martha Jefferson Hospital, Charlottesville, VA, USA.
AN  - 105010675. Language: English. Entry Date: 20101210. Revision Date: 20200708. Publication Type: Journal Article
AU  - Rowlands, A.
AU  - Steeves, R.
DB  - ccm
DO  - 10.1016/j.aorn.2010.01.019
DP  - EBSCOhost
IS  - 4
KW  - Perioperative Nursing
Retained Instruments
Surgical Count Procedure
Academic Medical Centers
Adult
Behavior
Communication
Female
Hospitals, Community
Human
Interprofessional Relations
Interviews
Life Experiences
Male
Middle Age
Nurse Attitudes -- Evaluation
Phenomenological Research
Registered Nurses
Research Subject Recruitment
Respect
Retained Instruments -- Etiology
Surgical Technologists
Thematic Analysis
Virginia
N1  - research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0372403.
PMID: NLM20888943.
PY  - 2010
SN  - 0001-2092
SP  - 410-419
ST  - Incorrect surgical counts: a qualitative analysis
T2  - AORN Journal
TI  - Incorrect surgical counts: a qualitative analysis
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105010675&site=ehost-live&scope=site
VL  - 92
ID  - 757
ER  - 

TY  - JOUR
AB  - Ensuring that patients remain free of unintended retained foreign bodies is a primary responsibility of perioperative nurses and surgical technologists. However, these incidents continue to occur despite hospital policies and AORN recommended practice guidelines for their prevention. To provide insight into how incorrect surgical counts occur, researchers conducted a qualitative analysis of the tasks and challenges faced by perioperative nurses and surgical technologists in an academic medical center and a community hospital. Using hermeneutic phenomenological methodology, we identified bad behavior, general chaos, and communication difficulties as problems associated with incorrect surgical counts. As point-of-care providers, perioperative RNs are well poised to identify problematic areas and design systems and processes that protect patients. Perioperative RNs should consider using red rules or a code of conduct as tools for improving the manual counting process. These strategies could be developed in the shared governance council or a perioperative staff-led committee to ensure adherence to AORN standards. © 2010 AORN, Inc.
AD  - A. Rowlands, Martha Jefferson Hospital, Charlottesville, VA, United States
AU  - Rowlands, A.
AU  - Steeves, R.
DB  - Medline
DO  - 10.1016/j.aorn.2010.01.019
IS  - 4
KW  - article
human
medical error
nursing staff
perioperative nursing
LA  - English
M3  - Article
N1  - L359683005
2011-04-08
PY  - 2010
SN  - 0001-2092
SP  - 410-419
ST  - Incorrect surgical counts: A qualitative analysis
T2  - AORN Journal
TI  - Incorrect surgical counts: A qualitative analysis
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L359683005&from=export
http://dx.doi.org/10.1016/j.aorn.2010.01.019
VL  - 92
ID  - 552
ER  - 

TY  - JOUR
AU  - Murphy, E. K.
DB  - Scopus
DO  - 10.1016/S0001-2092(07)68139-3
IS  - 4
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 1986
SP  - 918-924
ST  - Incorrect counts; surgeon's negligence does not absolve nurses from liability
T2  - AORN journal
TI  - Incorrect counts; surgeon's negligence does not absolve nurses from liability
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0022705979&doi=10.1016%2fS0001-2092%2807%2968139-3&partnerID=40&md5=b020c6adcb52eaab558cd3969199d65c
VL  - 43
ID  - 1749
ER  - 

TY  - JOUR
AD  - E.K. Murphy
AU  - Murphy, E. K.
DB  - Medline
DO  - 10.1016/S0001-2092(07)68139-3
IS  - 4
KW  - adult
aged
article
case report
female
foreign body
human
legal aspect
male
malpractice
operating room personnel
pregnancy
surgery
surgical equipment
LA  - English
M3  - Article
N1  - L16692617
1986-05-15
PY  - 1986
SN  - 0001-2092
SP  - 918-924
ST  - Incorrect counts; surgeon's negligence does not absolve nurses from liability
T2  - AORN journal
TI  - Incorrect counts; surgeon's negligence does not absolve nurses from liability
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L16692617&from=export
http://dx.doi.org/10.1016/S0001-2092(07)68139-3
VL  - 43
ID  - 676
ER  - 

TY  - JOUR
AB  - Background: The term gossypiboma refers to a sponge that has been forgotten in the surgical field. It is the most common retained surgical item, and constitutes a continuing problem for surgical safety. We performed a hospital-based study to examine their incidence, root cause, and outcomes, as an effort toward improving prevention. Methods: This retrospective study covered 10 years (2006-2015) and included surgically confirmed cases of abdominal gossypibomas occurring after 45,011 abdominal and gynaecological operations in 2 public hospitals in Lome (Togo). Age, diagnosis, initial surgical procedure, evidence of textile count, and data related to the revision procedure were collected for descriptive analysis. Results: Fifteen cases of gossypibomas (11 women and 4 men) were recorded. The mean age of the patients was 27 (range 21-55) years. Initial procedures were gynaecological in 11 patients and 5 cases involved an emergency surgery. Evidence of sponge counting was found in 6cases. Gossypiboma was an incidental finding in 1 patient. The average time to onset of symptoms after the initial procedure was 2 months. The gossypiboma was removed within 7 days to 4 years after the initial procedure. Postoperative complications included enterocutaneous fistula in 2 patients, incisional hernia in 2 patients, and wound sepsis in 1 patient. Death occurred in 2 patients (13.3%). Conclusions: Although rare, the incidence of gossypibomas is still unacceptably high and reveals failures regarding patient safety standards. The associated morbidity and mortality are significant, yet can be reduced by an early diagnosis in the immediate postoperative period. A systematic methodical count of sponges is the cornerstone of prevention, and introducing surgical safety protocols, such as the WHO Safe Surgery Saves Lives checklist, can enhance effectiveness. There is a crucial need for safety-focused policies, which may include a never event reporting system, elaboration of prevention strategies, interventions, and evaluation. © 2017 The Author(s).
AD  - Teaching Hospital of Sylvanus Olympio, Department of Surgery, Lomé, Togo
Teaching Hospital of Sylvanus Olympio, Department of Radiology, Lomé, Togo
General surgery, Lomé Commune Regional Hospital, Lomé, Togo
Visceral surgeon at Sylvanus Olympio Teaching Hospital, 198 rue de la santé, P.O Box 57, Lomé, Togo
AU  - Tchangai, B.
AU  - Tchaou, M.
AU  - Kassegne, I.
AU  - Simlawo, K.
C7  - 25
DB  - Scopus
DO  - 10.1186/s13037-017-0140-2
IS  - 1
KW  - Complications
CT scan
Foreign body reaction
Gossypiboma
Laparotomy
Prevention
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2017
ST  - Incidence, root cause, and outcomes of unintentionally retained intraabdominal surgical sponges: A retrospective case series from two hospitals in Togo
T2  - Patient Safety in Surgery
TI  - Incidence, root cause, and outcomes of unintentionally retained intraabdominal surgical sponges: A retrospective case series from two hospitals in Togo
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85032230812&doi=10.1186%2fs13037-017-0140-2&partnerID=40&md5=f5d621691dddb6e5f9dcd7982dfe2a94
VL  - 11
ID  - 1116
ER  - 

TY  - JOUR
AB  - Background: The term gossypiboma refers to a sponge that has been forgotten in the surgical field. It is the most common retained surgical item, and constitutes a continuing problem for surgical safety. We performed a hospital-based study to examine their incidence, root cause, and outcomes, as an effort toward improving prevention. Methods: This retrospective study covered 10 years (2006-2015) and included surgically confirmed cases of abdominal gossypibomas occurring after 45,011 abdominal and gynaecological operations in 2 public hospitals in Lome (Togo). Age, diagnosis, initial surgical procedure, evidence of textile count, and data related to the revision procedure were collected for descriptive analysis. Results: Fifteen cases of gossypibomas (11 women and 4 men) were recorded. The mean age of the patients was 27 (range 21-55) years. Initial procedures were gynaecological in 11 patients and 5 cases involved an emergency surgery. Evidence of sponge counting was found in 6cases. Gossypiboma was an incidental finding in 1 patient. The average time to onset of symptoms after the initial procedure was 2 months. The gossypiboma was removed within 7 days to 4 years after the initial procedure. Postoperative complications included enterocutaneous fistula in 2 patients, incisional hernia in 2 patients, and wound sepsis in 1 patient. Death occurred in 2 patients (13.3%). Conclusions: Although rare, the incidence of gossypibomas is still unacceptably high and reveals failures regarding patient safety standards. The associated morbidity and mortality are significant, yet can be reduced by an early diagnosis in the immediate postoperative period. A systematic methodical count of sponges is the cornerstone of prevention, and introducing surgical safety protocols, such as the WHO Safe Surgery Saves Lives checklist, can enhance effectiveness. There is a crucial need for safety-focused policies, which may include a never event reporting system, elaboration of prevention strategies, interventions, and evaluation.
AD  - Department of Surgery, Teaching Hospital of Sylvanus Olympio, Lomé, Togo
Visceral surgeon at Sylvanus Olympio Teaching Hospital, 198 rue de la santé, P.O Box 57, Lomé, Togo
Department of Radiology, Teaching Hospital of Sylvanus Olympio, Lomé, Togo
General surgery, Lomé Commune Regional Hospital, Lomé, Togo
AN  - 125930373. Language: English. Entry Date: In Process. Revision Date: 20190620. Publication Type: Article. Journal Subset: Europe
AU  - Tchangai, Boyodi
AU  - Tchaou, Mazamaesso
AU  - Kassegne, Iroukora
AU  - Simlawo, Kpatekana
DB  - ccm
DO  - 10.1186/s13037-017-0140-2
DP  - EBSCOhost
N1  - Health Services Administration; UK & Ireland. NLM UID: 101319176.
PY  - 2017
SN  - 1754-9493
SP  - 1-7
ST  - Incidence, root cause, and outcomes of unintentionally retained intraabdominal surgical sponges: a retrospective case series from two hospitals in Togo
T2  - Patient Safety in Surgery
TI  - Incidence, root cause, and outcomes of unintentionally retained intraabdominal surgical sponges: a retrospective case series from two hospitals in Togo
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125930373&site=ehost-live&scope=site
VL  - 11
ID  - 737
ER  - 

TY  - JOUR
AB  - Background: The term gossypiboma refers to a sponge that has been forgotten in the surgical field. It is the most common retained surgical item, and constitutes a continuing problem for surgical safety. We performed a hospital-based study to examine their incidence, root cause, and outcomes, as an effort toward improving prevention. Methods: This retrospective study covered 10 years (2006-2015) and included surgically confirmed cases of abdominal gossypibomas occurring after 45,011 abdominal and gynaecological operations in 2 public hospitals in Lome (Togo). Age, diagnosis, initial surgical procedure, evidence of textile count, and data related to the revision procedure were collected for descriptive analysis. Results: Fifteen cases of gossypibomas (11 women and 4 men) were recorded. The mean age of the patients was 27 (range 21-55) years. Initial procedures were gynaecological in 11 patients and 5 cases involved an emergency surgery. Evidence of sponge counting was found in 6cases. Gossypiboma was an incidental finding in 1 patient. The average time to onset of symptoms after the initial procedure was 2 months. The gossypiboma was removed within 7 days to 4 years after the initial procedure. Postoperative complications included enterocutaneous fistula in 2 patients, incisional hernia in 2 patients, and wound sepsis in 1 patient. Death occurred in 2 patients (13.3%). Conclusions: Although rare, the incidence of gossypibomas is still unacceptably high and reveals failures regarding patient safety standards. The associated morbidity and mortality are significant, yet can be reduced by an early diagnosis in the immediate postoperative period. A systematic methodical count of sponges is the cornerstone of prevention, and introducing surgical safety protocols, such as the WHO Safe Surgery Saves Lives checklist, can enhance effectiveness. There is a crucial need for safety-focused policies, which may include a never event reporting system, elaboration of prevention strategies, interventions, and evaluation.
AD  - B. Tchangai, Teaching Hospital of Sylvanus Olympio, Department of Surgery, Lomé, Togo
AU  - Tchangai, B.
AU  - Tchaou, M.
AU  - Kassegne, I.
AU  - Simlawo, K.
DB  - Embase
DO  - 10.1186/s13037-017-0140-2
IS  - 1
KW  - abdominal gossypiboma
abdominal mass
abdominal pain
abdominal surgery
abdominal tenderness
adult
article
causal attribution
clinical article
emergency surgery
enterocutaneous fistula
excision
female
fever
gynecologic surgery
hospital
human
human tissue
incidental finding
incisional hernia
male
outcome assessment
patient safety
postoperative complication
reoperation
retrospective study
surgical mortality
symptom
Togo
treatment failure
vomiting
wound infection
LA  - English
M3  - Article
N1  - L618930795
2017-10-31
2017-11-03
PY  - 2017
SN  - 1754-9493
ST  - Incidence, root cause, and outcomes of unintentionally retained intraabdominal surgical sponges: A retrospective case series from two hospitals in Togo
T2  - Patient Safety in Surgery
TI  - Incidence, root cause, and outcomes of unintentionally retained intraabdominal surgical sponges: A retrospective case series from two hospitals in Togo
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L618930795&from=export
http://dx.doi.org/10.1186/s13037-017-0140-2
VL  - 11
ID  - 361
ER  - 

TY  - JOUR
AB  - Background: Incidence of retained foreign objects (RFOs) after operations is unknown, as many can go unrecognized for years. We reviewed the incidence and characteristics of surgical RFO events at a tertiary care institution during 4 years. Study Design: All RFO events, near misses and actual, reported on an adverse event line during 2003 to 2006 were reviewed. Results: During 2003 to 2006, there were 191,168 operations performed, with 68 reported events resulting in a potential RFO defect rate of 0.356/1,000 patients. After review, 34 patients had no RFOs (near misses) and 34 were actual RFOs, resulting in a true RFO defect rate of 0.178/1,000 operations or approximately 1:5,500 operations. In the near-miss patient, needles were miscounted 76% of the time. In the 34 actual RFO patients, items retained were 23 sponges (68%), 7 miscellaneous other items (20%), 3 needles (9%), and 1 instrument (3%). The 34 actual RFOs occurred in incidents where the count had been reported as correct in 21 patients (62%). In 18 patients where an RFO was eventually discovered, intraoperative imaging detected only 12 objects (67%). In operations involving a body cavity, our practice is to obtain a high-resolution x-ray survey film, in a dedicated x-ray suite, before entering the recovery room. Twenty RFOs were identified from survey films and all occurred in patients with correct counts. No RFOs occurred during emergency or high blood-loss procedures and none resulted in demonstrable clinical harm. Two patients left the hospital with an RFO. Twenty-two patients (64.8%) underwent reoperation, with 1 object not removed, 6 (17.6%) retrieved without operation, and 6 (17.6%) where the clinical decision was not to remove. Conclusions: RFOs at an institution that routinely performs postprocedure x-rays indicate that RFOs can occur more frequently than expected from the literature. The majority occur in patients with correct counts. Relying on counting as the primary mechanism to avoid RFOs is unreliable, and investigating new technologies designed to achieve reliable counts is warranted. © 2008 American College of Surgeons.
AD  - Department of Surgery, Mayo Clinic College of Medicine, Rochester, MN, United States
Quality Management Services, Mayo Clinic College of Medicine, Rochester, MN, United States
Department of Surgical Services, Department of Surgery, Mayo Clinic College of Medicine, Rochester, MN, United States
AU  - Cima, R. R.
AU  - Kollengode, A.
AU  - Garnatz, J.
AU  - Storsveen, A.
AU  - Weisbrod, C.
AU  - Deschamps, C.
DB  - Scopus
DO  - 10.1016/j.jamcollsurg.2007.12.047
IS  - 1
M3  - Article
N1  - Cited By :142
Export Date: 10 November 2020
PY  - 2008
SP  - 80-87
ST  - Incidence and Characteristics of Potential and Actual Retained Foreign Object Events in Surgical Patients
T2  - Journal of the American College of Surgeons
TI  - Incidence and Characteristics of Potential and Actual Retained Foreign Object Events in Surgical Patients
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-45549093975&doi=10.1016%2fj.jamcollsurg.2007.12.047&partnerID=40&md5=685561081c23a5b5d9030a9cfcf11b8c
VL  - 207
ID  - 1523
ER  - 

TY  - JOUR
AB  - Background: Incidence of retained foreign objects (RFOs) after operations is unknown, as many can go unrecognized for years. We reviewed the incidence and characteristics of surgical RFO events at a tertiary care institution during 4 years. Study Design: All RFO events, near misses and actual, reported on an adverse event line during 2003 to 2006 were reviewed. Results: During 2003 to 2006, there were 191,168 operations performed, with 68 reported events resulting in a potential RFO defect rate of 0.356/1,000 patients. After review, 34 patients had no RFOs (near misses) and 34 were actual RFOs, resulting in a true RFO defect rate of 0.178/1,000 operations or approximately 1:5,500 operations. In the near-miss patient, needles were miscounted 76% of the time. In the 34 actual RFO patients, items retained were 23 sponges (68%), 7 miscellaneous other items (20%), 3 needles (9%), and 1 instrument (3%). The 34 actual RFOs occurred in incidents where the count had been reported as correct in 21 patients (62%). In 18 patients where an RFO was eventually discovered, intraoperative imaging detected only 12 objects (67%). In operations involving a body cavity, our practice is to obtain a high-resolution x-ray survey film, in a dedicated x-ray suite, before entering the recovery room. Twenty RFOs were identified from survey films and all occurred in patients with correct counts. No RFOs occurred during emergency or high blood-loss procedures and none resulted in demonstrable clinical harm. Two patients left the hospital with an RFO. Twenty-two patients (64.8%) underwent reoperation, with 1 object not removed, 6 (17.6%) retrieved without operation, and 6 (17.6%) where the clinical decision was not to remove. Conclusions: RFOs at an institution that routinely performs postprocedure x-rays indicate that RFOs can occur more frequently than expected from the literature. The majority occur in patients with correct counts. Relying on counting as the primary mechanism to avoid RFOs is unreliable, and investigating new technologies designed to achieve reliable counts is warranted. © 2008 American College of Surgeons.
AD  - R.R. Cima, Department of Surgery, Mayo Clinic College of Medicine, Rochester, MN, United States
AU  - Cima, R. R.
AU  - Kollengode, A.
AU  - Garnatz, J.
AU  - Storsveen, A.
AU  - Weisbrod, C.
AU  - Deschamps, C.
DB  - Embase
Medline
DO  - 10.1016/j.jamcollsurg.2007.12.047
IS  - 1
KW  - adult
aged
article
bleeding
clinical practice
decision making
female
health care
health hazard
human
incidence
male
malpractice
needle
outcome assessment
patient care
priority journal
surgical technique
X ray
LA  - English
M3  - Article
N1  - L50137447
2008-08-05
PY  - 2008
SN  - 1072-7515
SP  - 80-87
ST  - Incidence and Characteristics of Potential and Actual Retained Foreign Object Events in Surgical Patients
T2  - Journal of the American College of Surgeons
TI  - Incidence and Characteristics of Potential and Actual Retained Foreign Object Events in Surgical Patients
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L50137447&from=export
http://dx.doi.org/10.1016/j.jamcollsurg.2007.12.047
VL  - 207
ID  - 596
ER  - 

TY  - JOUR
AB  - Background: Inattention blindness (IB) can be defined as the failure to perceive an unexpected object when attention is focussed on another object or task. The principal aim of this study was to determine the effect of cognitive load and surgical image guidance on operative IB. Methods: Using a randomised control study design, participants were allocated to a high or low cognitive load group and subsequently to one of three augmented reality (AR) image guidance groups (no guidance, wireframe overlay and solid overlay). Randomised participants watched a segment of video from a robotic partial nephrectomy. Those in the high cognitive load groups were asked to keep a count of instrument movements, while those in the low cognitive load groups were only asked to watch the video. Two foreign bodies were visible within the operative scene: a swab, within the periphery of vision; and a suture, in the centre of the operative scene. Once the participants had finished watching the video, they were asked to report whether they had observed a swab or suture. Results: The overall level of prompted inattention blindness was 74 and 10 % for the swab and suture, respectively. Significantly higher levels of IB for the swab were seen in the high versus the low cognitive load groups, but not for the suture (8 vs. 47 %, p < 0.001 and 90 vs. 91 %, p = 1.000, for swab and suture, respectively). No significant difference was seen between image guidance groups for attention of the swab or suture (29 vs. 20 %, p = 0.520 and 22 vs. 22 %, p = 1.000, respectively). Conclusions: The overall effect of IB on operative practice appeared to be significant, within the context of this study. When examining for the effects of AR image guidance and cognitive load on IB, only the latter was found to have significance. © 2015, Springer Science+Business Media New York.
AD  - Department of Surgery and Cancer, Imperial College London, St Mary’s Hospital Campus, London, W2 1NY, United Kingdom
Hamlyn Centre, Institute of Global Health Innovation, Imperial College London, London, United Kingdom
AU  - Hughes-Hallett, A.
AU  - Mayer, E. K.
AU  - Marcus, H. J.
AU  - Pratt, P.
AU  - Mason, S.
AU  - Darzi, A. W.
AU  - Vale, J. A.
DB  - Scopus
DO  - 10.1007/s00464-014-4051-3
IS  - 11
KW  - Augmented reality
Cognitive load
Inattention blindness
Laparoscopic
Safety
Surgery
M3  - Article
N1  - Cited By :14
Export Date: 10 November 2020
PY  - 2015
SP  - 3184-3189
ST  - Inattention blindness in surgery
T2  - Surgical Endoscopy
TI  - Inattention blindness in surgery
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84944313127&doi=10.1007%2fs00464-014-4051-3&partnerID=40&md5=6964172be8aa384406c8599ef01a9c2c
VL  - 29
ID  - 1217
ER  - 

TY  - JOUR
AB  - Background: Inattention blindness (IB) can be defined as the failure to perceive an unexpected object when attention is focussed on another object or task. The principal aim of this study was to determine the effect of cognitive load and surgical image guidance on operative IB. Methods: Using a randomised control study design, participants were allocated to a high or low cognitive load group and subsequently to one of three augmented reality (AR) image guidance groups (no guidance, wireframe overlay and solid overlay). Randomised participants watched a segment of video from a robotic partial nephrectomy. Those in the high cognitive load groups were asked to keep a count of instrument movements, while those in the low cognitive load groups were only asked to watch the video. Two foreign bodies were visible within the operative scene: a swab, within the periphery of vision; and a suture, in the centre of the operative scene. Once the participants had finished watching the video, they were asked to report whether they had observed a swab or suture. Results: The overall level of prompted inattention blindness was 74 and 10 % for the swab and suture, respectively. Significantly higher levels of IB for the swab were seen in the high versus the low cognitive load groups, but not for the suture (8 vs. 47 %, p < 0.001 and 90 vs. 91 %, p = 1.000, for swab and suture, respectively). No significant difference was seen between image guidance groups for attention of the swab or suture (29 vs. 20 %, p = 0.520 and 22 vs. 22 %, p = 1.000, respectively). Conclusions: The overall effect of IB on operative practice appeared to be significant, within the context of this study. When examining for the effects of AR image guidance and cognitive load on IB, only the latter was found to have significance.
AD  - A. Hughes-Hallett, Department of Surgery and Cancer, Imperial College London, St Mary’s Hospital Campus, London, United Kingdom
AU  - Hughes-Hallett, A.
AU  - Mayer, E. K.
AU  - Marcus, H. J.
AU  - Pratt, P.
AU  - Mason, S.
AU  - Darzi, A. W.
AU  - Vale, J. A.
DB  - Embase
Medline
DO  - 10.1007/s00464-014-4051-3
IS  - 11
KW  - article
attention
blindness
clinical article
controlled study
foreign body
human
inattention blindness
partial nephrectomy
priority journal
randomized controlled trial
surgical swab
suture
videorecording
vision
LA  - English
M3  - Article
N1  - L606426536
2015-10-22
2018-10-30
PY  - 2015
SN  - 1432-2218
0930-2794
SP  - 3184-3189
ST  - Inattention blindness in surgery
T2  - Surgical Endoscopy
TI  - Inattention blindness in surgery
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L606426536&from=export
http://dx.doi.org/10.1007/s00464-014-4051-3
VL  - 29
ID  - 422
ER  - 

TY  - JOUR
AB  - Background: Inattention blindness (IB) can be defined as the failure to perceive an unexpected object when attention is focussed on another object or task. The principal aim of this study was to determine the effect of cognitive load and surgical image guidance on operative IB.Methods: Using a randomised control study design, participants were allocated to a high or low cognitive load group and subsequently to one of three augmented reality (AR) image guidance groups (no guidance, wireframe overlay and solid overlay). Randomised participants watched a segment of video from a robotic partial nephrectomy. Those in the high cognitive load groups were asked to keep a count of instrument movements, while those in the low cognitive load groups were only asked to watch the video. Two foreign bodies were visible within the operative scene: a swab, within the periphery of vision; and a suture, in the centre of the operative scene. Once the participants had finished watching the video, they were asked to report whether they had observed a swab or suture.Results: The overall level of prompted inattention blindness was 74 and 10 % for the swab and suture, respectively. Significantly higher levels of IB for the swab were seen in the high versus the low cognitive load groups, but not for the suture (8 vs. 47 %, p < 0.001 and 90 vs. 91 %, p = 1.000, for swab and suture, respectively). No significant difference was seen between image guidance groups for attention of the swab or suture (29 vs. 20 %, p = 0.520 and 22 vs. 22 %, p = 1.000, respectively).Conclusions: The overall effect of IB on operative practice appeared to be significant, within the context of this study. When examining for the effects of AR image guidance and cognitive load on IB, only the latter was found to have significance.
AD  - Department of Surgery and Cancer, Imperial College London, St Mary's Hospital Campus, London W2 1NY UK
Hamlyn Centre, Institute of Global Health Innovation, Imperial College London, London UK
Department of Surgery and Cancer, Imperial College London, St Mary's Hospital Campus, London, W2 1NY, UK
Hamlyn Centre, Institute of Global Health Innovation, Imperial College London, London, UK
AN  - 110361792. Language: English. Entry Date: 20160602. Revision Date: 20171020. Publication Type: journal article
AU  - Hughes-Hallett, Archie
AU  - Mayer, Erik
AU  - Marcus, Hani
AU  - Pratt, Philip
AU  - Mason, Sam
AU  - Darzi, Ara
AU  - Vale, Justin
AU  - Mayer, Erik K.
AU  - Marcus, Hani J.
AU  - Darzi, Ara W.
AU  - Vale, Justin A.
DB  - ccm
DO  - 10.1007/s00464-014-4051-3
DP  - EBSCOhost
IS  - 11
KW  - Clinical Competence
Workload
Surgeons -- Psychosocial Factors
Surgery, Operative -- Standards
Cognition
Burnout, Professional -- Etiology
Attention
Pilot Studies
Videorecording
Burnout, Professional -- Physiopathology
Human
Female
Burnout, Professional -- Psychosocial Factors
Adult
Male
Validation Studies
Comparative Studies
Evaluation Research
Multicenter Studies
Randomized Controlled Trials
N1  - research; randomized controlled trial. Journal Subset: Biomedical; Continental Europe; Europe; Expert Peer Reviewed; Peer Reviewed. Special Interest: Evidence-Based Practice. NLM UID: 8806653.
PMID: NLM25582962.
PY  - 2015
SN  - 0930-2794
SP  - 3184-3189
ST  - Inattention blindness in surgery
T2  - Surgical Endoscopy
TI  - Inattention blindness in surgery
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110361792&site=ehost-live&scope=site
VL  - 29
ID  - 793
ER  - 

TY  - GEN
AB  - An answer is presented to a question which asks how operating room personnel should manage custom packs of surgical sponges which do not contain the required number of sponges.
AD  - PERIOPERATIVE NURSING SPECIALIST, AORN NURSING DEPARTMENT
AU  - Denholm, Bonnie
CY  - Philadelphia, Pennsylvania
DB  - ccm
DP  - EBSCOhost
J2  - AORN Journal
KW  - Surgical Sponges
Surgical Count Procedure
Education, Continuing (Credit)
Perioperative Nursing
Registered Nurses
N1  - Accession Number: 98528952. Language: English. Entry Date: 20140929. Revision Date: 20141201. Publication Type: Question & Answer; brief item; questions and answers. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0372403.
PB  - Elsevier B.V.
PY  - 2014
SN  - 0001-2092
SP  - 442-443
ST  - Inaccurate sponge counts in custom packs
TI  - Inaccurate sponge counts in custom packs
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=98528952&site=ehost-live&scope=site
VL  - 100
ID  - 810
ER  - 

TY  - JOUR
AB  - Tissue engineered scaffolds (TES) hold promise for improving the outcome of cell-based therapeutic strategies for a variety of biomedical scenarios, including musculoskeletal injuries, soft tissue repair, and spinal cord injury. Key to TES research and development, and clinical use, is the ability to longitudinally monitor TES location, orientation, integrity, and microstructure following implantation. Here, we describe a strategy for using microcomputed tomography (microCT) to visualize TES following implantation into mice. TES were doped with highly radiopaque gadolinium oxide nanocrystals and were implanted into the hind limbs of mice. Mice underwent serial microCT over 23 weeks. TES were clearly visible over the entire time course. Alginate scaffolds underwent a 20% volume reduction over the first 6 weeks, stabilizing over the next 17 weeks. Agarose scaffold volumes were unchanged. TES attenuation was also unchanged over the entire time course, indicating a lack of nanocrystal dissolution or leakage. Histology at the implant site showed the presence of very mild inflammation, typical for a mild foreign body reaction. Blood work indicated marked elevation in liver enzymes, and hematology measured significant reduction in white blood cell counts. While extrapolation of the X-ray induced effects on hematopoiesis in these mice to humans is not straightforward, clearly this is an area for careful monitoring. Taken together, these data lend strong support that doping TES with radiopaque nanocrystals and performing microCT imaging, represents a possible strategy for enabling serial in vivo monitoring of TES. © 2016 American Chemical Society.
AD  - Department of Radiology, Michigan State University, 846 Service Road, East Lansing, MI 48824, United States
Department of Small Animal Clinical Sciences, Michigan State University, 736 Wilson Road, East Lansing, MI 48824, United States
Department of Pathobiology and Diagnostic Investigation, Michigan State University, 736 Wilson Road, East Lansing, MI 48824, United States
Department of Mechanical Engineering, University of Michigan, 2350 Hayward Avenue, Ann Arbor, MI 48109, United States
AU  - Forton, S. M.
AU  - Latourette, M. T.
AU  - Parys, M.
AU  - Kiupel, M.
AU  - Shahriari, D.
AU  - Sakamoto, J. S.
AU  - Shapiro, E. M.
DB  - Scopus
DO  - 10.1021/acsbiomaterials.5b00476
IS  - 4
KW  - agarose
alginate
biomedical imaging
bismuth
gadolinium oxide
Hounsfield units
microCT
tissue engineered scaffold
X-ray
M3  - Article
N1  - Cited By :6
Export Date: 10 November 2020
PY  - 2016
SP  - 508-516
ST  - In Vivo Microcomputed Tomography of Nanocrystal-Doped Tissue Engineered Scaffolds
T2  - ACS Biomaterials Science and Engineering
TI  - In Vivo Microcomputed Tomography of Nanocrystal-Doped Tissue Engineered Scaffolds
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85023207454&doi=10.1021%2facsbiomaterials.5b00476&partnerID=40&md5=3e89ce6199cf5f17cabcb27e8a73b46e
VL  - 2
ID  - 1187
ER  - 

TY  - JOUR
AD  - Director: Quality of care, Gauteng Department of Health
AN  - 86173495. Language: English. Entry Date: 20130628. Revision Date: 20131014. Publication Type: Article
AU  - Armstrong, S.
DB  - ccm
DP  - EBSCOhost
IS  - 2
KW  - Retained Instruments
Surgical Sponges
Inpatients
Female
Pregnancy
Adult
Cesarean Section
Surgical Count Procedure
Perioperative Nursing
Retained Instruments -- Complications
Root Cause Analysis
Adverse Health Care Event
Documentation
Surgical Wound Care
Readmission
Breast Feeding
Obstetric Nursing
Quality of Health Care
N1  - case study. Journal Subset: Africa; Nursing; Peer Reviewed.
PY  - 2008
SN  - 1607-6672
SP  - 7-10
ST  - Improving the quality of care - learning through case studies Retained abdominal swab
T2  - Professional Nursing Today
TI  - Improving the quality of care - learning through case studies Retained abdominal swab
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=86173495&site=ehost-live&scope=site
VL  - 12
ID  - 807
ER  - 

TY  - JOUR
AB  - Purpose Of Review: Gossypibomas are surgical sponges that are unintentionally left inside a patient during a surgical procedure. To improve this patient safety indicator, anesthesiologists will need to work with operating room personnel. This study's goal was to systematically review the literature on retained sponges to identify body location, time to discovery, methods for detection, and risk factors. Recent Findings: Two hundred and fifty-four gossypiboma cases (147 reports from the period 1963-2008) were identified via the National Library of Medicine's Medline and the Cochrane Library. Gossypibomas (mean patient age 49 years, range 6-92 years) were most commonly found in the abdomen (56%), pelvis (18%), and thorax (11%). Average discovery time equaled 6.9 years (SD 10.2 years) with a median (quartiles) of 2.2 years (0.3-8.4 years). The most common detection methods were computed tomography (61%), radiography (35%), and ultrasound (34%). Pain/irritation (42%), palpable mass (27%), and fever (12%) were the leading signs and symptoms, but 6% of cases were asymptomatic. Complications included adhesion (31%), abscess (24%), and fistula (20%). Risk factors were case specific (e.g. emergency) or related to the surgical environment (e.g. poor communication). Most gossypibomas occurred when the sponge count was falsely pronounced correct at the end of surgery. Summary: More is being discovered about the patterns leading to a retained sponge. Multidisciplinary approaches and new technologies may help reduce this low frequency but clinically significant event. However, given the complexity of surgical care, eliminating retained sponges may prove elusive.
AD  - Stanford University School of Medicine, Stanford, California 94305-5640, USA
Stanford University School of Medicine, Stanford, California 94305-5640, USA. shuai@stanford.edu
AN  - 105165621. Language: English. Entry Date: 20100423. Revision Date: 20170411. Publication Type: journal article
AU  - Wan, W.
AU  - Le, T.
AU  - Riskin, L.
AU  - Macario, A.
AU  - Wan, Wenshuai
AU  - Le, Thuan
AU  - Riskin, Loren
AU  - Macario, Alex
DB  - ccm
DO  - 10.1097/ACO.0b013e328324f82d
DP  - EBSCOhost
IS  - 2
KW  - Foreign Bodies -- Etiology
Surgical Sponges -- Statistics and Numerical Data
Abdomen
Adolescence
Adult
Aged
Aged, 80 and Over
Child
Cochrane Library
Female
Foreign Bodies -- Radiography
Foreign Bodies -- Ultrasonography
Human
Incidence
Male
Medline
Middle Age
Pelvis
Risk Factors
Systematic Review
Young Adult
N1  - research; systematic review. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 8813436.
PMID: NLM19390247.
PY  - 2009
SN  - 0952-7907
SP  - 207-214
ST  - Improving safety in the operating room: a systematic literature review of retained surgical sponges
T2  - Current Opinion in Anesthesiology
TI  - Improving safety in the operating room: a systematic literature review of retained surgical sponges
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105165621&site=ehost-live&scope=site
VL  - 22
ID  - 844
ER  - 

TY  - JOUR
AB  - PURPOSE OF REVIEW: Gossypibomas are surgical sponges that are unintentionally left inside a patient during a surgical procedure. To improve this patient safety indicator, anesthesiologists will need to work with operating room personnel. This study's goal was to systematically review the literature on retained sponges to identify body location, time to discovery, methods for detection, and risk factors. RECENT FINDINGS: Two hundred and fifty-four gossypiboma cases (147 reports from the period 1963-2008) were identified via the National Library of Medicine's Medline and the Cochrane Library. Gossypibomas (mean patient age 49 years, range 6-92 years) were most commonly found in the abdomen (56%), pelvis (18%), and thorax (11%). Average discovery time equaled 6.9 years (SD 10.2 years) with a median (quartiles) of 2.2 years (0.3-8.4 years). The most common detection methods were computed tomography (61%), radiography (35%), and ultrasound (34%). Pain/irritation (42%), palpable mass (27%), and fever (12%) were the leading signs and symptoms, but 6% of cases were asymptomatic. Complications included adhesion (31%), abscess (24%), and fistula (20%). Risk factors were case specific (e.g. emergency) or related to the surgical environment (e.g. poor communication). Most gossypibomas occurred when the sponge count was falsely pronounced correct at the end of surgery. SUMMARY: More is being discovered about the patterns leading to a retained sponge. Multidisciplinary approaches and new technologies may help reduce this low frequency but clinically significant event. However, given the complexity of surgical care, eliminating retained sponges may prove elusive. © 2009 Lippincott Williams & Wilkins, Inc.
AD  - Stanford University School of Medicine, Stanford, CA 94305-5640, United States
University of Maryland School of Medicine, Baltimore, MD, United States
Duke University School of Medicine, Durham, NC, United States
AU  - Wan, W.
AU  - Le, T.
AU  - Riskin, L.
AU  - Macario, A.
DB  - Scopus
DO  - 10.1097/ACO.0b013e328324f82d
IS  - 2
KW  - Gossypiboma
Patient safety
Retained sponge
Surgery
M3  - Review
N1  - Cited By :99
Export Date: 10 November 2020
PY  - 2009
SP  - 207-214
ST  - Improving safety in the operating room: A systematic literature review of retained surgical sponges
T2  - Current Opinion in Anaesthesiology
TI  - Improving safety in the operating room: A systematic literature review of retained surgical sponges
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-68049089962&doi=10.1097%2fACO.0b013e328324f82d&partnerID=40&md5=681aa4a214241f824308684684838fe1
VL  - 22
ID  - 1497
ER  - 

TY  - JOUR
AB  - PURPOSE OF REVIEW: Gossypibomas are surgical sponges that are unintentionally left inside a patient during a surgical procedure. To improve this patient safety indicator, anesthesiologists will need to work with operating room personnel. This study's goal was to systematically review the literature on retained sponges to identify body location, time to discovery, methods for detection, and risk factors. RECENT FINDINGS: Two hundred and fifty-four gossypiboma cases (147 reports from the period 1963-2008) were identified via the National Library of Medicine's Medline and the Cochrane Library. Gossypibomas (mean patient age 49 years, range 6-92 years) were most commonly found in the abdomen (56%), pelvis (18%), and thorax (11%). Average discovery time equaled 6.9 years (SD 10.2 years) with a median (quartiles) of 2.2 years (0.3-8.4 years). The most common detection methods were computed tomography (61%), radiography (35%), and ultrasound (34%). Pain/irritation (42%), palpable mass (27%), and fever (12%) were the leading signs and symptoms, but 6% of cases were asymptomatic. Complications included adhesion (31%), abscess (24%), and fistula (20%). Risk factors were case specific (e.g. emergency) or related to the surgical environment (e.g. poor communication). Most gossypibomas occurred when the sponge count was falsely pronounced correct at the end of surgery. SUMMARY: More is being discovered about the patterns leading to a retained sponge. Multidisciplinary approaches and new technologies may help reduce this low frequency but clinically significant event. However, given the complexity of surgical care, eliminating retained sponges may prove elusive. © 2009 Lippincott Williams & Wilkins, Inc.
AD  - W. Wan, Stanford University School of Medicine, Stanford, CA 94305-5640, United States
AU  - Wan, W.
AU  - Le, T.
AU  - Riskin, L.
AU  - Macario, A.
DB  - Embase
Medline
DO  - 10.1097/ACO.0b013e328324f82d
IS  - 2
KW  - abdomen
abscess
adhesion
age distribution
calcification
Cochrane Library
computer assisted tomography
diagnostic imaging
emergency
fever
fistula
human
incidence
interpersonal communication
mass
Medline
operating room
pain
patient safety
pelvis
priority journal
retained instrument
review
risk assessment
surgical sponge
systematic review
thorax
ultrasound
LA  - English
M3  - Review
N1  - L355024815
2009-09-15
PY  - 2009
SN  - 0952-7907
SP  - 207-214
ST  - Improving safety in the operating room: A systematic literature review of retained surgical sponges
T2  - Current Opinion in Anaesthesiology
TI  - Improving safety in the operating room: A systematic literature review of retained surgical sponges
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L355024815&from=export
http://dx.doi.org/10.1097/ACO.0b013e328324f82d
VL  - 22
ID  - 584
ER  - 

TY  - JOUR
AB  - Retention of a surgical item is a preventable event that can result in patient injury. AORN's "Recommended practices for prevention of retained surgical items" emphasizes the importance of using a multidisciplinary approach for prevention. Procedures should include counts of soft goods, needles, miscellaneous items, and instruments, and efforts should be made to prevent retention of fragments of broken devices. If a count discrepancy occurs, the perioperative team should follow procedures to locate the missing item. Perioperative leaders may consider the use of adjunct technologies such as bar-code scanning, radio-frequency detection, and radio-frequency identification. Ambulatory and hospital patient scenarios are included to exemplify appropriate strategies for preventing retained surgical items. © 2013 AORN, Inc.
AD  - The William W. Backus Hospital, Norwich, CT, United States
Hospitals Insurance Company, New York, NY, United States
AU  - Goldberg, J. L.
AU  - Feldman, D. L.
DB  - Scopus
DO  - 10.1016/j.aorn.2013.09.010
IS  - 6 SUPPL
KW  - Adjunct technology
Recommended practices
Retained surgical items
Sponge count
Surgical count
Unretrieved device fragments
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2013
SP  - s73-s74
ST  - Implementing AORN recommended practices for prevention of retained surgical items
T2  - AORN Journal
TI  - Implementing AORN recommended practices for prevention of retained surgical items
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84888412966&doi=10.1016%2fj.aorn.2013.09.010&partnerID=40&md5=829995ce29a3294316a1647ec6d60e52
VL  - 98
ID  - 1303
ER  - 

TY  - JOUR
AB  - Retention of a surgical item is a preventable event that can result in patient injury. AORN's 'Recommended practices for prevention of retained surgical items' emphasizes the importance of using a multidisciplinary approach for prevention. Procedures should include counts of soft goods, needles, miscellaneous items, and instruments, and efforts should be made to prevent retention of fragments of broken devices. If a count discrepancy occurs, the perioperative team should follow procedures to locate the missing item. Perioperative leaders may consider the use of adjunct technologies such as bar -code scanning, radio-frequency detection, and radio-frequency identification. Ambulatory and hospital patient scenarios are included to exemplify appropriate strategies for preventing retained surgical items.
AD  - Clinical director, Endoscopy and Sterile Processing,, William W. Backus Hospital, Norwich, CT
Chief medical officer and senior vice-president, Hospitals Insurance Company, New York, NY
AN  - 104167390. Language: English. Entry Date: 20131202. Revision Date: 20150818. Publication Type: Journal Article. Supplement Title: 2013 Supplement. Journal Subset: Core Nursing
AU  - Goldberg, Judith L.
AU  - Feldman, David L.
DB  - ccm
DP  - EBSCOhost
IS  - 6s
KW  - Retained Instruments -- Prevention and Control
AORN
Information Resources
World Wide Web
Surgical Count Procedure
Perioperative Nursing
Technology
N1  - Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Patient Safety; Perioperative Care. NLM UID: 0372403.
PY  - 2013
SN  - 0001-2092
SP  - S73-4
ST  - Implementing AORN Recommended Practices for Prevention of Retained Surgical Items
T2  - AORN Journal
TI  - Implementing AORN Recommended Practices for Prevention of Retained Surgical Items
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104167390&site=ehost-live&scope=site
VL  - 98
ID  - 823
ER  - 

TY  - JOUR
AB  - Retention of a surgical item is a preventable event that can result in patient injury. AORN's 'Recommended practices for prevention of retained surgical items' emphasizes the importance of using a multidisciplinary approach for prevention. Procedures should include counts of soft goods, needles, miscellaneous items, and instruments, and efforts should be made to prevent retention of fragments of broken devices. If a count discrepancy occurs, the perioperative team should follow procedures to locate the missing item. Perioperative leaders may consider the use of adjunct technologies such as bar-code scanning, radio-frequency detection, and radio-frequency identification. Ambulatory and hospital patient scenarios are included to exemplify appropriate strategies for preventing retained surgical items.
AN  - 126563197. Language: English. Entry Date: 20171206. Revision Date: 20171208. Publication Type: Article
AU  - Goldberg, Judith L.
AU  - Feldman, David L.
DB  - ccm
DO  - 10.1016/j.aorn.2013.09.010
DP  - EBSCOhost
KW  - Retained Instruments -- Prevention and Control
Perioperative Care
Surgical Count Procedure
Technology -- Utilization
AORN
Information Resources
World Wide Web
Perioperative Nursing
N1  - practice guidelines. Supplement Title: Dec2013 Supplement 6s. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0372403.
PY  - 2013
SN  - 0001-2092
SP  - S73-S74
ST  - Implementing AORN Recommended Practices for Prevention of Retained Surgical Items
T2  - AORN Journal
TI  - Implementing AORN Recommended Practices for Prevention of Retained Surgical Items
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126563197&site=ehost-live&scope=site
VL  - 98
ID  - 804
ER  - 

TY  - JOUR
AB  - Retention of a surgical item is a preventable event that can result in patient injury. AORN's "Recommended practices for prevention of retained surgical items" emphasizes the importance of using a multidisciplinary approach for prevention. Procedures should include counts of soft goods, needles, miscellaneous items, and instruments, and efforts should be made to prevent retention of fragments of broken devices. If a count discrepancy occurs, the perioperative team should follow procedures to locate the missing item. Perioperative leaders may consider the use of adjunct technologies such as bar-code scanning, radio-frequency detection, and radio-frequency identification. Ambulatory and hospital patient scenarios are included to exemplify appropriate strategies for preventing retained surgical items. © 2012 AORN, Inc.
AD  - The William W. Backus Hospital, Norwich, CT, United States
Hospitals Insurance Company, New York, NY, United States
AU  - Goldberg, J. L.
AU  - Feldman, D. L.
DB  - Scopus
DO  - 10.1016/j.aorn.2011.11.010
IS  - 2
KW  - Adjunct technology
Recommended practices
Retained surgical items
Sponge count
Surgical count
Unretrieved device fragments
M3  - Article
N1  - Cited By :23
Export Date: 10 November 2020
PY  - 2012
SP  - 205-219
ST  - Implementing AORN recommended practices for prevention of retained Surgical Items
T2  - AORN Journal
TI  - Implementing AORN recommended practices for prevention of retained Surgical Items
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84856259001&doi=10.1016%2fj.aorn.2011.11.010&partnerID=40&md5=6d2666d0871342b5fd194242bd2e345d
VL  - 95
ID  - 1379
ER  - 

TY  - JOUR
AB  - Retention of a surgical item is a preventable event that can result in patient injury. AORN's 'Recommended practices for prevention of retained surgical items' emphasizes the importance of using a multidisciplinary approach for prevention. Procedures should include counts of soft goods, needles, miscellaneous items, and instruments, and efforts should be made to prevent retention of fragments of broken devices. If a count discrepancy occurs, the perioperative team should follow procedures to locate the missing item. Perioperative leaders may consider the use of adjunct technologies such as bar-code scanning, radio-frequency detection, and radio-frequency identification. Ambulatory and hospital patient scenarios are included to exemplify appropriate strategies for preventing retained surgical items.
AN  - 104518939. Language: English. Entry Date: 20120323. Revision Date: 20200708. Publication Type: Journal Article
AU  - Goldberg, Judith L.
AU  - Feldman, David L.
DB  - ccm
DO  - 10.1016/j.aorn.2011.11.010
DP  - EBSCOhost
IS  - 2
KW  - Retained Instruments -- Prevention and Control
Adverse Health Care Event -- Prevention and Control
AORN
Aortic Aneurysm, Abdominal -- Surgery
Bar Coding
Carcinoma, Basal Cell -- Surgery
Checklists
Collaboration
Documentation
Education, Continuing (Credit)
First Assistants
Hospital Policies
Information Resources
Male
Middle Age
Needles
Operating Room Personnel
Perioperative Nursing
Registered Nurses
Sharps Disposal
Staff Development
Surgeons
Surgical Count Procedure
Surgical Instruments
Teaching Materials
World Wide Web
X-Rays
N1  - case study; CEU; diagnostic images; exam questions; forms; teaching materials. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Patient Safety; Perioperative Care. NLM UID: 0372403.
PMID: NLM22283912.
PY  - 2012
SN  - 0001-2092
SP  - 205-221
ST  - Implementing AORN Recommended Practices for Prevention of Retained Surgical Items
T2  - AORN Journal
TI  - Implementing AORN Recommended Practices for Prevention of Retained Surgical Items
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104518939&site=ehost-live&scope=site
VL  - 95
ID  - 728
ER  - 

TY  - JOUR
AB  - Retention of a surgical item is a preventable event that can result in patient injury. AORN's "Recommended practices for prevention of retained surgical items" emphasizes the importance of using a multidisciplinary approach for prevention. Procedures should include counts of soft goods, needles, miscellaneous items, and instruments, and efforts should be made to prevent retention of fragments of broken devices. If a count discrepancy occurs, the perioperative team should follow procedures to locate the missing item. Perioperative leaders may consider the use of adjunct technologies such as bar-code scanning, radio-frequency detection, and radio-frequency identification. Ambulatory and hospital patient scenarios are included to exemplify appropriate strategies for preventing retained surgical items. © 2012 AORN, Inc.
AD  - J.L. Goldberg, The William W. Backus Hospital, Norwich, CT, United States
AU  - Goldberg, J. L.
AU  - Feldman, D. L.
DB  - Medline
DO  - 10.1016/j.aorn.2011.11.010
IS  - 2
KW  - article
foreign body
human
medical error
methodology
nursing
perioperative nursing
practice guideline
standard
surgery
surgical equipment
surgical sponge
LA  - English
M3  - Article
N1  - L364156049
2012-05-24
PY  - 2012
SN  - 0001-2092
SP  - 205-219
ST  - Implementing AORN recommended practices for prevention of retained Surgical Items
T2  - AORN Journal
TI  - Implementing AORN recommended practices for prevention of retained Surgical Items
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L364156049&from=export
http://dx.doi.org/10.1016/j.aorn.2011.11.010
VL  - 95
ID  - 521
ER  - 

TY  - JOUR
AN  - 141450025. Language: English. Entry Date: 20200201. Revision Date: 20200201. Publication Type: Article
DB  - ccm
DO  - 10.1002/aorn.12971
DP  - EBSCOhost
IS  - 2
KW  - Surgical Count Procedure -- Methods
Adverse Health Care Event -- Prevention and Control
Quality Improvement -- Methods
Root Cause Analysis
Surgical Sponges
Surgical Count Procedure -- Education
Perioperative Nursing -- Education
Distraction
Patel R
White J
N1  - interview; pictorial. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0372403.
PY  - 2020
SN  - 0001-2092
SP  - P11-P13
ST  - Implementing a "visualize and verify" process for the surgical sponge count...Jill White
T2  - AORN Journal
TI  - Implementing a "visualize and verify" process for the surgical sponge count...Jill White
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141450025&site=ehost-live&scope=site
VL  - 111
ID  - 715
ER  - 

TY  - JOUR
AB  - Background: Retained sponges (gossypiboma) following vaginal delivery are an uncommon occurrence. Although significant morbidity from such an event is unlikely, there are many reported adverse effects, including symptoms of malodorous discharge, loss of confidence in providers and the medical system, and legal claims.Objective: To report a protocol intended to reduce the occurrence of retained sponges following vaginal delivery.Methods: After identification of limitations with existing delivery room protocols, we developed a sponge count protocol to reduce occurrence of retained vaginal sponges. We report our experience at Naval Medical Center Portsmouth, a large tertiary care military treatment facility with our efforts to implement a sponge count protocol to reduce retained sponges following vaginal delivery.Conclusions: With appropriate pre-implementation training, protocols which incorporate post-delivery vaginal sweep and sponge counts are well accepted by the health care team and can be incorporated into the delivery room routine.
AD  - Department of Obstetrics and Gynecology, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708, USA
Department of Obstetrics and Gynecology, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708, USA.
AN  - 108233534. Language: English. Entry Date: 20110826. Revision Date: 20200706. Publication Type: journal article
AU  - Lutgendorf, M. A.
AU  - Schindler, L. L.
AU  - Hill, J. B.
AU  - Magann, E. F.
AU  - O'Boyle, J. D.
AU  - Lutgendorf, Monica A.
AU  - Schindler, Lynnett L.
AU  - Hill, James B.
AU  - Magann, Everett F.
AU  - O'Boyle, John D.
DB  - ccm
DO  - 10.7205/milmed-d-10-00438
DP  - EBSCOhost
IS  - 6
KW  - Protocols
Delivery, Obstetric
Foreign Bodies -- Prevention and Control
Treatment Errors -- Prevention and Control
Surgical Sponges -- Adverse Effects
Female
Pregnancy
Vagina -- Surgery
N1  - research. Journal Subset: Biomedical; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Military/Uniformed Services. NLM UID: 2984771R.
PMID: NLM21702393.
PY  - 2011
SN  - 0026-4075
SP  - 702-704
ST  - Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery
T2  - Military Medicine
TI  - Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108233534&site=ehost-live&scope=site
VL  - 176
ID  - 788
ER  - 

TY  - JOUR
AB  - Background: Retained sponges (gossypiboma) following vaginal delivery are an uncommon occurrence. Although signifi cant morbidity from such an event is unlikely, there are many reported adverse effects, including symptoms of malodorous discharge, loss of confi dence in providers and the medical system, and legal claims. Objective: To report a protocol intended to reduce the occurrence of retained sponges following vaginal delivery. Methods: After identifi - cation of limitations with existing delivery room protocols, we developed a sponge count protocol to reduce occurrence of retained vaginal sponges. We report our experience at Naval Medical Center Portsmouth, a large tertiary care military treatment facility with our efforts to implement a sponge count protocol to reduce retained sponges following vaginal delivery. Conclusions: With appropriate pre-implementation training, protocols which incorporate post-delivery vaginal sweep and sponge counts are well accepted by the health care team and can be incorporated into the delivery room routine.
AD  - Department of Obstetrics and Gynecology, Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708, United States
AU  - Lutgendorf, M. A.
AU  - Schindler, L. L.
AU  - Hill, J. B.
AU  - Magann, E. F.
AU  - O'Boyle, J. D.
DB  - Scopus
DO  - 10.7205/MILMED-D-10-00438
IS  - 6
M3  - Article
N1  - Cited By :7
Export Date: 10 November 2020
PY  - 2011
SP  - 702-704
ST  - Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery
T2  - Military Medicine
TI  - Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-80051629242&doi=10.7205%2fMILMED-D-10-00438&partnerID=40&md5=4c843c04edcc8cfc59373e32fc64d681
VL  - 176
ID  - 1432
ER  - 

TY  - JOUR
AB  - OBJECTIVES: The aim of the study was to compare retained surgical item (RSI) rates for 137 Veterans Health Administration Surgery Programs with and without surgical count technology and the root cause analysis (RCA) for soft good RSI events between October 1, 2009 and December 31, 2016. A 2017 survey identified 46 programs to have independently acquired surgical count technology. METHODS: Retained surgical item rates were calculated by the sum of events (sharp, soft good, instrument) divided by the total procedures performed. The RCAs for RSI events were analyzed using codebooks for procedure type/location and root cause characterization. RESULTS: One hundred twenty-four RSI events occurred in 2,964,472 procedures for an overall RSI rate of 1/23,908 procedures. The RSI rates for 46 programs with surgical count technology were significantly higher in comparison with 91 programs without a surgical count technology system (1/18,221 versus 1/30,593, P = 0.0026). The RSI rates before and after acquiring the surgical count technology were not significantly different (1/17,508 versus 1/18,673, P = 0.8015). Root cause analyses for 42 soft good RSI events identified multiple associated disciplines (general surgery 26, urology 5, cardiac 4, neurosurgery 3, vascular 2, thoracic 1, gynecology 1) and locations (abdomen 26, thorax 7, retroperitoneal 4, paraspinal 2, extremity 1, pelvis 1, and head/neck 1). Human factors (n = 24), failure of policy/procedure (n = 21), and communication (n = 19) accounted for 64 (65%) of the 98 root causes identified. CONCLUSIONS: Acquisition of surgical count technology did not significantly improve RSI rates. Soft good RSI events are associated with multiple disciplines and locations and the following dominant root causes: human factors, failure to follow policy/procedure, and communication.
AU  - Gunnar, W.
AU  - Soncrant, C.
AU  - Lynn, M. M.
AU  - Neily, J.
AU  - Tesema, Y.
AU  - Nylander, W.
DB  - Medline
DO  - 10.1097/PTS.0000000000000656
KW  - abdomen
article
clinical article
controlled study
general surgery
gynecology
heart
human
limb
neck
neurosurgery
pelvis
root cause analysis
thorax
urology
veterans health
LA  - English
M3  - Article in Press
N1  - L631357790
2020-04-07
PY  - 2020
SN  - 1549-8425
ST  - The Impact of Surgical Count Technology on Retained Surgical Items Rates in the Veterans Health Administration
T2  - Journal of patient safety
TI  - The Impact of Surgical Count Technology on Retained Surgical Items Rates in the Veterans Health Administration
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L631357790&from=export
http://dx.doi.org/10.1097/PTS.0000000000000656
ID  - 283
ER  - 

TY  - JOUR
AB  - Objective: The impact of staff turnover during cardiac procedures is unknown. Accurate inventory of sharps (needles/blades) requires attention by surgical teams, and sharp count errors result in delays, can lead to retained foreign objects, and may signify communication breakdown. We hypothesized that increased team turnover raises the likelihood of sharp count errors and may negatively affect patient outcomes. Methods: All cardiac operations performed at our institution from May 2011 to March 2016 were reviewed for sharp count errors from a prospectively maintained database. Univariate and multivariable analyses were performed. Results: Among 7264 consecutive cardiac operations, sharp count errors occurred in 723 cases (10%). There were no retained sharps detected by x-ray in our series. Sharp count errors were lower on first start cases (7.7% vs 10.7%, P <.001). Cases with sharp count errors were longer than those without (7 vs 5.7 hours, P <.001). In multivariable analysis, factors associated with an increase in sharp count errors were non–first start cases (odds ratio [OR], 1.3; P =.006), weekend cases (OR, 1.6; P <.004), more than 2 scrub personnel (3 scrubs: OR, 1.3; P =.032; 4 scrubs: OR, 2; P <.001; 5 scrubs: OR, 2.4; P =.004), and more than 1 circulating nurse (2 nurses: OR, 1.9; P <.001; 3 nurses: OR, 2; P <.001; 4 nurses: OR, 2.4; P <.001; 5 nurses: OR, 3.1; P <.001). Sharp count errors were associated with higher rates of in-hospital mortality (OR, 1.9; P =.038). Conclusions: Sharp count errors are more prevalent with increased team turnover and during non–first start cases or weekends. Sharp count errors may be a surrogate marker for other errors and thus increased mortality. Reducing intraoperative team turnover or optimizing hand-offs may reduce sharp count errors.
AD  - J.P. Bloom, Division of Cardiac Surgery, Massachusetts General Hospital, 55 Fruit St, Cox 630, Boston, MA, United States
AU  - Bloom, J. P.
AU  - Moonsamy, P.
AU  - Gartland, R. M.
AU  - O'Malley, C.
AU  - Tolis, G.
AU  - Villavicencio-Theoduloz, M. A.
AU  - Burkhardt, C.
AU  - Dunn, P.
AU  - Sundt, T. M.
AU  - D'Alessandro, D. A.
DB  - Embase
Medline
DO  - 10.1016/j.jtcvs.2019.11.051
KW  - conference paper
controlled study
heart surgery
hospital mortality
human
major clinical study
nurse
operating room
patient safety
prospective study
scrub
turnover rate
X ray
LA  - English
M3  - Article in Press
N1  - L2004554242
2020-01-15
PY  - 2020
SN  - 1097-685X
0022-5223
ST  - Impact of staff turnover during cardiac surgical procedures
T2  - Journal of Thoracic and Cardiovascular Surgery
TI  - Impact of staff turnover during cardiac surgical procedures
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L2004554242&from=export
http://dx.doi.org/10.1016/j.jtcvs.2019.11.051
ID  - 290
ER  - 

TY  - JOUR
AB  - Over the past decade, hernia surgery has undergone a considerable transformation with the use of prosthetic materials. The most used polypropylene meshes induce a rapid acute inflammatory response followed by chronic foreign body reaction. Many factors influence this response such as density, size, physical characteristics, different texture and porosity of each biomaterial. The aim of this study is to assess whether the implant of monofilament or multifilament meshes, in the inguinal hernioplasty, determine a different inflammatory response. Thirty-two male patients were included in the study and were randomly divided into two groups. In the first group (MO) inguinal hernioplasty was performed using monofilament polypropylene mesh, while in the second one (MU) multifilament prosthesis was used. Peripheral venous blood samples were collected 24 hours before surgery and then 6, 24, 48 and 168 hours posto-peratively. Modifications in leukocyte count, C-reactive protein (CRP), alpha-1 antitrypsin (α1-AT), interleukin (IL)-1, IL-6, IL-1 ra and IL-10 serum levels were recorded at all sampling times. We present evidence that serum levels of CRP, (α1-AT), leukocytes and cytokines were significantly increased post-operatively in both groups, returning to basal values 168 hours afterwards. In particular, the production of all pro-inflammatory mediators was higher in the MU group, whereas the anti-inflammatory cytokine (IL-10, IL-1ra) production was higher in MO patients. Our results indicate that polypropylene multifilament mesh allows a higher intense acute inflammatory response as compared to monofilament mesh implantation. Copyright © by Biolife, s.a.s.
AD  - Department of Surgical and Oncologic Science, Division of General Surgery, University of Palermo, Palermo, Italy
Immunosenescence Unit, Department of Pathobiology and Biomedical Methodologies, University of Palermo, Palermo, Italy
Department of General Surgery, University of Palermo, Via Autonomia Siciliana 70, 90143 Palermo, Italy
AU  - Di Vita, G.
AU  - Patti, R.
AU  - Sparacello, M.
AU  - Balistreri, C. R.
AU  - Candore, G.
AU  - Caruso, C.
DB  - Scopus
DO  - 10.1177/039463200802100123
IS  - 1
KW  - Hernioplasty
Mesh
Monofilament polypropylene
Multifilament polypropylene
M3  - Article
N1  - Cited By :19
Export Date: 10 November 2020
PY  - 2008
SP  - 207-214
ST  - Impact of different texture of polypropylene mesh on the inflammatory response
T2  - International Journal of Immunopathology and Pharmacology
TI  - Impact of different texture of polypropylene mesh on the inflammatory response
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-41849119102&doi=10.1177%2f039463200802100123&partnerID=40&md5=edac70761ad050e0dc8710f72070b409
VL  - 21
ID  - 1542
ER  - 

TY  - JOUR
AB  - Over the past decade, hernia surgery has undergone a considerable transformation with the use of prosthetic materials. The most used polypropylene meshes induce a rapid acute inflammatory response followed by chronic foreign body reaction. Many factors influence this response such as density, size, physical characteristics, different texture and porosity of each biomaterial. The aim of this study is to assess whether the implant of monofilament or multifilament meshes, in the inguinal hernioplasty, determine a different inflammatory response. Thirty-two male patients were included in the study and were randomly divided into two groups. In the first group (MO) inguinal hernioplasty was performed using monofilament polypropylene mesh, while in the second one (MU) multifilament prosthesis was used. Peripheral venous blood samples were collected 24 hours before surgery and then 6, 24, 48 and 168 hours posto-peratively. Modifications in leukocyte count, C-reactive protein (CRP), alpha-1 antitrypsin (α1-AT), interleukin (IL)-1, IL-6, IL-1 ra and IL-10 serum levels were recorded at all sampling times. We present evidence that serum levels of CRP, (α1-AT), leukocytes and cytokines were significantly increased post-operatively in both groups, returning to basal values 168 hours afterwards. In particular, the production of all pro-inflammatory mediators was higher in the MU group, whereas the anti-inflammatory cytokine (IL-10, IL-1ra) production was higher in MO patients. Our results indicate that polypropylene multifilament mesh allows a higher intense acute inflammatory response as compared to monofilament mesh implantation. Copyright © by Biolife, s.a.s.
AD  - G. Di Vita, Department of General Surgery, University of Palermo, Via Autonomia Siciliana 70, 90143 Palermo, Italy
AU  - Di Vita, G.
AU  - Patti, R.
AU  - Sparacello, M.
AU  - Balistreri, C. R.
AU  - Candore, G.
AU  - Caruso, C.
DB  - Embase
Medline
DO  - 10.1177/039463200802100123
IS  - 1
KW  - alpha 1 antitrypsin
C reactive protein
interleukin 1
interleukin 1 receptor accessory protein
interleukin 10
interleukin 6
polypropylene
adult
article
clinical article
controlled study
hernioplasty
human
inflammation
inguinal hernia
leukocyte count
male
priority journal
prosthesis
venous blood
LA  - English
M3  - Article
N1  - L351501017
2008-05-20
PY  - 2008
SN  - 0394-6320
SP  - 207-214
ST  - Impact of different texture of polypropylene mesh on the inflammatory response
T2  - International Journal of Immunopathology and Pharmacology
TI  - Impact of different texture of polypropylene mesh on the inflammatory response
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L351501017&from=export
http://dx.doi.org/10.1177/039463200802100123
VL  - 21
ID  - 608
ER  - 

TY  - JOUR
AB  - Many radiologists are not familiar with the names of various instruments, surgical sponges, and needles that may be seen on intraoperative and postoperative radiographs. These devices may be intentionally placed for localization or therapeutic intervention, discovered on radiographs obtained to evaluate incorrect sponge or needle counts, or incidentally encountered on postoperative radiographs. These paraphernalia are usually described in vague nonspecific terms in radiology reports. In this article, photographs and radiographs of several instruments commonly used for intraoperative localization or therapy are presented, as well as examples of sponges, needles, and other devices that should not be found on postoperative radiographs. Familiarity with their appearances will allow a more precise and knowledgeable description in radiology reports.
AD  - Department of Radiological Sciences, University of California Los Angeles, School of Medicine, 200 UCLA Medical Plaza, Los Angeles, CA 90095-6952, United States
Department of Orthopaedic Surgery, University of California Los Angeles, School of Medicine, 200 UCLA Medical Plaza, Los Angeles, CA 90095-6952, United States
AU  - Wolfson, K. A.
AU  - Seeger, L. L.
AU  - Kadell, B. M.
AU  - Eckardt, J. J.
DB  - Scopus
DO  - 10.1148/radiographics.20.6.g00nv061665
IS  - 6
KW  - Foreign bodies, 458
Radiology and radiologists, iatrogenic injury
Surgery, complications, 458
M3  - Article
N1  - Cited By :13
Export Date: 10 November 2020
PY  - 2000
SP  - 1665-1673
ST  - Imaging of surgical paraphernalia: What belongs in the patient and what does not
T2  - Radiographics
TI  - Imaging of surgical paraphernalia: What belongs in the patient and what does not
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0034329902&doi=10.1148%2fradiographics.20.6.g00nv061665&partnerID=40&md5=2edd6a5556bbec01a0c14d61ca63d936
VL  - 20
ID  - 1681
ER  - 

TY  - JOUR
AB  - Many radiologists are not familiar with the names of various instruments, surgical sponges, and needles that may be seen on intraoperative and postoperative radiographs. These devices may be intentionally placed for localization or therapeutic intervention, discovered on radiographs obtained to evaluate incorrect sponge or needle counts, or incidentally encountered on postoperative radiographs. These paraphernalia are usually described in vague nonspecific terms in radiology reports. In this article, photographs and radiographs of several instruments commonly used for intraoperative localization or therapy are presented, as well as examples of sponges, needles, and other devices that should not be found on postoperative radiographs. Familiarity with their appearances will allow a more precise and knowledgeable description in radiology reports.
AD  - K.A. Wolfson, Departments of Radiological Sciences, University of California Los Angeles (UCLA) School of Medicine, 200 UCLA Medical Plaza, Suite 165-57, Los Angeles, CA 90095-6952, USA.
AU  - Wolfson, K. A.
AU  - Seeger, L. L.
AU  - Kadell, B. M.
AU  - Eckardt, J. J.
DB  - Medline
IS  - 6
KW  - article
foreign body
human
peroperative care
postoperative care
radiography
surgical equipment
LA  - English
M3  - Article
N1  - L33419205
2001-01-25
PY  - 2000
SN  - 0271-5333
SP  - 1665-1673
ST  - Imaging of surgical paraphernalia: what belongs in the patient and what does not
T2  - Radiographics : a review publication of the Radiological Society of North America, Inc
TI  - Imaging of surgical paraphernalia: what belongs in the patient and what does not
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L33419205&from=export
VL  - 20
ID  - 650
ER  - 

TY  - JOUR
AB  - IgG4-related disease has evolved from originally being recognized as a form of pancreatitis to encompass diseases of numerous organs including the hypophysis and one reported case of dural involvement. A search of the University of Virginia, Division of Neuropathology files for 10 years identified ten cases of unexplained lymphoplasmacytic meningeal inflammation that we then evaluated using immunohistochemical stains for IgG4 and IgG. Ten control cases including sarcoidosis (4), tuberculosis (1), bacterial abscess (2), Langerhans cell histiocytosis (2), and foreign body reaction (1) were also examined. The number of IgG4-positive plasma cells was counted in five high power fields (HPFs) and an average per HPF was calculated. Cases that contained greater than ten IgG4-positive cells/HPF were considered to be IgG4- related. Five of the study cases met these criteria, including one case of leptomeningeal inflammation. All cases exhibited the typical histological features of IgG4-related disease including lymphoplasmacytic inflammation, fibrosis, and phlebitis. The dural-based lesions appear to represent a subset of the cases historically diagnosed as idiopathic hypertrophic pachymeningitis. While the leptomeningeal process most closely resembles non-vasculitic autoimmune inflammatory meningoencephalitis. Given these findings, IgG4-related meningitis should be considered in the differential diagnosis of meningeal inflammatory lesions after stringent clinical and histologic criteria are used to rule out other possible diagnoses. © Springer-Verlag 2010.
AD  - Division of Neuropathology, Department of Pathology, University of Virginia School of Medicine, 1215 Lee St., Charlottesville, VA 22908-0214, United States
Division of Hematopathology, Department of Pathology, University of Virginia School of Medicine, 1215 Lee St., Charlottesville, VA 22908-0214, United States
AU  - Lindstrom, K. M.
AU  - Cousar, J. B.
AU  - Lopes, M. B. S.
DB  - Scopus
DO  - 10.1007/s00401-010-0746-2
IS  - 6
KW  - Central nervous system
Idiopathic hypertrophic pachymeningitis
IgG4-related pachymeningitis
IgG4-related sclerosing disease
Non-vasculitic autoimmune inflammatory meningoencephalitis
M3  - Article
N1  - Cited By :129
Export Date: 10 November 2020
PY  - 2010
SP  - 765-776
ST  - IgG4-related meningeal disease: Clinico-pathological features and proposal for diagnostic criteria
T2  - Acta Neuropathologica
TI  - IgG4-related meningeal disease: Clinico-pathological features and proposal for diagnostic criteria
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-78651082268&doi=10.1007%2fs00401-010-0746-2&partnerID=40&md5=d41072495edabe7424293f3a320e7dcd
VL  - 120
ID  - 1443
ER  - 

TY  - JOUR
AB  - Many surgical procedures involve the use of very small surgical needles. In the event that a postoperative needle count is incorrect, traditionally an x-ray has been taken to find the needle. Little data exist to recommend the smallest surgical needle that can be identified with conventional radiographic techniques and the optimum technique for finding lost surgical needles. In this quality assurance project x-rays of various size surgical needles were taken. The smallest seen by the majority of observers was 17 mm. The radiographic technique of choice for optimum detection of lost surgical needles was imaging with a mobile image intensifier.
AD  - Cabrini Hospital, Victoria, Malvern, Australia
AU  - Macilquham, M. D.
AU  - Riley, R. G.
AU  - Grossberg, P.
DB  - Scopus
DO  - 10.1016/S0001-2092(06)61347-1
IS  - 1
M3  - Article
N1  - Cited By :33
Export Date: 10 November 2020
PY  - 2003
SP  - 73-78
ST  - Identifying lost surgical needles using radiographic techniques
T2  - AORN journal
TI  - Identifying lost surgical needles using radiographic techniques
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0141609654&doi=10.1016%2fS0001-2092%2806%2961347-1&partnerID=40&md5=fa5193fcef10a6770aa8b2583fb4462b
VL  - 78
ID  - 1653
ER  - 

TY  - JOUR
AD  - Senior Radiographer, Cabrini Hospital, Malvern, Victoria, Australia
AN  - 106870346. Language: English. Entry Date: 20030926. Revision Date: 20150818. Publication Type: Journal Article
AU  - Macilquham, M. D.
AU  - Riley, R. G.
AU  - Grossberg, P.
DB  - ccm
DO  - 10.1016/S0001-2092(06)61347-1
DP  - EBSCOhost
IS  - 1
KW  - Foreign Bodies -- Radiography
Needles
Weights and Measures
Australia
Patient Positioning
Quality Assurance
Radiography -- Methods
Surgical Count Procedure
N1  - diagnostic images; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0372403.
PMID: NLM12885068.
PY  - 2003
SN  - 0001-2092
SP  - 73-78
ST  - Identifying lost surgical needles using radiographic techniques
T2  - AORN Journal
TI  - Identifying lost surgical needles using radiographic techniques
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106870346&site=ehost-live&scope=site
VL  - 78
ID  - 866
ER  - 

TY  - JOUR
AB  - Many surgical procedures involve the use of very small surgical needles. In the event that a postoperative needle count is incorrect, traditionally an x-ray has been taken to find the needle. Little data exist to recommend the smallest surgical needle that can be identified with conventional radiographic techniques and the optimum technique for finding lost surgical needles. In this quality assurance project x-rays of various size surgical needles were taken. The smallest seen by the majority of observers was 17 mm. The radiographic technique of choice for optimum detection of lost surgical needles was imaging with a mobile image intensifier.
AD  - M.D. Macilquham, Cabrini Hospital, Malvern, Victoria, Australia.
AU  - Macilquham, M. D.
AU  - Riley, R. G.
AU  - Grossberg, P.
DB  - Medline
DO  - 10.1016/S0001-2092(06)61347-1
IS  - 1
KW  - abdomen
article
Australia
comparative study
foreign body
human
image quality
methodology
needle
radiography
randomization
surgical equipment
thorax
thorax radiography
LA  - English
M3  - Article
N1  - L37136644
2003-09-28
PY  - 2003
SN  - 0001-2092
SP  - 73-78
ST  - Identifying lost surgical needles using radiographic techniques
T2  - AORN journal
TI  - Identifying lost surgical needles using radiographic techniques
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L37136644&from=export
http://dx.doi.org/10.1016/S0001-2092(06)61347-1
VL  - 78
ID  - 642
ER  - 

TY  - JOUR
AB  - Background Intraoperative instrument recounts are performed to avoid retained foreign surgical items. These additional counts, however, beget risks of their own, including prolonged operative times, exposure to radiation, and increased cost. Our study aimed to identify factors that increase the likelihood of instrument recounts during plastic surgery procedures, and use our findings to guide potential solutions for preventing unnecessary recounts across all surgical fields. Study design This is a retrospective review of all plastic surgical cases in the main operating setting at New York University Langone Medical Center (NYULMC) between March 2014 and February 2015. Results Of 1285 plastic surgery cases, 35 (2.7%) reported a missing instrument necessitating a recount. Of all subspecialties within plastic surgery, only microsurgery conferred an increased risk of a recount event. We identified multiple factors that increased the odds of a recount event, including increased operative time, number of surgical sites, and intraoperative instrument handoffs. Conclusion Instrument recounts, although designed to prevent inadvertently retained surgical items, present inherent risks of their own. In a large retrospective review of plastic surgery cases at our medical center, we identified many factors that increased the likelihood of an instrument recount. On the basis of our findings and prior literature, we recommend limiting the number of staff handling instrument, the number of handoffs, and a heightened awareness by surgeons and perioperative staff of specific procedures and factors that increase the risk of a miscount event. © 2017
AD  - Hansjörg Wyss Department of Plastic Surgery, New York University Langone Medical Center, New York, NY, United States
AU  - Reformat, D. D.
AU  - David, J. A.
AU  - Diaz-Siso, J. R.
AU  - Plana, N. M.
AU  - Wang, A.
AU  - Brownstone, N. D.
AU  - Ceradini, D. J.
DB  - Scopus
DO  - 10.1016/j.bjps.2017.06.028
IS  - 9
KW  - Miscount
Patient safety
Recount
Retained surgical items
Risk factors
Surgical instruments
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2017
SP  - 1285-1291
ST  - How many people work in your operating room? An assessment of factors associated with instrument recounts within plastic surgery
T2  - Journal of Plastic, Reconstructive and Aesthetic Surgery
TI  - How many people work in your operating room? An assessment of factors associated with instrument recounts within plastic surgery
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85024877136&doi=10.1016%2fj.bjps.2017.06.028&partnerID=40&md5=989e9944a2bc31c05f11a7680aeda22c
VL  - 70
ID  - 1122
ER  - 

TY  - JOUR
AB  - Background Intraoperative instrument recounts are performed to avoid retained foreign surgical items. These additional counts, however, beget risks of their own, including prolonged operative times, exposure to radiation, and increased cost. Our study aimed to identify factors that increase the likelihood of instrument recounts during plastic surgery procedures, and use our findings to guide potential solutions for preventing unnecessary recounts across all surgical fields. Study design This is a retrospective review of all plastic surgical cases in the main operating setting at New York University Langone Medical Center (NYULMC) between March 2014 and February 2015. Results Of 1285 plastic surgery cases, 35 (2.7%) reported a missing instrument necessitating a recount. Of all subspecialties within plastic surgery, only microsurgery conferred an increased risk of a recount event. We identified multiple factors that increased the odds of a recount event, including increased operative time, number of surgical sites, and intraoperative instrument handoffs. Conclusion Instrument recounts, although designed to prevent inadvertently retained surgical items, present inherent risks of their own. In a large retrospective review of plastic surgery cases at our medical center, we identified many factors that increased the likelihood of an instrument recount. On the basis of our findings and prior literature, we recommend limiting the number of staff handling instrument, the number of handoffs, and a heightened awareness by surgeons and perioperative staff of specific procedures and factors that increase the risk of a miscount event.
AD  - D.J. Ceradini, Hansjörg Wyss Department of Plastic and Reconstructive Surgery, New York University School of Medicine, 430 East 29th Street, Alexandria West Tower, 6th Floor - Room 660D, New York, NY, United States
AU  - Reformat, D. D.
AU  - David, J. A.
AU  - Diaz-Siso, J. R.
AU  - Plana, N. M.
AU  - Wang, A.
AU  - Brownstone, N. D.
AU  - Ceradini, D. J.
DB  - Embase
Medline
DO  - 10.1016/j.bjps.2017.06.028
IS  - 9
KW  - adult
article
clinical article
controlled study
human
instrument recount
intraoperative period
medical procedures
medical student
microsurgery
middle aged
operating room
operating room personnel
operation duration
patient safety
plastic surgery
priority journal
resident
retrospective study
risk factor
surgical equipment
work
LA  - English
M3  - Article
N1  - L617421488
2017-07-25
2017-08-24
PY  - 2017
SN  - 1878-0539
1748-6815
SP  - 1285-1291
ST  - How many people work in your operating room? An assessment of factors associated with instrument recounts within plastic surgery
T2  - Journal of Plastic, Reconstructive and Aesthetic Surgery
TI  - How many people work in your operating room? An assessment of factors associated with instrument recounts within plastic surgery
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L617421488&from=export
http://dx.doi.org/10.1016/j.bjps.2017.06.028
VL  - 70
ID  - 366
ER  - 

TY  - JOUR
AD  - Partner Kaufman Borgeest & Ryan New York, NY
Associate Kaufman Borgeest & Ryan New York, NY
Director of Risk and Claims Management The New York Hospital Medical Center of Queens Flushing, NY
AN  - 104464594. Language: English. Entry Date: 20121016. Revision Date: 20150818. Publication Type: Journal Article
AU  - Rubin, Jonathan D.
AU  - Brown, Sandra L.
AU  - Safran, Alvin
DB  - ccm
DP  - EBSCOhost
IS  - 7
KW  - Retained Instruments -- Legislation and Jurisprudence -- Louisiana
Liability, Legal
Surgeons -- Legislation and Jurisprudence -- Louisiana
Hospitals -- Legislation and Jurisprudence -- Louisiana
Surgical Count Procedure
Louisiana
Surgical Sponges
Bariatric Surgery -- Adverse Effects
N1  - legal case. Journal Subset: Biomedical; Expert Peer Reviewed; Peer Reviewed; USA. Special Interest: Perioperative Care. Legal Case: Louisiana Court of Appeal, Third Circuit. No. 11-0318. NLM UID: 7810150.
PY  - 2012
SN  - 0190-5066
SP  - 74-75
ST  - Hospital, surgeon liable for sponge left in patient
T2  - Same-Day Surgery
TI  - Hospital, surgeon liable for sponge left in patient
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104464594&site=ehost-live&scope=site
VL  - 36
ID  - 894
ER  - 

TY  - JOUR
AB  - Purpose: We prospectively evaluated the histological inflammatory response to the large polypropylene transvaginal mesh used for pelvic organ prolapse surgery. Materials and Methods: Ten patients and 8 controls underwent vaginal punch biopsy sampling before surgery and patients also underwent it 1 year after pelvic reconstructive surgery using polypropylene mesh. Foreign body response to the mesh was assessed using a combination of histological, semiquantitative and computerized image based analysis. Results: Compared to preoperative histology there was a significant postoperative increase in macrophage and mast cell counts (p = 0.03 and 0.01) but no significant changes in the count of cells involved primarily in the infectious cell response or collagen density and the elastin area fraction at the mesh-tissue interface (p = 0.2 and 0.3, respectively). Three cases of mild granuloma formation and 2 of mild erosion were observed. There was no significant change in epithelial thickness when comparing preoperative and postoperative samples. Conclusions: When used for pelvic reconstructive surgery, macroporous monofilament polypropylene mesh induces a mild but persistent foreign body reaction. © 2009 American Urological Association.
AD  - Division of Surgery and Urology, Department of Clinical Sciences, Danderyd University Hospital, Stockholm, Sweden
Department of Obstetrics and Gynecology, Department of Clinical Sciences, Danderyd University Hospital, Stockholm, Sweden
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
Department of Women's and Children's Health, Uppsala University, Uppsala and Safety Assessment Laboratories, Astra Zeneca R and D, Södertälje, Sweden
AU  - Elmer, C.
AU  - Blomgren, B.
AU  - Falconer, C.
AU  - Zhang, A.
AU  - Altman, D.
DB  - Scopus
DO  - 10.1016/j.juro.2008.11.030
IS  - 3
KW  - foreign-body reaction
polypropylenes
prolapse
suburethral slings
urethra
M3  - Article
N1  - Cited By :37
Export Date: 10 November 2020
PY  - 2009
SP  - 1189-1195
ST  - Histological Inflammatory Response to Transvaginal Polypropylene Mesh for Pelvic Reconstructive Surgery
T2  - Journal of Urology
TI  - Histological Inflammatory Response to Transvaginal Polypropylene Mesh for Pelvic Reconstructive Surgery
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-59349110623&doi=10.1016%2fj.juro.2008.11.030&partnerID=40&md5=5d548a1583a991fc0d1ea58ef316d380
VL  - 181
ID  - 1499
ER  - 

TY  - JOUR
AB  - Purpose: We prospectively evaluated the histological inflammatory response to the large polypropylene transvaginal mesh used for pelvic organ prolapse surgery. Materials and Methods: Ten patients and 8 controls underwent vaginal punch biopsy sampling before surgery and patients also underwent it 1 year after pelvic reconstructive surgery using polypropylene mesh. Foreign body response to the mesh was assessed using a combination of histological, semiquantitative and computerized image based analysis. Results: Compared to preoperative histology there was a significant postoperative increase in macrophage and mast cell counts (p = 0.03 and 0.01) but no significant changes in the count of cells involved primarily in the infectious cell response or collagen density and the elastin area fraction at the mesh-tissue interface (p = 0.2 and 0.3, respectively). Three cases of mild granuloma formation and 2 of mild erosion were observed. There was no significant change in epithelial thickness when comparing preoperative and postoperative samples. Conclusions: When used for pelvic reconstructive surgery, macroporous monofilament polypropylene mesh induces a mild but persistent foreign body reaction. © 2009 American Urological Association.
AD  - C. Elmer, Division of Surgery and Urology, Department of Clinical Sciences, Danderyd University Hospital, Stockholm, Sweden
AU  - Elmer, C.
AU  - Blomgren, B.
AU  - Falconer, C.
AU  - Zhang, A.
AU  - Altman, D.
DB  - Embase
Medline
DO  - 10.1016/j.juro.2008.11.030
IS  - 3
KW  - collagen
elastin
polypropylene
aged
article
cell count
clinical article
clinical assessment
control group
controlled study
erosion
female
foreign body reaction
granuloma
histology
human
image analysis
macrophage
mast cell
mesh sling
pelvis surgery
plastic surgery
postoperative period
priority journal
prospective study
punch biopsy
quantitative analysis
LA  - English
M3  - Article
N1  - L50392647
2009-03-03
PY  - 2009
SN  - 0022-5347
SP  - 1189-1195
ST  - Histological Inflammatory Response to Transvaginal Polypropylene Mesh for Pelvic Reconstructive Surgery
T2  - Journal of Urology
TI  - Histological Inflammatory Response to Transvaginal Polypropylene Mesh for Pelvic Reconstructive Surgery
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L50392647&from=export
http://dx.doi.org/10.1016/j.juro.2008.11.030
VL  - 181
ID  - 586
ER  - 

TY  - JOUR
AB  - Drug-eluting vascular prostheses represent a new direction in vascular surgery to reduce early thrombosis and late intimal hyperplasia for small calibre grafts. Subcutaneous implantation in rats is a rapid and cost-effective screening model to assess the drug-elution effect and could, to some extent, be useful to forecast results for vascular prostheses. We compared biological and histological responses to scaffolds in different implantation sites. Polycaprolactone (PCL), paclitaxel-loaded PCL (PCL-PTX) and dexamethasone-loaded PCL (PCL-DXM) electrospun scaffolds were implanted subcutaneously and in an infrarenal abdominal aortic model in rats for up to 12 weeks. At the conclusion of the study, a histological analysis was performed. Cellular graft invasion revealed differences in the progression of cellular infiltration between PCL-PTX and PCL/PCL-DXM groups in both models. Cell infiltration increased over time in the aortic model compared to the subcutaneous model for all groups. Cell counting revealed major differences in fibroblast, macrophage and giant cell graft colonisation in all groups and models over time. Macrophages and giant cells increased in the PCL aortic model; whereas in the subcutaneous model these cell types increased only after three weeks or even decreased in the drug-eluting PCL groups. Other major findings were observed only in the aortic replacement such as extracellular matrix deposition and neo-angiogenesis. The subcutaneous implant model can be used for screening, especially when drug-eluting effects are studied. However, major histological differences were observed in cell type reaction and depth of cell penetration compared to the aortic model. Our results demonstrate that the implantation site is a critical determinant of the biological response. © 2016 by the authors; licensee MDPI, Basel, Switzerland. All rights reserved.
AD  - Division of Clinical Pathology, University Hospital of Geneva, Geneva, 1211, Switzerland
School of Pharmaceutical Sciences, University of Geneva, Geneva, 1211, Switzerland
Department of Pharmacy-Drug Sciences, University of Bari 'Aldo Moro', Bari, 70125, Italy
Department of Cardiovascular Surgery, Faculty of Medicine, University Hospital, Geneva, 1211, Switzerland
AU  - Tille, J. C.
AU  - de Valence, S.
AU  - Mandracchia, D.
AU  - Nottelet, B.
AU  - Innocente, F.
AU  - Gurny, R.
AU  - Möller, M.
AU  - Walpoth, B. H.
C7  - 11
DB  - Scopus
DO  - 10.3390/jdb4010011
IS  - 1
KW  - Biodegradable polymers
Drug release
Extracellular matrix
Foreign body reaction
Pathology
Tissue engineering
Vascular prosthesis
M3  - Article
N1  - Cited By :4
Export Date: 10 November 2020
PY  - 2016
ST  - Histologic assessment of drug-eluting grafts related to implantation site
T2  - Journal of Developmental Biology
TI  - Histologic assessment of drug-eluting grafts related to implantation site
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85014756616&doi=10.3390%2fjdb4010011&partnerID=40&md5=f6ed653d895cc444407df0dfb73e3280
VL  - 4
ID  - 1190
ER  - 

TY  - JOUR
AB  - Retained surgical sponges are serious adverse events that can result in negative patient outcomes. The primary method of prevention is the sponge count. Searching for sponges to reconcile counts can result in inefficient use of OR time. The purpose of this descriptive study was to estimate the cost of nonproductive OR time (ie, time spent not moving forward with the surgical procedure) spent reconciling surgical sponge counts and the cost of using radiography to rule out the presence of retained sponges. We included 13,322 patient surgeries during a nine-month period. Perioperative personnel required from one to 90 minutes of additional time to reconcile each of 212 incorrect/unresolved counts. The total annualized cost of OR time spent searching for sponges and ruling out the presence of potentially retained sponges using radiography was $219,056. These costs should be included in comprehensive cost analyses when considering alternatives to supplement the surgical count. © 2015 AORN, Inc.
AD  - College of Nursing, The University of Iowa, Iowa City, IA, United States
RF Surgical Systems, Inc., Carlsbad, CA, United States
The University of Iowa, Hospitals and Clinics, Iowa City, IA, United States
AU  - Steelman, V. M.
AU  - Schaapveld, A. G.
AU  - Perkhounkova, Y.
AU  - Storm, H. E.
AU  - Mathias, M.
DB  - Scopus
DO  - 10.1016/j.aorn.2015.09.002
IS  - 5
KW  - Cost
Medical/surgical errors
Patient safety
Retained surgical item
Retained surgical sponge
M3  - Article
N1  - Cited By :4
Export Date: 10 November 2020
PY  - 2015
SP  - 498-506
ST  - The Hidden Costs of Reconciling Surgical Sponge Counts
T2  - AORN Journal
TI  - The Hidden Costs of Reconciling Surgical Sponge Counts
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84945265012&doi=10.1016%2fj.aorn.2015.09.002&partnerID=40&md5=5a4033de91ece9454a1f9499194c87ab
VL  - 102
ID  - 1239
ER  - 

TY  - JOUR
AB  - Retained surgical sponges are serious adverse events that can result in negative patient outcomes. The primary method of prevention is the sponge count. Searching for sponges to reconcile counts can result in inefficient use of OR time. The purpose of this descriptive study was to estimate the cost of nonproductive OR time (ie, time spent not moving forward with the surgical procedure) spent reconciling surgical sponge counts and the cost of using radiography to rule out the presence of retained sponges. We included 13,322 patient surgeries during a nine-month period. Perioperative personnel required from one to 90 minutes of additional time to reconcile each of 212 incorrect/unresolved counts. The total annualized cost of OR time spent searching for sponges and ruling out the presence of potentially retained sponges using radiography was $219,056. These costs should be included in comprehensive cost analyses when considering alternatives to supplement the surgical count.
AN  - 110576204. Language: English. Entry Date: 20151104. Revision Date: 20170203. Publication Type: Article
AU  - Steelman, Victoria M.
AU  - Schaapveld, Ann G.
AU  - Perkhounkova, Yelena
AU  - Storm, Hillary E.
AU  - Mathias, Michelle
DB  - ccm
DO  - 10.1016/j.aorn.2015.09.002
DP  - EBSCOhost
IS  - 5
KW  - Retained Instruments -- Radiography
Radiography -- Economics
Surgical Count Procedure -- Economics
Time -- Economics
Human
Descriptive Research
Surgery, Operative
Costs and Cost Analysis
Patient Safety
Health Care Errors
Surgical Sponges
Retained Instruments -- Prevention and Control
N1  - research. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Patient Safety. NLM UID: 0372403.
PMID: NLM26514707.
PY  - 2015
SN  - 0001-2092
SP  - 498-506
ST  - The Hidden Costs of Reconciling Surgical Sponge Counts
T2  - AORN Journal
TI  - The Hidden Costs of Reconciling Surgical Sponge Counts
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=110576204&site=ehost-live&scope=site
VL  - 102
ID  - 786
ER  - 

TY  - JOUR
AB  - Retained surgical sponges are serious adverse events that can result in negative patient outcomes. The primary method of prevention is the sponge count. Searching for sponges to reconcile counts can result in inefficient use of OR time. The purpose of this descriptive study was to estimate the cost of nonproductive OR time (ie, time spent not moving forward with the surgical procedure) spent reconciling surgical sponge counts and the cost of using radiography to rule out the presence of retained sponges. We included 13,322 patient surgeries during a nine-month period. Perioperative personnel required from one to 90 minutes of additional time to reconcile each of 212 incorrect/unresolved counts. The total annualized cost of OR time spent searching for sponges and ruling out the presence of potentially retained sponges using radiography was $219,056. These costs should be included in comprehensive cost analyses when considering alternatives to supplement the surgical count.
AU  - Steelman, V. M.
AU  - Schaapveld, A. G.
AU  - Perkhounkova, Y.
AU  - Storm, H. E.
AU  - Mathias, M.
DB  - Medline
DO  - 10.1016/j.aorn.2015.09.002
IS  - 5
KW  - economics
foreign body
health care cost
human
medical error
surgical sponge
LA  - English
M3  - Article
N1  - L615151608
2017-04-10
PY  - 2015
SN  - 1878-0369
SP  - 498-506
ST  - The Hidden Costs of Reconciling Surgical Sponge Counts
T2  - AORN journal
TI  - The Hidden Costs of Reconciling Surgical Sponge Counts
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L615151608&from=export
http://dx.doi.org/10.1016/j.aorn.2015.09.002
VL  - 102
ID  - 424
ER  - 

TY  - JOUR
AB  - A surgical item unintentionally retained in a patient after an operative or other invasive procedure is a serious, preventable medical error with the potential to cause the patient great harm. Perioperative RNs play a key role in preventing retained surgical items (RSIs). The updated AORN “Guideline for prevention of retained surgical items” provides guidance for implementing a consistent, multidisciplinary approach to RSI prevention; accounting for surgical items; preventing retention of device fragments; reconciling count discrepancies; and using adjunct technologies to supplement manual count procedures. This article focuses on key points of the guideline to help perioperative personnel provide optimal care during a procedure. Key points addressed include taking responsibility for RSI prevention as a team; minimizing distractions, noise, and interruptions during counts; using consistent counting methods; reconciling discrepancies; and participating in performance-improvement activities. Perioperative RNs should review the complete guideline for additional information and for guidance in writing and updating policies and procedures. © 2016 AORN, Inc
AU  - Fencl, J. L.
DB  - Scopus
DO  - 10.1016/j.aorn.2016.05.005
IS  - 1
KW  - count reconciliation
incorrect count
never event
retained surgical item
M3  - Article
N1  - Cited By :9
Export Date: 10 November 2020
PY  - 2016
SP  - 37-48
ST  - Guideline Implementation: Prevention of Retained Surgical Items
T2  - AORN Journal
TI  - Guideline Implementation: Prevention of Retained Surgical Items
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84976349140&doi=10.1016%2fj.aorn.2016.05.005&partnerID=40&md5=c04ed8bea322e43f888c70a10c59da25
VL  - 104
ID  - 1176
ER  - 

TY  - JOUR
AB  - A surgical item unintentionally retained in a patient after an operative or other invasive procedure is a serious, preventable medical error with the potential to cause the patient great harm. Perioperative RNs play a key role in preventing retained surgical items (RSIs). The updated AORN “Guideline for prevention of retained surgical items” provides guidance for implementing a consistent, multidisciplinary approach to RSI prevention; accounting for surgical items; preventing retention of device fragments; reconciling count discrepancies; and using adjunct technologies to supplement manual count procedures. This article focuses on key points of the guideline to help perioperative personnel provide optimal care during a procedure. Key points addressed include taking responsibility for RSI prevention as a team; minimizing distractions, noise, and interruptions during counts; using consistent counting methods; reconciling discrepancies; and participating in performance-improvement activities. Perioperative RNs should review the complete guideline for additional information and for guidance in writing and updating policies and procedures.
AN  - 116404436. Language: English. Entry Date: 20160728. Revision Date: 20160728. Publication Type: Article. Journal Subset: Core Nursing
AU  - Fencl, Jennifer L.
DB  - ccm
DO  - 10.1016/j.aorn.2016.05.005
DP  - EBSCOhost
IS  - 1
KW  - Medical Practice, Evidence-Based
Retained Instruments -- Prevention and Control
Practice Guidelines -- Utilization
Perioperative Nursing
Intraoperative Care
Program Implementation
Surgical Count Procedure
Nursing Role
Multidisciplinary Care Team
N1  - Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Evidence-Based Practice; Patient Safety. NLM UID: 0372403.
PY  - 2016
SN  - 0001-2092
SP  - 37-48
ST  - Guideline Implementation: Prevention of Retained Surgical Items
T2  - AORN Journal
TI  - Guideline Implementation: Prevention of Retained Surgical Items
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116404436&site=ehost-live&scope=site
VL  - 104
ID  - 760
ER  - 

TY  - JOUR
AB  - A surgical item unintentionally retained in a patient after an operative or other invasive procedure is a serious, preventable medical error with the potential to cause the patient great harm. Perioperative RNs play a key role in preventing retained surgical items (RSIs). The updated AORN "Guideline for prevention of retained surgical items" provides guidance for implementing a consistent, multidisciplinary approach to RSI prevention; accounting for surgical items; preventing retention of device fragments; reconciling count discrepancies; and using adjunct technologies to supplement manual count procedures. This article focuses on key points of the guideline to help perioperative personnel provide optimal care during a procedure. Key points addressed include taking responsibility for RSI prevention as a team; minimizing distractions, noise, and interruptions during counts; using consistent counting methods; reconciling discrepancies; and participating in performance-improvement activities. Perioperative RNs should review the complete guideline for additional information and for guidance in writing and updating policies and procedures.
AU  - Fencl, J. L.
DB  - Medline
DO  - 10.1016/j.aorn.2016.05.005
IS  - 1
KW  - foreign body
human
nursing education
practice guideline
LA  - English
M3  - Article
N1  - L614937410
2017-03-27
PY  - 2016
SN  - 1878-0369
SP  - 37-48
ST  - Guideline Implementation: Prevention of Retained Surgical Items
T2  - AORN journal
TI  - Guideline Implementation: Prevention of Retained Surgical Items
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L614937410&from=export
http://dx.doi.org/10.1016/j.aorn.2016.05.005
VL  - 104
ID  - 401
ER  - 

TY  - JOUR
AB  - Background: Intermittently, the incidence of retained surgical items after surgery is reported in the healthcare literature, usually in the form of case studies. It is commonly recognised that poor communication practices influence surgical outcomes. Aim: To explore the power relationships in the communication between nurses and surgeons that affect the conduct of the surgical count. Methods: A qualitative, ethnographic study was undertaken. Data were collected in three operating room departments in metropolitan Melbourne, Australia. 11 operating room nurses who worked as anaesthetic, instrument and circulating nurses were individually observed during their interactions with surgeons, anaesthetists, other nurses and patients. Data were generated through 230 h of participant observation, 11 individual and 4 group interviews, and the keeping of a diary by the first author. A deconstructive analysis was undertaken. Results: Results are discussed in terms of the discursive practices in which clinicians engaged to govern and control the surgical count. The three major issues presented in this paper are judging, coping with normalisation and establishing priorities. Conclusions: The findings highlight the power relationships between members of the surgical team and the complexity of striking a balance between organisational policy and professional judgement. Increasing professional accountability may help to deal with the issues of normalisation, whereas greater attention needs to be paid to issues of time management. More sophisticated technological solutions need to be considered to support manual counting techniques.
AD  - Box Hill Hospital, Nelson Road, Box Hill, Vic. 3128, Australia
School of Nursing, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Carlton, Vic., Australia
Department of Surgery, Cabrini Monash University, Cabrini Medical Centre, Malvern, Vic., Australia
AU  - Riley, R.
AU  - Manias, E.
AU  - Polglase, A.
DB  - Scopus
DO  - 10.1136/qshc.2005.017293
IS  - 5
M3  - Article
N1  - Cited By :37
Export Date: 10 November 2020
PY  - 2006
SP  - 369-374
ST  - Governing the surgical count through communication interactions: Implications for patient safety
T2  - Quality and Safety in Health Care
TI  - Governing the surgical count through communication interactions: Implications for patient safety
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-33751219266&doi=10.1136%2fqshc.2005.017293&partnerID=40&md5=3d1d7720eb03aa91ade9c744eb1e6d17
VL  - 15
ID  - 1577
ER  - 

TY  - JOUR
AB  - BACKGROUND: Intermittently, the incidence of retained surgical items after surgery is reported in the healthcare literature, usually in the form of case studies. It is commonly recognised that poor communication practices influence surgical outcomes. AIM: To explore the power relationships in the communication between nurses and surgeons that affect the conduct of the surgical count. METHODS: A qualitative, ethnographic study was undertaken. Data were collected in three operating room departments in metropolitan Melbourne, Australia. 11 operating room nurses who worked as anaesthetic, instrument and circulating nurses were individually observed during their interactions with surgeons, anaesthetists, other nurses and patients. Data were generated through 230 h of participant observation, 11 individual and 4 group interviews, and the keeping of a diary by the first author. A deconstructive analysis was undertaken. RESULTS: Results are discussed in terms of the discursive practices in which clinicians engaged to govern and control the surgical count. The three major issues presented in this paper are judging, coping with normalisation and establishing priorities. CONCLUSIONS: The findings highlight the power relationships between members of the surgical team and the complexity of striking a balance between organisational policy and professional judgement. Increasing professional accountability may help to deal with the issues of normalisation, whereas greater attention needs to be paid to issues of time management. More sophisticated technological solutions need to be considered to support manual counting techniques.
AD  - School of Nursing, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Carlton, Victoria, Australia. robin.riley@easternhealth.org.au
AN  - 106280987. Language: English. Entry Date: 20070511. Revision Date: 20200708. Publication Type: Journal Article
AU  - Riley, R.
AU  - Manias, E.
AU  - Polglase, A.
DB  - ccm
DO  - 10.1136/qshc.2005.017293
DP  - EBSCOhost
KW  - Foreign Bodies -- Prevention and Control
Interprofessional Relations
Nurse-Physician Relations
Organizational Compliance
Perioperative Nursing -- Standards
Professional Compliance
Safety -- Standards
Treatment Errors -- Prevention and Control
Adult
Anesthesiology
Anthropology
Australia
Cooperative Behavior
Diaries
Funding Source
Hospitals, Urban -- Standards
Incidence
Middle Age
Organizational Policies
Professional Autonomy
Power
Qualitative Studies
Surgery, Operative
Surgical Instruments
Surgical Sponges
Victoria
Human
N1  - research; tables/charts. Journal Subset: Blind Peer Reviewed; Europe; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; UK & Ireland. Grant Information: University of Melbourne. NLM UID: 101136980.
PMID: NLM17074876.
PY  - 2006
SN  - 1475-3898
SP  - 369-374
ST  - Governing the surgical count through communication interactions: implications for patient safety
T2  - Quality & Safety in Health Care
TI  - Governing the surgical count through communication interactions: implications for patient safety
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106280987&site=ehost-live&scope=site
ID  - 846
ER  - 

TY  - JOUR
AB  - Background: Intermittently, the incidence of retained surgical items after surgery is reported in the healthcare literature, usually in the form of case studies. It is commonly recognised that poor communication practices influence surgical outcomes. Aim: To explore the power relationships in the communication between nurses and surgeons that affect the conduct of the surgical count. Methods: A qualitative, ethnographic study was undertaken. Data were collected in three operating room departments in metropolitan Melbourne, Australia. 11 operating room nurses who worked as anaesthetic, instrument and circulating nurses were individually observed during their interactions with surgeons, anaesthetists, other nurses and patients. Data were generated through 230 h of participant observation, 11 individual and 4 group interviews, and the keeping of a diary by the first author. A deconstructive analysis was undertaken. Results: Results are discussed in terms of the discursive practices in which clinicians engaged to govern and control the surgical count. The three major issues presented in this paper are judging, coping with normalisation and establishing priorities. Conclusions: The findings highlight the power relationships between members of the surgical team and the complexity of striking a balance between organisational policy and professional judgement. Increasing professional accountability may help to deal with the issues of normalisation, whereas greater attention needs to be paid to issues of time management. More sophisticated technological solutions need to be considered to support manual counting techniques.
AD  - R. Riley, Box Hill Hospital, Nelson Road, Box Hill, Vic. 3128, Australia
AU  - Riley, R.
AU  - Manias, E.
AU  - Polglase, A.
DB  - Embase
Medline
DO  - 10.1136/qshc.2005.017293
IS  - 5
KW  - article
controlled study
ethnography
health care
hospital policy
human
interpersonal communication
operating room
patient safety
physician
surgeon
surgical equipment
surgical technique
LA  - English
M3  - Article
N1  - L44784814
2006-11-30
PY  - 2006
SN  - 1475-3898
SP  - 369-374
ST  - Governing the surgical count through communication interactions: Implications for patient safety
T2  - Quality and Safety in Health Care
TI  - Governing the surgical count through communication interactions: Implications for patient safety
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L44784814&from=export
http://dx.doi.org/10.1136/qshc.2005.017293
VL  - 15
ID  - 619
ER  - 

TY  - JOUR
AB  - Gossypibomas remain a dreaded and unwanted complication of surgical practice. Despite significant interest and numerous guidelines, the number of reported cases remains sparse due to various factors, including potential legal implications. Herein, we review related data from India to ascertain if the problem is better or worse than that reported in world literature.~Purpose Of Review~Objective~A literature search was performed on PubMed and Google Scholar, to collect and analyze all case reports and case reviews regarding the condition in India.~Materials and Methods~Methods~On analysis of the results, there were 100 publications reporting a total of 126 events. The average patient age was 38.65 years. Average time to discovery was 1225.62 days. Forty-nine percent of reported cases were discovered within the 1 st year. The most common clinical features were pain (73.8%), palpable mass (47.6%), vomiting (35%), abdominal distention (26%), and fever (12.6%). Spontaneous expulsion of the gossypiboma was noted in five cases (3.96%). Transmural migration was seen in 36 cases (28.57%).~Results~Results~Despite advancements in surgical approaches and preventive measures, gossypibomas continue to be a cause of significant morbidity. A safe working culture, open communication, teamwork, and an accurate sponge count remain our best defence against this often unpredictable complication of surgery.~Conclusions~Conclusions
AD  - Department of General Surgery, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
Department of Forensic Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
AN  - 121072042. Language: English. Entry Date: 20170224. Revision Date: 20190204. Publication Type: Article
AU  - Patial, T.
AU  - Thakur, V.
AU  - Vijhay Ganesun, N. K.
AU  - Sharma, M.
DB  - ccm
DO  - 10.4103/0022-3859.198153
DP  - EBSCOhost
IS  - 1
KW  - Surgical Sponges -- Adverse Effects
Retained Instruments
Human
PubMed
Systematic Review
N1  - research; systematic review; tables/charts. Journal Subset: Asia; Biomedical; Double Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed. Special Interest: Evidence-Based Practice. NLM UID: 2985196R.
PY  - 2017
SN  - 0022-3859
SP  - 36-41
ST  - Gossypibomas in India - A systematic literature review
T2  - Journal of Postgraduate Medicine
TI  - Gossypibomas in India - A systematic literature review
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=121072042&site=ehost-live&scope=site
VL  - 63
ID  - 756
ER  - 

TY  - JOUR
AB  - Purpose of Review: Gossypibomas remain a dreaded and unwanted complication of surgical practice. Despite significant interest and numerous guidelines, the number of reported cases remains sparse due to various factors, including potential legal implications. Herein, we review related data from India to ascertain if the problem is better or worse than that reported in world literature. Materials and Methods: A literature search was performed on PubMed and Google Scholar, to collect and analyze all case reports and case reviews regarding the condition in India. Results: On analysis of the results, there were 100 publications reporting a total of 126 events. The average patient age was 38.65 years. Average time to discovery was 1225.62 days. Forty-nine percent of reported cases were discovered within the 1 st year. The most common clinical features were pain (73.8%), palpable mass (47.6%), vomiting (35%), abdominal distention (26%), and fever (12.6%). Spontaneous expulsion of the gossypiboma was noted in five cases (3.96%). Transmural migration was seen in 36 cases (28.57%). Conclusions: Despite advancements in surgical approaches and preventive measures, gossypibomas continue to be a cause of significant morbidity. A safe working culture, open communication, teamwork, and an accurate sponge count remain our best defence against this often unpredictable complication of surgery. © 2016 Journal of Postgraduate Medicine | Published by Wolters Kluwer - Medknow.
AD  - Department of General Surgery, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
Department of Forensic Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
AU  - Patial, T.
AU  - Thakur, V.
AU  - Ganesun, N. K. V.
AU  - Sharma, M.
DB  - Scopus
DO  - 10.4103/0022-3859.198153
IS  - 1
KW  - Cottonoma
gauzoma
gossypiboma
pathogenesis
retained foreign body
retained surgical item
retained surgical sponge
systematic review
textiloma
M3  - Review
N1  - Cited By :5
Export Date: 10 November 2020
PY  - 2017
SP  - 36-41
ST  - Gossypibomas in India - A systematic literature review
T2  - Journal of Postgraduate Medicine
TI  - Gossypibomas in India - A systematic literature review
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85011056347&doi=10.4103%2f0022-3859.198153&partnerID=40&md5=f413298ef7a4dbab7380b15299debb8e
VL  - 63
ID  - 1151
ER  - 

TY  - JOUR
AB  - Purpose of Review: Gossypibomas remain a dreaded and unwanted complication of surgical practice. Despite significant interest and numerous guidelines, the number of reported cases remains sparse due to various factors, including potential legal implications. Herein, we review related data from India to ascertain if the problem is better or worse than that reported in world literature. Materials and Methods: A literature search was performed on PubMed and Google Scholar, to collect and analyze all case reports and case reviews regarding the condition in India. Results: On analysis of the results, there were 100 publications reporting a total of 126 events. The average patient age was 38.65 years. Average time to discovery was 1225.62 days. Forty-nine percent of reported cases were discovered within the 1 st year. The most common clinical features were pain (73.8%), palpable mass (47.6%), vomiting (35%), abdominal distention (26%), and fever (12.6%). Spontaneous expulsion of the gossypiboma was noted in five cases (3.96%). Transmural migration was seen in 36 cases (28.57%). Conclusions: Despite advancements in surgical approaches and preventive measures, gossypibomas continue to be a cause of significant morbidity. A safe working culture, open communication, teamwork, and an accurate sponge count remain our best defence against this often unpredictable complication of surgery.
AD  - T. Patial, Department of General Surgery, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India
AU  - Patial, T.
AU  - Thakur, V.
AU  - Ganesun, N. K. V.
AU  - Sharma, M.
DB  - Embase
Medline
DO  - 10.4103/0022-3859.198153
IS  - 1
KW  - clinical feature
gossypibomas
human
India
Medline
postoperative complication
practice guideline
publication
retained instrument
review
surgical sponge
systematic review
LA  - English
M3  - Review
N1  - L614285970
2017-02-07
2017-02-10
PY  - 2017
SN  - 0972-2823
0022-3859
SP  - 36-41
ST  - Gossypibomas in India - A systematic literature review
T2  - Journal of Postgraduate Medicine
TI  - Gossypibomas in India - A systematic literature review
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L614285970&from=export
http://dx.doi.org/10.4103/0022-3859.198153
VL  - 63
ID  - 383
ER  - 

TY  - JOUR
AB  - The term "gossypiboma" denotes foreign bodies retained after surgery. The most common gossypiboma is the iatrogenic surgical sponge. Usually, hysterectomy, appendectomy and cholecystectomy operations are associated with these retained sponges. They may be misdiagnosed as incisional endometriosis. We present a patient who had a caesarean section operation eleven years ago with a mass at the abdominal wall between the umbilicus and the caesarean section scar on the left paramedian region approximately 5 x 2 cm in diameter. We must keep in mind that prevention is more important for cure. As we knew that most reported cases occur in the presence of a normal pack count, we think that the surgical team must be very careful in the operation room.
AD  - Maltepe Universtiy, Faculty of Medicine, Department of Gynecology and Obstetrics, Istanbul, Turkey
Department of General Surgery, Maltepe University, Faculty of Medicine, Istanbul, Turkey
AU  - Ilter, E.
AU  - Manukyan, M. N.
AU  - Haliloǧlu, B.
AU  - Çelik, A.
AU  - Özden, S.
DB  - Scopus
IS  - 1
KW  - Endometriosis
Foreign bodies
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2010
SP  - 64-66
ST  - Gossypiboma: A lesson to learn: Case report
T2  - Turkiye Klinikleri Jinekoloji Obstetrik
TI  - Gossypiboma: A lesson to learn: Case report
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-77953448332&partnerID=40&md5=7c6f103b3460a34649502599dd0b5d84
VL  - 20
ID  - 1461
ER  - 

TY  - JOUR
AB  - Background: Gossypiboma (retained surgical sponge) is a rare medical event. It could cause a serious complication that can threaten patients' life. Its diagnosis is usually difficult because the clinical symptoms are nonspecific and the imaging findings are often inconclusive. Case Presentations: We present two cases, a 32 years old woman who passed a retained surgical sponge via rectum 5 months after cesarean section and a 30 years old lady presented with an acute abdomen that later found to have localized right lower quadrant abscess with a retained surgical sponge. Conclusion: The most important approach to reduce the incidence of gossypiboma is prevention. At the end of the surgery, a correct count is always the gold standard safeguard against it. Although errors are not to be completely avoided, continuous CPD and strict adherence to rules of the operating room will reduce its incidence to a minimum. © 2020 Berhanu N.A., et al.
AD  - Cardiothoracic Unit, Department of Surgery, School of Medicine, College of Health Sciences, Addis Ababa University, Ethiopia
AU  - Alemu, B. N.
AU  - Tiruneh, A. G.
DB  - Scopus
DO  - 10.4314/ejhs.v30i1.19
IS  - 1
KW  - abdominal abscess
foreign body
Gossypiboma
retained surgical sponge
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
SP  - 147-149
ST  - Gossypiboma: A Case Series and Literature Review
T2  - Ethiopian journal of health sciences
TI  - Gossypiboma: A Case Series and Literature Review
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85080839792&doi=10.4314%2fejhs.v30i1.19&partnerID=40&md5=e8ee765ebc3495a169a6be1474393ea6
VL  - 30
ID  - 978
ER  - 

TY  - JOUR
AB  - Background: Gossypiboma (retained surgical sponge) is a rare medical event. It could cause a serious complication that can threaten patients' life. Its diagnosis is usually difficult because the clinical symptoms are nonspecific and the imaging findings are often inconclusive. Case Presentations: We present two cases, a 32 years old woman who passed a retained surgical sponge via rectum 5 months after cesarean section and a 30 years old lady presented with an acute abdomen that later found to have localized right lower quadrant abscess with a retained surgical sponge. Conclusion: The most important approach to reduce the incidence of gossypiboma is prevention. At the end of the surgery, a correct count is always the gold standard safeguard against it. Although errors are not to be completely avoided, continuous CPD and strict adherence to rules of the operating room will reduce its incidence to a minimum.
AU  - Alemu, B. N.
AU  - Tiruneh, A. G.
DB  - Medline
DO  - 10.4314/ejhs.v30i1.19
IS  - 1
KW  - case report
LA  - English
M3  - Article
N1  - L631128859
2020-03-11
PY  - 2020
SN  - 2413-7170
SP  - 147-149
ST  - Gossypiboma: A Case Series and Literature Review
T2  - Ethiopian journal of health sciences
TI  - Gossypiboma: A Case Series and Literature Review
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L631128859&from=export
http://dx.doi.org/10.4314/ejhs.v30i1.19
VL  - 30
ID  - 298
ER  - 

TY  - JOUR
AB  - Introduction: Post-operative complications in surgery may frequently be unavoidable. However, some complications result from human error, both in the intra-operative and post-operative period. One such complication, which is frequently underreported, is the retained swab, or gossypiboma. Case report We report a case from our hospital of a patient who presented with unexplained pyrexia, 4 years post-gynaecological surgery in another institution. A 67- year-old woman from overseas presented to our emergency department with a 2-day-history of pyrexia, collapse and confusion. Following a CT guided biopsy, which was inconclusive, she was scheduled for retroperitoneal biopsy. In theatre, a retained swab was discovered. Conclusion: Prevention of gossypiboma is far better than cure. Strict adherence to swab counts, and the avoidance of change of staff during procedures is important in decreasing the incidence. Perhaps, with the increasing use of minimally invasive procedures, the incidence of gossypiboma will fall dramatically. © Royal Academy of Medicine in Ireland 2007.
AD  - Division of Minimally Invasive Surgery, Department of General and Vascular Surgery, Adelaide and Meath Hospital, Tallaght, Dublin 24, Ireland
AU  - Kiernan, F.
AU  - Joyce, M.
AU  - Byrnes, C. K.
AU  - O'Grady, H.
AU  - Keane, F. B. V.
AU  - Neary, P.
DB  - Scopus
DO  - 10.1007/s11845-008-0197-0
IS  - 4
M3  - Review
N1  - Cited By :29
Export Date: 10 November 2020
PY  - 2008
SP  - 389-391
ST  - Gossypiboma: A case report and review of the literature
T2  - Irish Journal of Medical Science
TI  - Gossypiboma: A case report and review of the literature
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-61749085117&doi=10.1007%2fs11845-008-0197-0&partnerID=40&md5=165026e105986522a52c92e7dbefddb3
VL  - 177
ID  - 1510
ER  - 

TY  - JOUR
AB  - INTRODUCTION: Post-operative complications in surgery may frequently be unavoidable. However, some complications result from human error, both in the intra-operative and post-operative period. One such complication, which is frequently underreported, is the retained swab, or gossypiboma. CASE REPORT: We report a case from our hospital of a patient who presented with unexplained pyrexia, 4 years post-gynaecological surgery in another institution. A 67-year-old woman from overseas presented to our emergency department with a 2-day-history of pyrexia, collapse and confusion. Following a CT guided biopsy, which was inconclusive, she was scheduled for retroperitoneal biopsy. In theatre, a retained swab was discovered. CONCLUSION: Prevention of gossypiboma is far better than cure. Strict adherence to swab counts, and the avoidance of change of staff during procedures is important in decreasing the incidence. Perhaps, with the increasing use of minimally invasive procedures, the incidence of gossypiboma will fall dramatically.
AD  - F. Kiernan, Division of Minimally Invasive Surgery, Department of General and Vascular Surgery, Adelaide and Meath Hospital, Tallaght, Dublin 24, Ireland.
AU  - Kiernan, F.
AU  - Joyce, M.
AU  - Byrnes, C. K.
AU  - O'Grady, H.
AU  - Keane, F. B.
AU  - Neary, P.
DB  - Medline
IS  - 4
KW  - aged
case report
confusion
female
fever
foreign body
gynecologic surgery
human
iatrogenic disease
medical error
review
risk factor
surgical equipment
surgical sponge
LA  - English
M3  - Review
N1  - L550184518
2009-03-13
PY  - 2008
SN  - 0021-1265
SP  - 389-391
ST  - Gossypiboma: a case report and review of the literature
T2  - Irish journal of medical science
TI  - Gossypiboma: a case report and review of the literature
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L550184518&from=export
VL  - 177
ID  - 589
ER  - 

TY  - JOUR
AB  - Introduction Leaving a surgical item inside the patient at the end of surgery, is one of the most dreadful complications. The item is frequently a surgical sponge and the resultant morbidity is usually severe. Additionally, the event poses considerable psychic strain to the operating team, notably the surgeon. Presentation of cases Here we describe the clinical course of three patients in whom a surgical sponge was missed, despite a seemingly correct count at the end of difficult caesarean sections. In two patients, who presented shortly after surgery, the pad was extracted with no bowel resection. In the third patient, who presented several years after surgery, colectomy was performed. Discussion Gossypiboma is under reported and the true incidence is largely unknown. Depending on the body reaction and the characters of the retained sponge, the patient may present within months to years after surgery. Risk factors for retained foreign objects include emergency surgery, an unplanned change in the surgical procedure, higher body mass index, multiple surgical teams, greater number of major procedures done at the same time and incorrect count recording. The surgical procedure needed to extract the retained sponge may be a simple one, as in the first case, or it may be more complex, as seen in the other two cases. Although holding the correct count at the end of surgery is the gold standard safeguard against this mishap, human errors continue to occur, as happened in our patients. For that reason, the correct count should be supplemented by employing one of the several new technologies currently available. Conclusion Gossypiboma continues to occur, despite precautionary measures. As its consequences might cost the patient his life and the surgeon his professional reputation, extra preventive measures should be sought and implemented. New advances in technology should be incorporated in the theatre protocol as additional safeguard against human error. When encountered, a direct incision over the encapsulated swelling, in contrast to a formal laparotomy incision, might simplify the surgical procedure. © 2015 Published by Elsevier Ltd.
AD  - Department of Surgery, Aseer Central Hospital-Abha, Saudi Arabia
AU  - Rabie, M. E.
AU  - Hosni, M. H.
AU  - Al Safty, A.
AU  - Al Jarallah, M.
AU  - Ghaleb, F. H.
DB  - Scopus
DO  - 10.1016/j.ijscr.2015.12.032
KW  - Gossypiboma
Prevention
Retained object
M3  - Article
N1  - Cited By :8
Export Date: 10 November 2020
PY  - 2016
SP  - 87-91
ST  - Gossypiboma revisited: A never ending issue
T2  - International Journal of Surgery Case Reports
TI  - Gossypiboma revisited: A never ending issue
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84951820898&doi=10.1016%2fj.ijscr.2015.12.032&partnerID=40&md5=48ac1dbce7744a9f86c195dd4c75be97
VL  - 19
ID  - 1197
ER  - 

TY  - JOUR
AB  - Introduction Leaving a surgical item inside the patient at the end of surgery, is one of the most dreadful complications. The item is frequently a surgical sponge and the resultant morbidity is usually severe. Additionally, the event poses considerable psychic strain to the operating team, notably the surgeon. Presentation of cases Here we describe the clinical course of three patients in whom a surgical sponge was missed, despite a seemingly correct count at the end of difficult caesarean sections. In two patients, who presented shortly after surgery, the pad was extracted with no bowel resection. In the third patient, who presented several years after surgery, colectomy was performed. Discussion Gossypiboma is under reported and the true incidence is largely unknown. Depending on the body reaction and the characters of the retained sponge, the patient may present within months to years after surgery. Risk factors for retained foreign objects include emergency surgery, an unplanned change in the surgical procedure, higher body mass index, multiple surgical teams, greater number of major procedures done at the same time and incorrect count recording. The surgical procedure needed to extract the retained sponge may be a simple one, as in the first case, or it may be more complex, as seen in the other two cases. Although holding the correct count at the end of surgery is the gold standard safeguard against this mishap, human errors continue to occur, as happened in our patients. For that reason, the correct count should be supplemented by employing one of the several new technologies currently available. Conclusion Gossypiboma continues to occur, despite precautionary measures. As its consequences might cost the patient his life and the surgeon his professional reputation, extra preventive measures should be sought and implemented. New advances in technology should be incorporated in the theatre protocol as additional safeguard against human error. When encountered, a direct incision over the encapsulated swelling, in contrast to a formal laparotomy incision, might simplify the surgical procedure.
AD  - M.E. Rabie, Department of Surgery, Aseer Central Hospital-Abha, Saudi Arabia
AU  - Rabie, M. E.
AU  - Hosni, M. H.
AU  - Al Safty, A.
AU  - Al Jarallah, M.
AU  - Ghaleb, F. H.
DB  - Embase
DO  - 10.1016/j.ijscr.2015.12.032
KW  - surgical sponge
adult
article
body mass
case report
cesarean section
colon resection
computer assisted tomography
disease course
emergency surgery
female
follow up
foreign body
gossypiboma
human
hysterectomy
laparotomy
middle aged
priority journal
risk factor
suction drainage
LA  - English
M3  - Article
N1  - L607377694
2015-12-31
2016-01-07
PY  - 2016
SN  - 2210-2612
SP  - 87-91
ST  - Gossypiboma revisited: A never ending issue
T2  - International Journal of Surgery Case Reports
TI  - Gossypiboma revisited: A never ending issue
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L607377694&from=export
http://dx.doi.org/10.1016/j.ijscr.2015.12.032
VL  - 19
ID  - 416
ER  - 

TY  - JOUR
AB  - Objective: Challenging differential diagnosis Background: Gossypiboma is the term for a surgical complication resulting from foreign materials such as a surgical sponge or gauze that was accidentally left inside a patient’s body. Case Report: Here, we report the case of a 62-year-old woman with gossypiboma. She underwent surgery due to an abdominal mass that was preoperatively considered a tumor. Intra-postoperatively, it was diagnosed as gossypiboma. Conclusions: For the prevention of gossypiboma during the pre-operative and post-operative periods, counting sponges and surgical equipment must be done very carefully. If there is any doubt postoperatively, direct abdominal imaging may be helpful. © Am J Case Rep 2016.
AD  - Department of General Surgery, Erzincan University, Erzincan, Turkey
Department of Radiology, Erzincan University, Erzincan, Turkey
Department of Pathology, Erzincan University, Erzincan, Turkey
AU  - Eken, H.
AU  - Soyturk, M.
AU  - Balci, G.
AU  - Firat, D.
AU  - Cimen, O.
AU  - Karakose, O.
AU  - Somuncu, E.
DB  - Scopus
DO  - 10.12659/AJCR.896717
KW  - Abdomen
Diagnostic errors
Gossypium
M3  - Article
N1  - Cited By :3
Export Date: 10 November 2020
PY  - 2016
SP  - 27-30
ST  - Gossypiboma mimicking a mesenchymal tumor: A report of a rare case
T2  - American Journal of Case Reports
TI  - Gossypiboma mimicking a mesenchymal tumor: A report of a rare case
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84955610477&doi=10.12659%2fAJCR.896717&partnerID=40&md5=1c17fd289e7751935e1beb15db45c6f1
VL  - 17
ID  - 1196
ER  - 

TY  - JOUR
AB  - Objective: Challenging differential diagnosis Background: Gossypiboma is the term for a surgical complication resulting from foreign materials such as a surgical sponge or gauze that was accidentally left inside a patient’s body. Case Report: Here, we report the case of a 62-year-old woman with gossypiboma. She underwent surgery due to an abdominal mass that was preoperatively considered a tumor. Intra-postoperatively, it was diagnosed as gossypiboma. Conclusions: For the prevention of gossypiboma during the pre-operative and post-operative periods, counting sponges and surgical equipment must be done very carefully. If there is any doubt postoperatively, direct abdominal imaging may be helpful.
AD  - H. Eken, Department of General Surgery, Erzincan University, Erzincan, Turkey
AU  - Eken, H.
AU  - Soyturk, M.
AU  - Balci, G.
AU  - Firat, D.
AU  - Cimen, O.
AU  - Karakose, O.
AU  - Somuncu, E.
DB  - Embase
Medline
DO  - 10.12659/AJCR.896717
KW  - contrast medium
abdominal mass
abdominal tenderness
adult
article
case report
clinical feature
computer assisted tomography
constipation
diagnostic error
diagnostic imaging
female
gossypiboma
human
human tissue
laparotomy
middle aged
myomectomy
nuclear magnetic resonance imaging
peritoneum adhesion
postoperative complication
preoperative period
stomach distension
stomach pain
LA  - English
M3  - Article
N1  - L607905746
2016-02-03
2016-02-10
PY  - 2016
SN  - 1941-5923
SP  - 27-30
ST  - Gossypiboma mimicking a mesenchymal tumor: A report of a rare case
T2  - American Journal of Case Reports
TI  - Gossypiboma mimicking a mesenchymal tumor: A report of a rare case
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L607905746&from=export
http://dx.doi.org/10.12659/AJCR.896717
VL  - 17
ID  - 414
ER  - 

TY  - JOUR
AB  - Retention of surgical items is a preventable complication. The foreign body may be symptomless or migrate in and around the abdomen causing fistula formation, bowel obstruction and perforation. Some major causes responsible for this complication are emergency, prolonged, difficult surgeries associated with obesity, poor communication with an error in sponge and instrument counting. Frequency being 1/1000 to 1/32672 surgeries in the recent review of the literature. Definitive treatment for this condition is surgical removal either by laparotomy or laparoscopically. We report a case whose cesarean section was done in a secondary care hospital for brow presentation and later referred to us after two months with complaints of pain and swelling in the abdomen. Entrapment of a surgical sponge in the preperitoneal space of the abdomen was noted and later removed surgically. This case highlights the need for all health care professionals to be vigilant and cautious intraoperatively as any lapse in mop and instrument counting may be disastrous for both the patient as well as the healthcare team. There is a growing need for patient safety hospital initiation to avoid such errors by surgical teams. The aim of presenting and reporting this case is to increase awareness among healthcare workers to avoid such lapses causing great medical morbidity with medicolegal complications. © 2019 Journal of South Asian Federation of Obstetrics and Gynaecology. All rights reserved.
AD  - Department of Obstetrics and Gynecology, Nizwa Hospital, Nizwa, Oman
Department of Surgery, Ministry of Health, Nizwa, Oman
Department of Radiology, Ministry of Health, Oman, Oman
AU  - Dhar, H.
AU  - Sashidharan, P.
AU  - Razek, Y. A.
DB  - Scopus
DO  - 10.5005/jp-journals-10006-1655
IS  - 1
KW  - Cesarean
Fistula
Gossypiboma
Migrating sponge
Retained foreign body
Textiloma
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2019
SP  - 77-80
ST  - Gossypiboma (Textiloma) in the Abdominal Preperitoneal Space Following Cesarean Section: A Case Report with Literature Review
T2  - Journal of SAFOG
TI  - Gossypiboma (Textiloma) in the Abdominal Preperitoneal Space Following Cesarean Section: A Case Report with Literature Review
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85070418266&doi=10.5005%2fjp-journals-10006-1655&partnerID=40&md5=734d29a658e51b5041ffab1d20f8e4ac
VL  - 11
ID  - 1028
ER  - 

TY  - JOUR
AU  - Langslow, A.
DB  - Scopus
IS  - 6
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 1999
SP  - 42-43
ST  - Getting the sponge count right
T2  - Australian nursing journal (July 1993)
TI  - Getting the sponge count right
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0033487605&partnerID=40&md5=b3ecc503f81b8cb1da2e244e6cb9a99c
VL  - 7
ID  - 1691
ER  - 

TY  - JOUR
AD  - A. Langslow
AU  - Langslow, A.
DB  - Medline
IS  - 6
KW  - article
Australia
case report
female
foreign body
human
hysterectomy
malpractice
nursing
operating room personnel
postoperative complication
surgical sponge
LA  - English
M3  - Article
N1  - L35638642
2002-03-15
PY  - 1999
SN  - 1320-3185
SP  - 42-43
ST  - Getting the sponge count right
T2  - Australian nursing journal (July 1993)
TI  - Getting the sponge count right
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L35638642&from=export
VL  - 7
ID  - 655
ER  - 

TY  - JOUR
AB  - OBJECTIVE:: To prospectively evaluate and accurately describe the rate and type of discrepancies encountered in the surgical count. INTRODUCTION:: Despite near-universal implementation of manual counting protocols for surgical instruments and sponges, incidents of retained sponges and instruments (RSI) persist. Retrospective analyses have shown that RSI are rare and most often involve final counts erroneously thought to be correct, leading some surgeons to question the value of counting. Crucial data regarding how often the surgical count successfully detects meaningful problems before the patient leaves the operating room is lacking. METHODS:: Trained physician-observers documented prospective field observations during 148 elective general surgery operations using standardized intake forms. Data collection focused on the performance of the counting protocols, and the frequency and outcomes of discrepancies (instances in which a subsequent count does not agree with the previous count). RESULTS:: A mean of 16.6 counting episodes occurred per case, occupying 8.6 minutes per case. A total of 29 discrepancies involving sponges (45%), instruments (34%) or needles (21%) were observed among 19 (12.8%) operations. Most discrepancies indicated a misplaced item (59%) as opposed to a miscount (3%) or error in documentation (38%). Each discrepancy took on average 13 minutes to resolve. Counting activities after personnel changes were significantly more likely to involve a discrepancy than those for which the original team was present. CONCLUSIONS:: One in 8 surgical cases involves an intraoperative discrepancy in the count. The majority of these discrepancies detect unaccounted-for sponges and instruments, which represent potential RSI. Thus, despite the recognized limitations of manual surgical counts, discrepancies should always prompt a thorough search and reconciliation process and never be ignored. © 2008 by Lippincott Williams & Wilkins.
AD  - Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, United States
Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, United States
Department of Surgery, Massachusetts General Hospital, Boston, MA, United States
Center for Outcomes and Policy Research, Dana Farber Cancer Institute, United States
Brigham and Women's Hospital, Division of Surgical Oncology, 75 Francis Street, Boston, MA 02115, United States
AU  - Greenberg, C. C.
AU  - Regenbogen, S. E.
AU  - Lipsitz, S. R.
AU  - Diaz-Flores, R.
AU  - Gawande, A. A.
DB  - Scopus
DO  - 10.1097/SLA.0b013e318181c9a3
IS  - 2
M3  - Article
N1  - Cited By :77
Export Date: 10 November 2020
PY  - 2008
SP  - 337-341
ST  - The frequency and significance of discrepancies in the surgical count
T2  - Annals of Surgery
TI  - The frequency and significance of discrepancies in the surgical count
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-49849091866&doi=10.1097%2fSLA.0b013e318181c9a3&partnerID=40&md5=d98687f58905e7b02ca173c966d4fdd3
VL  - 248
ID  - 1519
ER  - 

TY  - JOUR
AB  - OBJECTIVE:: To prospectively evaluate and accurately describe the rate and type of discrepancies encountered in the surgical count. INTRODUCTION:: Despite near-universal implementation of manual counting protocols for surgical instruments and sponges, incidents of retained sponges and instruments (RSI) persist. Retrospective analyses have shown that RSI are rare and most often involve final counts erroneously thought to be correct, leading some surgeons to question the value of counting. Crucial data regarding how often the surgical count successfully detects meaningful problems before the patient leaves the operating room is lacking. METHODS:: Trained physician-observers documented prospective field observations during 148 elective general surgery operations using standardized intake forms. Data collection focused on the performance of the counting protocols, and the frequency and outcomes of discrepancies (instances in which a subsequent count does not agree with the previous count). RESULTS:: A mean of 16.6 counting episodes occurred per case, occupying 8.6 minutes per case. A total of 29 discrepancies involving sponges (45%), instruments (34%) or needles (21%) were observed among 19 (12.8%) operations. Most discrepancies indicated a misplaced item (59%) as opposed to a miscount (3%) or error in documentation (38%). Each discrepancy took on average 13 minutes to resolve. Counting activities after personnel changes were significantly more likely to involve a discrepancy than those for which the original team was present. CONCLUSIONS:: One in 8 surgical cases involves an intraoperative discrepancy in the count. The majority of these discrepancies detect unaccounted-for sponges and instruments, which represent potential RSI. Thus, despite the recognized limitations of manual surgical counts, discrepancies should always prompt a thorough search and reconciliation process and never be ignored. © 2008 by Lippincott Williams & Wilkins.
AD  - C. C. Greenberg, Brigham and Women's Hospital, Division of Surgical Oncology, 75 Francis Street, Boston, MA 02115
AU  - Greenberg, C. C.
AU  - Regenbogen, S. E.
AU  - Lipsitz, S. R.
AU  - Diaz-Flores, R.
AU  - Gawande, A. A.
DB  - Embase
Medline
DO  - 10.1097/SLA.0b013e318181c9a3
IS  - 2
KW  - adult
article
elective surgery
female
general surgery
human
male
medical personnel
needle
operating room
physician
priority journal
prospective study
retained instrument
retrospective study
surgical equipment
surgical error
surgical sponge
surgical technique
training
LA  - English
M3  - Article
N1  - L354616970
2009-06-11
PY  - 2008
SN  - 0003-4932
1528-1140
SP  - 337-341
ST  - The frequency and significance of discrepancies in the surgical count
T2  - Annals of Surgery
TI  - The frequency and significance of discrepancies in the surgical count
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L354616970&from=export
http://dx.doi.org/10.1097/SLA.0b013e318181c9a3
VL  - 248
ID  - 593
ER  - 

TY  - JOUR
AB  - Background: We present a case of post-traumatic endophthalmitis with relatively good prognosis caused by Gordonia sputi, which, to our knowledge is the first case in the literature.Case Presentation: A 24 year old man, who underwent an intraocular foreign body extraction half a month before presentation in the left eye, was referred to us complaining of blurred vision and slight pain for 5 days. His first presentation showed moderate intracameral and intravitreous purulent inflammation with a best corrected vision of counting fingers. After gram staining of the intravitreous samples revealed a gram-positive bacilli infection, a combination of amikacin and vancomycin was initially injected intravitreously. The left eye kept stable for three days but deteriorated on the 4th day. On the 5th day after presentation conventional culture characterized the bacterium as an Actinomyces sp. while 16S ribosomal RNA gene sequencing confirmed it as Gordonia sputi. Thereby a complete pars plana vitrectomy combined with lensectomy and silicone oil tamponade was performed. During the surgery an intraocular irrigation with penicillin G was adopted, followed by administration of intravenous penicillin G twice one day for a week. A relatively normal fundus with slight intracameral inflammation was observed a week after the operation, and the best corrected vision recovered to 0.15. One year later his vision remained 0.1.Conclusion: Gordonia sputi should be taken into consideration in patients with post-traumatic endophthalmitis especially due to foreign body penetration. Compared to conventional laboratories, molecular methods are recommended for an accurate diagnosis. A comprehensive strategy of antimicrobial agents and vitrectomy may render a satisfactory result.
AD  - Ophthalmology Department of SIR RUN RUN SHAW hospital, SIR RUN RUN SHAW Institute of Clinical Medicine of Zhejiang University, #3 Qingchun East RoadHangzhou, Zhejiang 310016, People's Republic of China
Ophthalmology Department of SIR RUN RUN SHAW hospital, SIR RUN RUN SHAW Institute of Clinical Medicine of Zhejiang University, #3 Qingchun East Road, Hangzhou, Zhejiang, 310016, People's Republic of China
AN  - 125625049. Language: English. Entry Date: In Process. Revision Date: 20171231. Publication Type: journal article
AU  - Wei, Fang
AU  - Jiuke, Li
AU  - Hu-Shan, Cui
AU  - Xiaohong, Jin
AU  - Jing, Zhai
AU  - Yuanmin, Dai
AU  - Yumin, Li
AU  - Fang, Wei
AU  - Li, Jiuke
AU  - Cui, Hu-Shan
AU  - Jin, Xiaohong
AU  - Zhai, Jing
AU  - Dai, Yuanmin
AU  - Li, Yumin
DB  - ccm
DO  - 10.1186/s12886-017-0573-5
DP  - EBSCOhost
KW  - Endophthalmitis -- Diagnosis
Actinomycetales Infections -- Diagnosis
Eye Infections, Bacterial -- Diagnosis
Eye Foreign Bodies -- Diagnosis
Gram-Positive Bacteria
Eye Injuries -- Diagnosis
Actinomycetales Infections -- Microbiology
Silicones -- Administration and Dosage
RNA
Eye Infections, Bacterial -- Microbiology
Young Adult
Male
Actinomycetales Infections -- Therapy
Eye Injuries -- Therapy
Lens, Crystalline -- Surgery
Combined Modality Therapy
Eye Surgery
Endophthalmitis -- Therapy
Eye Injuries -- Microbiology
Antibiotics -- Therapeutic Use
Eye Foreign Bodies -- Therapy
Eye Infections, Bacterial -- Therapy
Eye Foreign Bodies -- Microbiology
Endophthalmitis -- Microbiology
Penicillin G -- Therapeutic Use
N1  - case study. Journal Subset: Biomedical; Europe; UK & Ireland. NLM UID: 100967802.
PMID: NLM29020920.
PY  - 2017
SN  - 1471-2415
SP  - 1-4
ST  - First identification of Gordonia sputi in a post-traumatic endophthalmitis patient - a case report and literatures review
T2  - BMC Ophthalmology
TI  - First identification of Gordonia sputi in a post-traumatic endophthalmitis patient - a case report and literatures review
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125625049&site=ehost-live&scope=site
VL  - 17
ID  - 732
ER  - 

TY  - JOUR
AB  - Background: We present a case of post-traumatic endophthalmitis with relatively good prognosis caused by Gordonia sputi, which, to our knowledge is the first case in the literature. Case presentation: A 24 year old man, who underwent an intraocular foreign body extraction half a month before presentation in the left eye, was referred to us complaining of blurred vision and slight pain for 5 days. His first presentation showed moderate intracameral and intravitreous purulent inflammation with a best corrected vision of counting fingers. After gram staining of the intravitreous samples revealed a gram-positive bacilli infection, a combination of amikacin and vancomycin was initially injected intravitreously. The left eye kept stable for three days but deteriorated on the 4th day. On the 5th day after presentation conventional culture characterized the bacterium as an Actinomyces sp. while 16S ribosomal RNA gene sequencing confirmed it as Gordonia sputi. Thereby a complete pars plana vitrectomy combined with lensectomy and silicone oil tamponade was performed. During the surgery an intraocular irrigation with penicillin G was adopted, followed by administration of intravenous penicillin G twice one day for a week. A relatively normal fundus with slight intracameral inflammation was observed a week after the operation, and the best corrected vision recovered to 0.15. One year later his vision remained 0.1. Conclusion: Gordonia sputi should be taken into consideration in patients with post-traumatic endophthalmitis especially due to foreign body penetration. Compared to conventional laboratories, molecular methods are recommended for an accurate diagnosis. A comprehensive strategy of antimicrobial agents and vitrectomy may render a satisfactory result. © 2017 The Author(s).
AD  - Ophthalmology Department, SIR RUN RUN SHAW Hospital, SIR RUN RUN SHAW Institute of Clinical Medicine, Zhejiang University, #3 Qingchun East Road, Zhejiang, Hangzhou, 310016, China
AU  - Fang, W.
AU  - Li, J.
AU  - Cui, H. S.
AU  - Jin, X.
AU  - Zhai, J.
AU  - Dai, Y.
AU  - Li, Y.
C7  - 190
DB  - Scopus
DO  - 10.1186/s12886-017-0573-5
IS  - 1
KW  - Actinomyces
Case report
Endophthalmitis
Gordonia sputi
Traumatic
M3  - Review
N1  - Cited By :3
Export Date: 10 November 2020
PY  - 2017
ST  - First identification of Gordonia sputi in a post-traumatic endophthalmitis patient - A case report and literatures review
T2  - BMC Ophthalmology
TI  - First identification of Gordonia sputi in a post-traumatic endophthalmitis patient - A case report and literatures review
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85031033784&doi=10.1186%2fs12886-017-0573-5&partnerID=40&md5=b0fb0ce0f45b2ac6ce03cbc4fff89702
VL  - 17
ID  - 1117
ER  - 

TY  - JOUR
AB  - BACKGROUND: We present a case of post-traumatic endophthalmitis with relatively good prognosis caused by Gordonia sputi, which, to our knowledge is the first case in the literature. CASE PRESENTATION: A 24 year old man, who underwent an intraocular foreign body extraction half a month before presentation in the left eye, was referred to us complaining of blurred vision and slight pain for 5 days. His first presentation showed moderate intracameral and intravitreous purulent inflammation with a best corrected vision of counting fingers. After gram staining of the intravitreous samples revealed a gram-positive bacilli infection, a combination of amikacin and vancomycin was initially injected intravitreously. The left eye kept stable for three days but deteriorated on the 4th day. On the 5th day after presentation conventional culture characterized the bacterium as an Actinomyces sp. while 16S ribosomal RNA gene sequencing confirmed it as Gordonia sputi. Thereby a complete pars plana vitrectomy combined with lensectomy and silicone oil tamponade was performed. During the surgery an intraocular irrigation with penicillin G was adopted, followed by administration of intravenous penicillin G twice one day for a week. A relatively normal fundus with slight intracameral inflammation was observed a week after the operation, and the best corrected vision recovered to 0.15. One year later his vision remained 0.1. CONCLUSION: Gordonia sputi should be taken into consideration in patients with post-traumatic endophthalmitis especially due to foreign body penetration. Compared to conventional laboratories, molecular methods are recommended for an accurate diagnosis. A comprehensive strategy of antimicrobial agents and vitrectomy may render a satisfactory result.
AU  - Fang, W.
AU  - Li, J.
AU  - Cui, H. S.
AU  - Jin, X.
AU  - Zhai, J.
AU  - Dai, Y.
AU  - Li, Y.
DB  - Medline
DO  - 10.1186/s12886-017-0573-5
IS  - 1
KW  - antiinfective agent
bacterial RNA
penicillin G
RNA 16S
silicone oil
Actinomycetales infection
bacterial eye infection
case report
endophthalmitis
endotamponade
eye injury
genetics
Gordonia
human
intraocular foreign body
isolation and purification
lens
male
microbiology
multimodality cancer therapy
surgery
vitrectomy
young adult
LA  - English
M3  - Article
N1  - L619808109
2017-12-22
PY  - 2017
SN  - 1471-2415
SP  - 190
ST  - First identification of Gordonia sputi in a post-traumatic endophthalmitis patient - a case report and literatures review
T2  - BMC ophthalmology
TI  - First identification of Gordonia sputi in a post-traumatic endophthalmitis patient - a case report and literatures review
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L619808109&from=export
http://dx.doi.org/10.1186/s12886-017-0573-5
VL  - 17
ID  - 362
ER  - 

TY  - JOUR
AB  - Purpose: We aimed to document the clinical usefulness of uncalcined and unsintered hydroxyapatite (u-HA) particles and poly-L-lactide (PLLA) composite materials and their advantageous properties. Methods: Between April 2016 and March 2018, five patients required anterior maxillary alveolar ridge augmentation using fixation with u-HA/PLLA screws for an onlay block bone graft harvested from the mandibular ramus at our institute. Bone biopsies were obtained from the dental implantation site following bone healing for histomorphometric and immunohistochemical (IHC) measurements. Results: Many stromal cells were positive for Osterix, RUNX2, and SOX9 but were negative for CD68. On cell counting, based on IHC staining for Osterix, RUNX2, SOX9 and CD68 from peripheral u-HA/PLLA screw or bone areas, both areas consistently showed no significant difference in terms of Osterix, RUNX2, and SOX9. Hematoxylin-eosin staining revealed direct bone connection to the biomaterials, and no inflammatory cells infiltrated the areas surrounding the bone or artificial material. Area between the bone and u-HA/PLLA screw was seamless with no boundary. Round small cells and immature fibroblasts were noted. The new bone showed the presence of bone lamellae, normal osteocytes, and osteoblasts. Conclusion: The u-HA/PLLA materials showed excellent biodegradability and bioactive osteoconductivity. In addition, this material induced no apparent inflammatory or foreign body reactions following implantation, and it directly bonded to the human bone. Therefore, this u-HA/PLLA material seems ideal and most suitable for use as a substitute for osteosynthesis. © Ivyspring International Publisher.
AD  - Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, Takamatsu, Japan
Department of Oral Pathology and Medicine, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, Okayama, Japan
Department of Oral and Maxillofacial Surgery, Shimane University Faculty of MedicineShimane, Japan
AU  - Sukegawa, S.
AU  - Kawai, H.
AU  - Nakano, K.
AU  - Kanno, T.
AU  - Takabatake, K.
AU  - Nagatsuka, H.
AU  - Furuki, Y.
DB  - Scopus
DO  - 10.7150/ijms.27986
IS  - 2
KW  - Biodegradability
Bone regeneration
Osteoconductivity
Poly-L-lactide
Uncalcined and unsintered hydroxyapatite
M3  - Article
N1  - Cited By :7
Export Date: 10 November 2020
PY  - 2019
SP  - 311-317
ST  - Feasible advantage of bioactive/bioresorbable devices made of forged composites of hydroxyapatite particles and poly-L-lactide in alveolar bone augmentation: A preliminary study
T2  - International Journal of Medical Sciences
TI  - Feasible advantage of bioactive/bioresorbable devices made of forged composites of hydroxyapatite particles and poly-L-lactide in alveolar bone augmentation: A preliminary study
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85059785662&doi=10.7150%2fijms.27986&partnerID=40&md5=94d56b682d2d69618512606843cb3878
VL  - 16
ID  - 1049
ER  - 

TY  - JOUR
AB  - Purpose: We aimed to document the clinical usefulness of uncalcined and unsintered hydroxyapatite (u-HA) particles and poly-L-lactide (PLLA) composite materials and their advantageous properties. Methods: Between April 2016 and March 2018, five patients required anterior maxillary alveolar ridge augmentation using fixation with u-HA/PLLA screws for an onlay block bone graft harvested from the mandibular ramus at our institute. Bone biopsies were obtained from the dental implantation site following bone healing for histomorphometric and immunohistochemical (IHC) measurements. Results: Many stromal cells were positive for Osterix, RUNX2, and SOX9 but were negative for CD68. On cell counting, based on IHC staining for Osterix, RUNX2, SOX9 and CD68 from peripheral u-HA/PLLA screw or bone areas, both areas consistently showed no significant difference in terms of Osterix, RUNX2, and SOX9. Hematoxylin-eosin staining revealed direct bone connection to the biomaterials, and no inflammatory cells infiltrated the areas surrounding the bone or artificial material. Area between the bone and u-HA/PLLA screw was seamless with no boundary. Round small cells and immature fibroblasts were noted. The new bone showed the presence of bone lamellae, normal osteocytes, and osteoblasts. Conclusion: The u-HA/PLLA materials showed excellent biodegradability and bioactive osteoconductivity. In addition, this material induced no apparent inflammatory or foreign body reactions following implantation, and it directly bonded to the human bone. Therefore, this u-HA/PLLA material seems ideal and most suitable for use as a substitute for osteosynthesis.
AD  - S. Sukegawa, Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, 1-2-1 Asahi-cho, Takamatsu, Kagawa, Japan
AU  - Sukegawa, S.
AU  - Kawai, H.
AU  - Nakano, K.
AU  - Kanno, T.
AU  - Takabatake, K.
AU  - Nagatsuka, H.
AU  - Furuki, Y.
DB  - Embase
Medline
DO  - 10.7150/ijms.27986
IS  - 2
KW  - bone screw
FIXSORB MX
biomaterial
CD68 antigen
hydroxyapatite
polylactide
transcription factor RUNX2
transcription factor Sox9
adult
aged
alveolar bone grafting
alveolar ridge augmentation
article
biodegradability
bone biopsy
bone structure
cell maturation
cell size
clinical article
composite graft
controlled study
feasibility study
female
fibroblast
human
human cell
human tissue
immunohistochemistry
inflammatory cell
male
mandible
maxilla
morphometry
osteoblast
osteocyte
stroma cell
tooth implantation
LA  - English
M3  - Article
N1  - L625819145
2019-01-15
2019-01-21
PY  - 2019
SN  - 1449-1907
SP  - 311-317
ST  - Feasible advantage of bioactive/bioresorbable devices made of forged composites of hydroxyapatite particles and poly-L-lactide in alveolar bone augmentation: A preliminary study
T2  - International Journal of Medical Sciences
TI  - Feasible advantage of bioactive/bioresorbable devices made of forged composites of hydroxyapatite particles and poly-L-lactide in alveolar bone augmentation: A preliminary study
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L625819145&from=export
http://dx.doi.org/10.7150/ijms.27986
VL  - 16
ID  - 325
ER  - 

TY  - JOUR
AB  - Study design. We report a case of pulmonary embolism of polymethylmethacrylate material after percutaneous vertebroplasty. Purpose. To describe a severe vertebroplasty complication, the pulmonary embolism, which proved to be fatal in a patient with many chronic disabilities. Summary of background. Until 2007, the literature noted that the risk of embolism of polymethylmethacrylate (PMMA) following a percutaneous vertebroplasty counted a small number of pulmonary cement embolism (PCE) and a smaller number of fatal consequences. The most recent researches revealed that the risk of a PCE ranges from 3.5 to 23% for osteoporotic compression fractures. Data and method. This case report of a 80-year-old patient with multiple medical comorbid factors, chronic obstructive pulmonary disease, mild renal failure, osteoporosis, hepatic cirrhosis. Symptoms of pulmonary embolism developed 1 month following a percutaneous vertebroplasty. An echocardiography reported suspected that the cement infiltrated the right atrium (Fig. 1) and the right pulmonary artery, suspects confirmed by a CT scan (Fig. 2). As therapy with oxygen and low-molecular-weight heparin failed to solve the thrombus the patient required surgical tricuspid annuloplasty and extirpation of the right atrial and right pulmonary masses. Results. The course of the operation was complicated by pulmonary infection and the patient ultimately succumbed to infection/respiratory failure. Conclusions. The presence of intravascular/intracardiac foreign bodies is under-reported in literature, but it is quite common in clinical practice. We need to discuss the choice of some non risk-free interventions like vertebroplasty in older patients already affected by multiple main disabilities. (Figure Presented).
AD  - E. Franco, Cardiology Department, Chivasso, Italy
AU  - Franco, E.
AU  - Pinneri, F.
DB  - Embase
DO  - 10.1714/1079.11820
IS  - 5
KW  - cement
poly(methyl methacrylate)
low molecular weight heparin
oxygen
lung embolism
thrombus
human
patient
percutaneous vertebroplasty
risk
disability
embolism
foreign body
lung infection
tricuspid annuloplasty
therapy
computer assisted tomography
pulmonary artery
heart right atrium
echocardiography
liver cirrhosis
osteoporosis
kidney failure
chronic obstructive lung disease
case report
compression fracture
clinical practice
study design
LA  - English
M3  - Conference Abstract
N1  - L70898922
2012-10-22
PY  - 2012
SN  - 1827-6806
SP  - 197S
ST  - Fatal pulmonary embolism: When the cause is not a thrombus
T2  - Giornale Italiano di Cardiologia
TI  - Fatal pulmonary embolism: When the cause is not a thrombus
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L70898922&from=export
http://dx.doi.org/10.1714/1079.11820
http://www.giornaledicardiologia.it/r.php?v=1079&a=11820&l=16408&f=allegati/01079_2012_05/fulltext/02.Poster.pdf
VL  - 13
ID  - 514
ER  - 

TY  - JOUR
AB  - Study Design.: We report a case of pulmonary embolism of polymethylmethacrylate material after percutaneous vertebroplasty. Objective.: To describe a severe vertebroplasty complication, the pulmonary embolism, which proved to be fatal in a patient with many chronic disabilities. Summary of Background Data.: Until 2007, the literature noted that the risk of embolism of polymethylmethacrylate after a percutaneous vertebroplasty counted a small number of pulmonary cement embolism and a smaller number of fatal consequences. The most recent research revealed that the risk of a pulmonary cement embolism ranges from 3.5% to 23% for osteoporotic compression fractures. Methods.: This study is a case report of an 80-year-old patient with multiple medical comorbid factors, chronic obstructive pulmonary disease, mild renal failure, osteoporosis, and hepatic cirrhosis. Symptoms of pulmonary embolism developed 1 month after a percutaneous vertebroplasty. An echocardiography report suggested that the cement infiltrated the right atrium and the right pulmonary artery, and this was confirmed by a computed tomographic scan. As the therapy with oxygen and low-molecular-weight heparin failed to solve the thrombus, the patient required a surgical tricuspid annuloplasty and the extirpation of the right atrial and right pulmonary masses. Results.: The course of the operation was complicated by pulmonary infection, and the patient ultimately succumbed to infection/respiratory failure. Conclusion.: The presence of intravascular/ intracardiac foreign bodies is underreported in literature, but it is quite common in clinical practice. We need to discuss the choice of some non-risk-free interventions such as vertebroplasty in older patients already affected by multiple main disabilities. © 2012 Lippincott Williams and Wilkins.
AD  - Cardiology Division, Internal Medicine Department, Ospedale Civico di Chivasso, Turin, Italy
AU  - Franco, E.
AU  - Frea, S.
AU  - Solaro, C.
AU  - Conti, V.
AU  - Pinneri, F.
DB  - Scopus
DO  - 10.1097/BRS.0b013e318230db1b
IS  - 6
KW  - intracardiac foreign body
pulmonary embolism
vertebroplasty
M3  - Article
N1  - Cited By :9
Export Date: 10 November 2020
PY  - 2012
SP  - E411-E413
ST  - Fatal pulmonary embolism: When the cause is not a thrombus
T2  - Spine
TI  - Fatal pulmonary embolism: When the cause is not a thrombus
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84858777790&doi=10.1097%2fBRS.0b013e318230db1b&partnerID=40&md5=06db77d6256d3ce8a43e9ffbb3b03dc8
VL  - 37
ID  - 1374
ER  - 

TY  - JOUR
AB  - STUDY DESIGN.: We report a case of pulmonary embolism of polymethylmethacrylate material after percutaneous vertebroplasty. OBJECTIVE.: To describe a severe vertebroplasty complication, the pulmonary embolism, which proved to be fatal in a patient with many chronic disabilities. SUMMARY OF BACKGROUND DATA.: Until 2007, the literature noted that the risk of embolism of polymethylmethacrylate after a percutaneous vertebroplasty counted a small number of pulmonary cement embolism and a smaller number of fatal consequences. The most recent research revealed that the risk of a pulmonary cement embolism ranges from 3.5% to 23% for osteoporotic compression fractures. METHODS.: This study is a case report of an 80-year-old patient with multiple medical comorbid factors, chronic obstructive pulmonary disease, mild renal failure, osteoporosis, and hepatic cirrhosis. Symptoms of pulmonary embolism developed 1 month after a percutaneous vertebroplasty. An echocardiography report suggested that the cement infiltrated the right atrium and the right pulmonary artery, and this was confirmed by a computed tomographic scan. As the therapy with oxygen and low-molecular-weight heparin failed to solve the thrombus, the patient required a surgical tricuspid annuloplasty and the extirpation of the right atrial and right pulmonary masses. RESULTS.: The course of the operation was complicated by pulmonary infection, and the patient ultimately succumbed to infection/respiratory failure. CONCLUSION.: The presence of intravascular/intracardiac foreign bodies is underreported in literature, but it is quite common in clinical practice. We need to discuss the choice of some non-risk-free interventions such as vertebroplasty in older patients already affected by multiple main disabilities.
AN  - 108168868. Language: English. Entry Date: 20120727. Revision Date: 20200706. Publication Type: Journal Article
AU  - Franco, E.
AU  - Frea, S.
AU  - Solaro, C.
AU  - Conti, V.
AU  - Pinneri, F.
DB  - ccm
DO  - 10.1097/brs.0b013e318230db1b
DP  - EBSCOhost
IS  - 6
KW  - Bone Cements -- Adverse Effects
Pulmonary Embolism -- Etiology
Kyphoplasty -- Adverse Effects
Aged, 80 and Over
Fatal Outcome
Human
Male
N1  - case study; research. Journal Subset: Allied Health; Biomedical; Peer Reviewed; USA. Special Interest: Physical Therapy. NLM UID: 7610646.
PMID: NLM22422441.
PY  - 2012
SN  - 0362-2436
SP  - E411-3
ST  - Fatal pulmonary embolism: when the cause is not a thrombus
T2  - Spine (03622436)
TI  - Fatal pulmonary embolism: when the cause is not a thrombus
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108168868&site=ehost-live&scope=site
VL  - 37
ID  - 897
ER  - 

TY  - JOUR
AB  - Study Design.: We report a case of pulmonary embolism of polymethylmethacrylate material after percutaneous vertebroplasty. Objective.: To describe a severe vertebroplasty complication, the pulmonary embolism, which proved to be fatal in a patient with many chronic disabilities. Summary of Background Data.: Until 2007, the literature noted that the risk of embolism of polymethylmethacrylate after a percutaneous vertebroplasty counted a small number of pulmonary cement embolism and a smaller number of fatal consequences. The most recent research revealed that the risk of a pulmonary cement embolism ranges from 3.5% to 23% for osteoporotic compression fractures. Methods.: This study is a case report of an 80-year-old patient with multiple medical comorbid factors, chronic obstructive pulmonary disease, mild renal failure, osteoporosis, and hepatic cirrhosis. Symptoms of pulmonary embolism developed 1 month after a percutaneous vertebroplasty. An echocardiography report suggested that the cement infiltrated the right atrium and the right pulmonary artery, and this was confirmed by a computed tomographic scan. As the therapy with oxygen and low-molecular-weight heparin failed to solve the thrombus, the patient required a surgical tricuspid annuloplasty and the extirpation of the right atrial and right pulmonary masses. Results.: The course of the operation was complicated by pulmonary infection, and the patient ultimately succumbed to infection/respiratory failure. Conclusion.: The presence of intravascular/ intracardiac foreign bodies is underreported in literature, but it is quite common in clinical practice. We need to discuss the choice of some non-risk-free interventions such as vertebroplasty in older patients already affected by multiple main disabilities. © 2012 Lippincott Williams and Wilkins.
AD  - E. Franco, Cardiology Division, Internal Medicine Department, Ospedale Civico di Chivasso, Turin, Italy
AU  - Franco, E.
AU  - Frea, S.
AU  - Solaro, C.
AU  - Conti, V.
AU  - Pinneri, F.
DB  - Embase
Medline
DO  - 10.1097/BRS.0b013e318230db1b
IS  - 6
KW  - antibiotic agent
contrast medium
enoxaparin
oxygen
poly(methyl methacrylate)
aged
antibiotic therapy
anticoagulant therapy
article
case report
chronic obstructive lung disease
contrast enhancement
echocardiography
fatality
heart left ventricle ejection fraction
human
kidney failure
liver cirrhosis
lung embolism
male
mitral valve regurgitation
osteoporosis
oxygen therapy
percutaneous vertebroplasty
pneumonia
priority journal
septic shock
tricuspid annuloplasty
LA  - English
M3  - Article
N1  - L364490038
2012-03-30
2012-04-03
PY  - 2012
SN  - 0362-2436
1528-1159
SP  - E411-E413
ST  - Fatal pulmonary embolism: When the cause is not a thrombus
T2  - Spine
TI  - Fatal pulmonary embolism: When the cause is not a thrombus
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L364490038&from=export
http://dx.doi.org/10.1097/BRS.0b013e318230db1b
VL  - 37
ID  - 515
ER  - 

TY  - JOUR
AB  - The authors evaluated the long-term safety of expanded polytetrafluoroethylene (ePTFE) implants used in external valvuloplasty for treatment of incompetence of the long saphenous and common and superficial femoral veins. During a 15-year period patients with superficial and/or deep venous disease and hypertension due to pure superficial or deep vein incompetence underwent an external valvuloplasty with ePTFE sutures, or an ePTFE cardiovascular patch placed as a sleeve around the incompetent vein segment, or an ePTFE tubular graft placed around the venous segment. Postoperative follow-up evaluations consisted of clinical examinations, high-resolution ultrasonography, and color duplex scanning, and a complete blood count performed at 1, 3 and 6 months, and repeated for at least 4 years, every 2 years after the procedure. A total of 101 patients (38 men and 63 women; mean [± sd] age, 44 ±12 years) underwent external valvuloplasty between January 1983 and December 1998; 82 of them completed the 4-year follow-up. Forty of the 82 patients had been operated on for superficial vein incompetence, 42 for deep vein incompetence. Overall, the mean follow- up time was 7.8 ± 3.6 years (range, 4 to 13). There were no infections, thromboses, foreign-body reactions to the ePTFE implants, or other prosthesis-related complications requiring explantation. One granuloma (noninfected) developed in association with a tubular ePTFE implant around a long saphenous vein, but it did not necessitate implant removal. Seven patients required (at least after 4 years) a second procedure for recurrent or new venous incompetence. Therefore, in this observational study, ePTFE implants used to treat or correct venous incompetence were well tolerated on a long- term basis. © 2000, Sage Publications. All rights reserved.
AD  - Cardiovascular Institute, Chieti University, Angiology, Vascular Surgery, Clinical Trials Unit, Pierangeli Clinic, Pescara, Italy
Irvine Laboratory, St. Mary's Hospital, Imperial College, London, United Kingdom
AU  - Belcaro, G.
AU  - Nicolaides, A. N.
AU  - Errichi, B. M.
AU  - Incandela, L.
AU  - de Sanctis, M. T.
AU  - Laurora, G.
AU  - Ricci, A.
DB  - Scopus
DO  - 10.1177/000331970005100804
IS  - 8
M3  - Article
N1  - Cited By :22
Export Date: 10 November 2020
PY  - 2000
SP  - S27-S32
ST  - Expanded Polytetrafluoroethylene in External Valvuloplasty for Superficial or Deep Vein Incompetence
T2  - Angiology
TI  - Expanded Polytetrafluoroethylene in External Valvuloplasty for Superficial or Deep Vein Incompetence
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0033869979&doi=10.1177%2f000331970005100804&partnerID=40&md5=342e88909daa9494e34e7d76db28f8aa
VL  - 51
ID  - 1685
ER  - 

TY  - JOUR
AB  - The authors evaluated the long-term safety of expanded polytetrafluoroethylene (ePTFE) implants used in external valvuloplasty for treatment of incompetence of the long saphenous and common and superficial femoral veins. During a 15-year period patients with superficial and/or deep venous disease and hypertension due to pure superficial or deep vein incompetence underwent an external valvuloplasty with ePTFE sutures, or an ePTFE cardiovascular patch placed as a sleeve around the incompetent vein segment, or an ePTFE tubular graft placed around the venous segment. Postoperative follow-up evaluations consisted of clinical examinations, high-resolution ultrasonography, and color duplex scanning, and a complete blood count performed at 1, 3 and 6 months, and repeated for at least 4 years, every 2 years after the procedure. A total of 101 patients (38 men and 63 women; mean [± sd] age, 44 ± 12 years) underwent external valvuloplasty between January 1983 and December 1998; 82 of them completed the 4-year follow-up. Forty of the 82 patients had been operated on for superficial vein incompetence, 42 for deep vein incompetence. Overall, the mean follow-up time was 7.8 ± 3.6 years (range, 4 to 13). There were no infections, thromboses, foreign-body reactions to the ePTFE implants, or other prosthesis-related complications requiring explantation. One granuloma (noninfected) developed in association with a tubular ePTFE implant around a long saphenous vein, but it did not necessitate implant removal. Seven patients required (at least after 4 years) a second procedure for recurrent or new venous incompetence. Therefore, in this observational study, ePTFE implants used to treat or correct venous incompetence were well tolerated on a long-term basis.
AD  - G. Belcaro, Via Vespucci 65, 65100 Pescara, Italy
AU  - Belcaro, G.
AU  - Nicolaides, A. N.
AU  - Errichi, B. M.
AU  - Incandela, L.
AU  - De Sanctis, M. T.
AU  - Laurora, G.
AU  - Ricci, A.
DB  - Embase
Medline
IS  - 8 II SUPPL.
KW  - cephalosporin
heparin
adult
article
blood cell count
clinical examination
color Doppler flowmetry
echography
female
femoral vein
follow up
graft infection
granuloma
human
hypertension
major clinical study
male
politef implant
postoperative care
recurrent disease
saphenous vein
thrombosis
valvuloplasty
vein insufficiency
Gore-Tex
LA  - English
M3  - Article
N1  - L30637077
2000-09-01
PY  - 2000
SN  - 0003-3197
SP  - S27-S32
ST  - Expanded polytetrafluoroethylene in external valvuloplasty for superficial or deep vein incompetence
T2  - Angiology
TI  - Expanded polytetrafluoroethylene in external valvuloplasty for superficial or deep vein incompetence
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L30637077&from=export
VL  - 51
ID  - 651
ER  - 

TY  - JOUR
AB  - A 33-year-old male patient presented to clinic with a tender, discharging wound at mons pubis area. Three months before, he was a victim in a blast injury and received lifesaving emergency laparotomy at a field hospital in Baghdad, where shrapnel was removed from the abdomen and he was subsequently discharged. We present this unusual case of chronic wound from an undiscovered injury that was not formally explored at initial treatment, highlighting the importance of systematic exploration of all wounds particularly in sensitive body areas, despite cultural barriers both for the assessing clinicians and for the patients in that part of the world. © 2014 Medicalhelplines.com Inc and John Wiley & Sons Ltd.
AD  - The Department of Plastic Surgery, The Royal Preston Hospital, Preston, United Kingdom
Department of Plastic Surgery, University of Baghdad Teaching Hospital, Baghdad, Iraq
AU  - Ramman, S.
AU  - Al-Rubayee, H.
DB  - Scopus
DO  - 10.1111/iwj.12303
IS  - 6
KW  - Blast injury
Foreign body reaction
Granuloma
Shrapnel
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2014
SP  - 579-580
ST  - Every wound counts: A case of undiscovered wound in mons pubis resulting in a chronic foreign body granuloma of the abdominal wall
T2  - International Wound Journal
TI  - Every wound counts: A case of undiscovered wound in mons pubis resulting in a chronic foreign body granuloma of the abdominal wall
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84911447690&doi=10.1111%2fiwj.12303&partnerID=40&md5=7c22b17c889f76bc1ec15bc1517f604c
VL  - 11
ID  - 1274
ER  - 

TY  - JOUR
AB  - A 33-year-old male patient presented to clinic with a tender, discharging wound at mons pubis area. Three months before, he was a victim in a blast injury and received lifesaving emergency laparotomy at a field hospital in Baghdad, where shrapnel was removed from the abdomen and he was subsequently discharged. We present this unusual case of chronic wound from an undiscovered injury that was not formally explored at initial treatment, highlighting the importance of systematic exploration of all wounds particularly in sensitive body areas, despite cultural barriers both for the assessing clinicians and for the patients in that part of the world.
AD  - The Department of Plastic Surgery, The Royal Preston Hospital
Department of Plastic Surgery, University of Baghdad Teaching Hospital
AN  - 103918972. Language: English. Entry Date: 20141126. Revision Date: 20200708. Publication Type: Journal Article
AU  - Ramman, Saif
AU  - Al-Rubayee, Hassan
DB  - ccm
DO  - 10.1111/iwj.12303
DP  - EBSCOhost
IS  - 6
KW  - Foreign Bodies
Granuloma
Abdomen
Blast Injuries -- Complications
Adult
Male
Wounds and Injuries
Laparotomy
Emergency Care
Iraq
N1  - case study. Journal Subset: Biomedical; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Peer Reviewed; UK & Ireland. Special Interest: Wound Care. NLM UID: 101230907.
PMID: NLM25214173.
PY  - 2014
SN  - 1742-4801
SP  - 579-580
ST  - Every wound counts: a case of undiscovered wound in mons pubis resulting in a chronic foreign body granuloma of the abdominal wall
T2  - International Wound Journal
TI  - Every wound counts: a case of undiscovered wound in mons pubis resulting in a chronic foreign body granuloma of the abdominal wall
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103918972&site=ehost-live&scope=site
VL  - 11
ID  - 843
ER  - 

TY  - JOUR
AB  - A 33-year-old male patient presented to clinic with a tender, discharging wound at mons pubis area. Three months before, he was a victim in a blast injury and received lifesaving emergency laparotomy at a field hospital in Baghdad, where shrapnel was removed from the abdomen and he was subsequently discharged. We present this unusual case of chronic wound from an undiscovered injury that was not formally explored at initial treatment, highlighting the importance of systematic exploration of all wounds particularly in sensitive body areas, despite cultural barriers both for the assessing clinicians and for the patients in that part of the world.
AD  - S. Ramman, The Department of Plastic Surgery, The Royal Preston Hospital, Fulwood, Preston, Lancashire, United Kingdom
AU  - Ramman, S.
AU  - Al-Rubayee, H.
DB  - Embase
Medline
DO  - 10.1111/iwj.12303
IS  - 6
KW  - abdominal wall
adult
anastomosis
antibiotic therapy
article
attitude to illness
blast injury
case report
chronic disease
clinical feature
debridement
disease duration
foreign body granuloma
human
intestine resection
Iraq
laparotomy
male
medical history
pain severity
pelvis radiography
priority journal
pubis symphysis
skin injury
social stigma
thorax radiography
wound dressing
LA  - English
M3  - Article
N1  - L600526208
2015-01-28
2015-01-29
PY  - 2014
SN  - 1742-481X
1742-4801
SP  - 579-580
ST  - Every wound counts: A case of undiscovered wound in mons pubis resulting in a chronic foreign body granuloma of the abdominal wall
T2  - International Wound Journal
TI  - Every wound counts: A case of undiscovered wound in mons pubis resulting in a chronic foreign body granuloma of the abdominal wall
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L600526208&from=export
http://dx.doi.org/10.1111/iwj.12303
VL  - 11
ID  - 464
ER  - 

TY  - JOUR
AB  - Breast implants are medical devices that are used to augment breast size or to reconstruct the breast following mastectomy or to correct a congenital abnormality. Breast implants consist of a silicone outer shell and a filler (most commonly silicone gel or saline). Approximately 5 to 10 million women worldwide have breast implants. Histomorphometric study to evaluate the biological tissue compatibility of silicone implants suitable for plastic surgery and the adverse effects and risks of this material. Thirty Wistar white rats received subcutaneous implants and the revestiment of silicone gel Silimed ®®, and randomized into six groups of five animals each, according to the type of implanted material and the time of sacrifice. Eight areas of 60.11mm2 corresponding to the obtained surgical pieces were analyzed, counting mesenchymal cells, eosinophils, and foreign body giant cells, observing an acceptable biocompatibility in all implants, for subsequent statistical analysis by Tukey test. Silicone gel showed inflammation slightly greater than for other groups, with tissue reactions varying from light to moderate, whose result was the formation of a fibrous capsule around the material, recognized by the organism as a foreign body. Despite frequent local complications and adverse outcomes, this research showed that the silicone and top layer presented an acceptable chronic inflammatory reaction, which did not significantly differ from the control group. In general, it is possible to affirm that silicone gel had acceptable levels of biocompatibility, confirmed the rare presence of foreign body giant cells, and when of the rupture, formed a fibrous capsule around the material, separating the material of the organism. © AVICENA 2013.
AD  - Pediatric Dentistry, Araçatuba School of Dentistry, UNESP, Stomatologist of CEOPE - State Center of Dentistry for Patients with Special Needs, Department of Univag- Academic Center, Várzea Grande, MT, Brazil
Pathology and Clinical Propaedeutics Department - Unesp, Araçatuba School of Dentistry, São Paulo State University, SP, Brazil
Social and Pediatric Dentistry-Unesp, Araçatuba School of Dentistry, São Paulo State University, SP, Brazil
Department of Prosthodontics, Unesp, Araçatuba School of Dentistry, São Paulo State University, SP, Brazil
AU  - França, D. C. C.
AU  - de Castro, A. L.
AU  - Soubhia, A. M. P.
AU  - de Aguiar, S. M. H. C. A.
AU  - Goiato, M. C.
DB  - Scopus
DO  - 10.5455/aim.2013.21.93-97
IS  - 2
KW  - Breast Implantation
Materials Testing
Rats
Silicone Gels
Wistar
M3  - Article
N1  - Cited By :8
Export Date: 10 November 2020
PY  - 2013
SP  - 93-97
ST  - Evaluation of the biocompatibility of silicone gel implants - histomorphometric study
T2  - Acta Informatica Medica
TI  - Evaluation of the biocompatibility of silicone gel implants - histomorphometric study
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84877882299&doi=10.5455%2faim.2013.21.93-97&partnerID=40&md5=129032491b986d9bf6024d3f18df73b0
VL  - 21
ID  - 1318
ER  - 

TY  - JOUR
AB  - Irrigation under pressure of contaminated surgical wounds causes the elimination of bacteria and foreign bodies from the wound. The Pulsating-Jet as an irrigation device, especially under high pressure, represents a useful method for the prevention of wound infections. In this study, the authors evaluate the results in 95 patients with purulent peritonitis who were subdivided in four groups: (a) Control, (b) Manual irrigation, (c) Pressure irrigation at 50 lbs/square inch, (d) Pressure irrigation at 70 lbs/square inch. In groups b, c, and d, semiquantitative evaluation of bacterial contamination was done before and after irrigation. The evaluation of the results was based on the percentage decrease in the bacterial counts after irrigation, the severity of the wound infection and the patients' morbidity understood as number of postoperative hospital days. The results show, with statistical significance, that manual irrigation is not effective when compared to Pulsating-Jet irrigation, especially at high pressures. The usage of of this irrigating method at high pressures and flows entails a reduction of the bacterial count and of the surgical wound infection rate and thus, shortens the postoperative hospital stay.
AD  - Residencia Sanitaria 'Ntra Sra de Aranzazu', Department of Surgery, San Sebastian, Spain
AU  - Lopez, V.
AU  - Yague Perez, S.
AU  - Llamas Zuniga, P.
AU  - Perez Trallero, E.
DB  - Scopus
IS  - 3-4
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 1984
SP  - 34-38
ST  - Evaluation of Pulsating Jet lavage in prevention of surgical wound infection
T2  - Journal of Abdominal Surgery
TI  - Evaluation of Pulsating Jet lavage in prevention of surgical wound infection
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0021275201&partnerID=40&md5=3115dfb786ed7277edc0b06da27f49c3
VL  - 26
ID  - 1756
ER  - 

TY  - JOUR
AB  - SURGICAL SPONGE COUNTING is an essential patient safety measure in the OR in which all members of the surgical team must participate. The RN acting as circulator is responsible for accurately documenting sponge counts during the surgical procedure.* A SEQUENTIALLY NUMBERED sponge product was evaluated in a survey of OR personnel to determine ease of use and whether the product affected the flow of the surgical procedure.* SURVEY RESPONDENTS reported that the numbered sponge product was easy to use and did not lengthen or affect the flow of the surgical procedure. Respondents also indicated that the product may contribute to patient safety.
AD  - Director of Nursing Research and Outcomes, Renown Health, Reno, Nev
AN  - 106114131. Language: English. Entry Date: 20070706. Revision Date: 20200708. Publication Type: Journal Article
AU  - Pelter, M. M.
AU  - Stephens, K. E.
AU  - Loranger, D.
DB  - ccm
DO  - 10.1016/j.aorn.2007.04.010
DP  - EBSCOhost
IS  - 5
KW  - Surgical Count Procedure -- Methods
Surgical Sponges
Attitude of Health Personnel -- Evaluation
Chi Square Test
Descriptive Statistics
Equipment Design
Evaluation Research
Funding Source
Hospitals
Nevada
Observational Methods
Perioperative Nursing
Product Evaluation
Questionnaires
T-Tests
Time Factors
Two-Tailed Test
Human
N1  - research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Grant Information: Applied Research Initiative Grant, from the University of Nevada, Reno, and Physician Technologies Incorporated, Renov, Nev. NLM UID: 0372403.
PMID: NLM17499056.
PY  - 2007
SN  - 0001-2092
SP  - 931-940
ST  - An evaluation of a numbered surgical sponge product
T2  - AORN Journal
TI  - An evaluation of a numbered surgical sponge product
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106114131&site=ehost-live&scope=site
VL  - 85
ID  - 797
ER  - 

TY  - JOUR
AB  - • SURGICAL SPONGE COUNTING is an essential patient safety measure in the OR in which all members of the surgical team must participate. The RN acting as circulator is responsible for accurately documenting sponge counts during the surgical procedure. • A SEQUENTIALLY NUMBERED sponge product was evaluated in a survey of OR personnel to determine ease of use and whether the product affected the flow of the surgical procedure. • SURVEY RESPONDENTS reported that the numbered sponge product was easy to use and did not lengthen or affect the flow of the surgical procedure. Respondents also indicated that the product may contribute to patient safety. AORN J 85 (May 2007) 931-940. © AORN, Inc, 2007. © 2007 AORN, Inc.
AU  - Pelter, M. M.
AU  - Stephens, K. E.
AU  - Loranger, D.
DB  - Medline
DO  - 10.1016/j.aorn.2007.04.010
IS  - 5
KW  - article
evaluation study
foreign body
human
methodology
operating room
operating room personnel
safety
standard
statistics
surgical sponge
LA  - English
M3  - Article
N1  - L46702085
2007-07-09
PY  - 2007
SN  - 0001-2092
SP  - 931-936,938-940
ST  - An Evaluation of a Numbered Surgical Sponge Product
T2  - AORN Journal
TI  - An Evaluation of a Numbered Surgical Sponge Product
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L46702085&from=export
http://dx.doi.org/10.1016/j.aorn.2007.04.010
VL  - 85
ID  - 614
ER  - 

TY  - JOUR
AB  - Purpose: Percutaneous endoscopic gastrostomy (PEG) enables enteral nutrition for patients with inadequate oral intake. Laparoscopic guidance of PEG insertion is used for high-risk populations, including in infants less than 5 kg at insertion. This study aimed to assess complication rates with traditional PEG tube insertion in infants less than 5 kg at a single tertiary care center. Methods: A retrospective review of patients less than 5 kg who underwent PEG insertion was conducted. PEG insertion-related complications, up to four years following insertion, were collected. Outcomes were reported as counts and percentages, or median with minimum and maximum values. Results: 480 pediatric gastrostomy procedures between January 1, 2009 and February 1, 2017, were screened, with 129 included for analysis. Median weight at PEG insertion was 3800 g. Superficial surgical site infection (SSI) occurred in 6 (4.7%) patients, and 1 (0.8%) required readmission for intravenous antibiotics. One (0.8%) required endoscopic management for retained foreign body, 1 (0.8%) required operative management for gastrocolic fistula, and 1 (0.8%) for persistent gastrocutaneous fistula. No deep space SSI, procedure-related hemorrhage requiring readmission or transfusion, buried bumper syndrome, or procedure-related mortality occurred. Conclusion: Traditional PEG tube insertion in infants less than 5 kg results in complication rates comparable to pediatric literature standards. Level of Evidence: Level II, retrospective prognosis study. © 2018
AD  - McMaster Children's Hospital, Hamilton, Ontario, Canada
McMaster Pediatric Surgery Research Collaborative, Department of Surgery, McMaster University, Hamilton, Ontario, Canada
AU  - Fernandes, A. R.
AU  - Elliott, T.
AU  - McInnis, C.
AU  - Easterbrook, B.
AU  - Walton, J. M.
DB  - Scopus
DO  - 10.1016/j.jpedsurg.2018.02.017
IS  - 5
KW  - Complications
Infant
Laparoscopic
Neonate
Percutaneous endoscopic gastrostomy
Pull technique
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2018
SP  - 933-936
ST  - Evaluating complication rates and outcomes among infants less than 5 kg undergoing traditional percutaneous endoscopic gastrostomy insertion: A retrospective chart review
T2  - Journal of Pediatric Surgery
TI  - Evaluating complication rates and outcomes among infants less than 5 kg undergoing traditional percutaneous endoscopic gastrostomy insertion: A retrospective chart review
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85042615925&doi=10.1016%2fj.jpedsurg.2018.02.017&partnerID=40&md5=2524566957be011f7ab28976f6569b94
VL  - 53
ID  - 1078
ER  - 

TY  - JOUR
AB  - Purpose: Percutaneous endoscopic gastrostomy (PEG) enables enteral nutrition for patients with inadequate oral intake. Laparoscopic guidance of PEG insertion is used for high-risk populations, including in infants less than 5 kg at insertion. This study aimed to assess complication rates with traditional PEG tube insertion in infants less than 5 kg at a single tertiary care center. Methods: A retrospective review of patients less than 5 kg who underwent PEG insertion was conducted. PEG insertion-related complications, up to four years following insertion, were collected. Outcomes were reported as counts and percentages, or median with minimum and maximum values. Results: 480 pediatric gastrostomy procedures between January 1, 2009 and February 1, 2017, were screened, with 129 included for analysis. Median weight at PEG insertion was 3800 g. Superficial surgical site infection (SSI) occurred in 6 (4.7%) patients, and 1 (0.8%) required readmission for intravenous antibiotics. One (0.8%) required endoscopic management for retained foreign body, 1 (0.8%) required operative management for gastrocolic fistula, and 1 (0.8%) for persistent gastrocutaneous fistula. No deep space SSI, procedure-related hemorrhage requiring readmission or transfusion, buried bumper syndrome, or procedure-related mortality occurred. Conclusion: Traditional PEG tube insertion in infants less than 5 kg results in complication rates comparable to pediatric literature standards. Level of Evidence: Level II, retrospective prognosis study.
AD  - J.M. Walton, McMaster Children's Hospital, Rm 4E3, 1200 Main St W, Hamilton, Ontario, Canada
AU  - Fernandes, A. R.
AU  - Elliott, T.
AU  - McInnis, C.
AU  - Easterbrook, B.
AU  - Walton, J. M.
DB  - Embase
Medline
DO  - 10.1016/j.jpedsurg.2018.02.017
IS  - 5
KW  - percutaneous endoscopic gastrostomy tube
antibiotic agent
article
bleeding
colon fistula
endoscopic therapy
female
foreign body
hospital readmission
human
infant
major clinical study
male
medical record review
outcome assessment
percutaneous endoscopic gastrostomy
peroperative complication
priority journal
prognosis
reoperation
retained instrument
retrospective study
stomach fistula
surgical infection
tertiary care center
tube removal
LA  - English
M3  - Article
N1  - L620928988
2018-03-06
2018-05-16
PY  - 2018
SN  - 1531-5037
0022-3468
SP  - 933-936
ST  - Evaluating complication rates and outcomes among infants less than 5 kg undergoing traditional percutaneous endoscopic gastrostomy insertion: A retrospective chart review
T2  - Journal of Pediatric Surgery
TI  - Evaluating complication rates and outcomes among infants less than 5 kg undergoing traditional percutaneous endoscopic gastrostomy insertion: A retrospective chart review
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L620928988&from=export
http://dx.doi.org/10.1016/j.jpedsurg.2018.02.017
VL  - 53
ID  - 348
ER  - 

TY  - JOUR
AB  - Objectives The purpose of this study was to investigate the epidemiology of wire-bristle grill brush injury. Study Design and Setting Cross-sectional analysis of national databases; literature review. Subjects and Methods The Consumer Product Safety Commission's National Electronic Injury Surveillance System (NEISS) was used to derive a national weighted estimate of emergency department visits for wire bristle injury from 2002 to 2014. Date, location of injury, demographics, and outcomes were analyzed. A literature search and a consumer-reported injury database (SaferProducts.gov) were interrogated to provide ancillary sources of data. Results A total of 43 cases were found within the NEISS database, which extrapolated to an estimated 1698 (95% confidence interval, 1468-1927) emergency department visits nationwide. In the NEISS database, the mean age was 30 years, and the sex distribution of the patients was similar (21 males vs 22 females). The most common location of injury was the oropharynx in both the NEISS database (23 of 43, 53.4%) and the literature review (11 of 36, 30.5%). However, the oral cavity was the most frequent site in the consumer-reported SaferProducts.gov database (9 of 24, 37.5%). The majority of patients in the NEISS were treated in the emergency department (31 of 43, 69.7%). Raw case counts were highest in June, July, and August, with the highest number of events in the month of July. Conclusion Injury from wire-bristle grill brush is uncommon but prevalent during certain seasons. Otolaryngologists play an important in the diagnosis and treatment of these injuries. Awareness among consumers and product manufacturers is necessary to promote safety. © American Academy of Otolaryngology-Head and Neck Surgery Foundation 2016.
AD  - Department of Otolaryngology-Head and Neck Surgery, University of Missouri, School of Medicine, One Hospital Drive, MA 314, Columbia, MO 65212, United States
University of Missouri, School of Medicine, Columbia, MO, United States
AU  - Baugh, T. P.
AU  - Hadley, J. B.
AU  - David Chang, C. W.
DB  - Scopus
DO  - 10.1177/0194599815627794
IS  - 4
KW  - grill brush
ingestion
NEISS
swallow
wire bristle
M3  - Article
N1  - Cited By :18
Export Date: 10 November 2020
PY  - 2016
SP  - 645-649
ST  - Epidemiology of Wire-Bristle Grill Brush Injury in the United States, 2002-2014
T2  - Otolaryngology - Head and Neck Surgery (United States)
TI  - Epidemiology of Wire-Bristle Grill Brush Injury in the United States, 2002-2014
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84962720125&doi=10.1177%2f0194599815627794&partnerID=40&md5=eb4cf934076515cb9140c33b2dbdf38b
VL  - 154
ID  - 1211
ER  - 

TY  - JOUR
AB  - Objectives: The purpose of this study was to investigate the epidemiology of wire-bristle grill brush injury.Study Design and Setting: Cross-sectional analysis of national databases; literature review.Subjects and Methods: The Consumer Product Safety Commission's National Electronic Injury Surveillance System (NEISS) was used to derive a national weighted estimate of emergency department visits for wire bristle injury from 2002 to 2014. Date, location of injury, demographics, and outcomes were analyzed. A literature search and a consumer-reported injury database (SaferProducts.gov) were interrogated to provide ancillary sources of data.Results: A total of 43 cases were found within the NEISS database, which extrapolated to an estimated 1698 (95% confidence interval, 1468-1927) emergency department visits nationwide. In the NEISS database, the mean age was 30 years, and the sex distribution of the patients was similar (21 males vs 22 females). The most common location of injury was the oropharynx in both the NEISS database (23 of 43, 53.4%) and the literature review (11 of 36, 30.5%). However, the oral cavity was the most frequent site in the consumer-reported SaferProducts.gov database (9 of 24, 37.5%). The majority of patients in the NEISS were treated in the emergency department (31 of 43, 69.7%). Raw case counts were highest in June, July, and August, with the highest number of events in the month of July.Conclusion: Injury from wire-bristle grill brush is uncommon but prevalent during certain seasons. Otolaryngologists play an important in the diagnosis and treatment of these injuries. Awareness among consumers and product manufacturers is necessary to promote safety.
AD  - University of Missouri School of Medicine, Department of Otolaryngology–Head and Neck Surgery, Columbia, Missouri, USA
University of Missouri School of Medicine, Columbia, Missouri, USA
AN  - 114261570. Language: English. Entry Date: 20160820. Revision Date: 20190409. Publication Type: journal article
AU  - Baugh, Tiffany P.
AU  - Hadley, Jamie B.
AU  - Chang, C. W. David
DB  - ccm
DO  - 10.1177/0194599815627794
DP  - EBSCOhost
IS  - 4
KW  - Foreign Bodies -- Surgery
Pharynx -- Injuries
Household Products -- Adverse Effects
Mouth -- Injuries
Foreign Bodies -- Epidemiology
Female
Emergency Service -- Utilization
Cross Sectional Studies
United States
Adult
Male
Consumer Product Safety
Population Surveillance
Human
N1  - research; tables/charts. Journal Subset: Biomedical; Blind Peer Reviewed; Editorial Board Reviewed; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 8508176.
PMID: NLM26932965.
PY  - 2016
SN  - 0194-5998
SP  - 645-649
ST  - Epidemiology of Wire-Bristle Grill Brush Injury in the United States, 2002-2014
T2  - Otolaryngology-Head & Neck Surgery
TI  - Epidemiology of Wire-Bristle Grill Brush Injury in the United States, 2002-2014
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=114261570&site=ehost-live&scope=site
VL  - 154
ID  - 777
ER  - 

TY  - JOUR
AB  - Aim: To investigate the relationship between encapsulating peritonitis and familial Mediterranean fever (FMF). Methods: The patient had a history of type 2 diabetes and laparoscopic cholecystectomy was performed one year ago for cholelithiasis. Eleven months after the operation she developed massive ascites. Biochemical evaluation revealed hyperglycemia, mild Fe deficiency anemia, hypoalbuminemia and a CA-125 level of 2 700 IU. Ascitic evaluation showed characteristics of exudation with a cell count of 580/mm3. Abdominal CT showed omental thickening and massive ascites. At exploratory laparotomy there was generalized thickening of the peritoneum and a laparoscopic clip encapsulated by fibrous tissue was found adherent to the uterus. Biopsies were negative for malignancy and a prophilactic total abdominal hysterectomy and bilateral salpingooophorectomy were performed. Results: The histopathological evaluation was compatible with chronic nonspecific findings and mild mesothelial proliferation and chronic inflammation at the uterine serosa and liver biopsy showed inactive cirrhosis. Conclusion: The patient was evaluated as sclerosing encapsulating peritonitis induced by the laparoscopic clip acting as a foreign body. Due to the fact that the patient had FMF the immune response was probably exaggerated. © 2005 The WJG Press and Elsevier Inc. All rights reserved.
AD  - Dept. of Family Med., Gastroenterol., Int. Med., Oncology, General Surgery, Gynecol./Pathol., Kartal State Hospital, Istanbul, Turkey
Altunizade mah., Atif bey sok., 36660 Istanbul, Turkey
AU  - Dabak, R.
AU  - Uygur-Bayramiçli, O.
AU  - Aydin, D. K.
AU  - Dolapçioglu, C.
AU  - Gemici, C.
AU  - Erginel, T.
AU  - Turan, C.
AU  - Karadayi, N.
DB  - Scopus
DO  - 10.3748/wjg.v11.i18.2844
IS  - 18
KW  - Ascites
Encapsulating peritonitis
Familial Mediterranean fever
M3  - Article
N1  - Cited By :14
Export Date: 10 November 2020
PY  - 2005
SP  - 2844-2846
ST  - Encapsulating peritonitis and familial Mediterranean fever
T2  - World Journal of Gastroenterology
TI  - Encapsulating peritonitis and familial Mediterranean fever
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-18944362968&doi=10.3748%2fwjg.v11.i18.2844&partnerID=40&md5=f4d203030ff2004377cdc8179f6ff23e
VL  - 11
ID  - 1609
ER  - 

TY  - JOUR
AB  - Aim: To investigate the relationship between encapsulating peritonitis and familial Mediterranean fever (FMF). Methods: The patient had a history of type 2 diabetes and laparoscopic cholecystectomy was performed one year ago for cholelithiasis. Eleven months after the operation she developed massive ascites. Biochemical evaluation revealed hyperglycemia, mild Fe deficiency anemia, hypoalbuminemia and a CA-125 level of 2 700 IU. Ascitic evaluation showed characteristics of exudation with a cell count of 580/mm3. Abdominal CT showed omental thickening and massive ascites. At exploratory laparotomy there was generalized thickening of the peritoneum and a laparoscopic clip encapsulated by fibrous tissue was found adherent to the uterus. Biopsies were negative for malignancy and a prophilactic total abdominal hysterectomy and bilateral salpingooophorectomy were performed. Results: The histopathological evaluation was compatible with chronic nonspecific findings and mild mesothelial proliferation and chronic inflammation at the uterine serosa and liver biopsy showed inactive cirrhosis. Conclusion: The patient was evaluated as sclerosing encapsulating peritonitis induced by the laparoscopic clip acting as a foreign body. Due to the fact that the patient had FMF the immune response was probably exaggerated. © 2005 The WJG Press and Elsevier Inc. All rights reserved.
AD  - O. Uygur-Bayramiçli, Altunizade mah., Atif bey sok., 36660 Istanbul, Turkey
AU  - Dabak, R.
AU  - Uygur-Bayramiçli, O.
AU  - Aydin, D. K.
AU  - Dolapçioglu, C.
AU  - Gemici, C.
AU  - Erginel, T.
AU  - Turan, C.
AU  - Karadayi, N.
DB  - Embase
Medline
DO  - 10.3748/wjg.v11.i18.2844
IS  - 18
KW  - albumin
CA 125 antigen
colchicine
glucose
oral antidiabetic agent
prednisolone
abdominal hysterectomy
aged
article
ascites
ascites fluid analysis
bloating
case report
cell count
cell proliferation
chronic inflammation
comorbidity
computer assisted tomography
echography
encapsulation
familial Mediterranean fever
female
follow up
foreign body reaction
histopathology
human
hyperglycemia
hypoalbuminemia
iron deficiency
laparotomy
liver biopsy
liver cirrhosis
mesothelium cell
non insulin dependent diabetes mellitus
omentum
peritoneal biopsy
peritoneum exudate
salpingooophorectomy
peritoneal fibrosis
surgical equipment
symptomatology
treatment outcome
uterus
LA  - English
M3  - Article
N1  - L40704263
2005-06-01
PY  - 2005
SN  - 1007-9327
SP  - 2844-2846
ST  - Encapsulating peritonitis and familial Mediterranean fever
T2  - World Journal of Gastroenterology
TI  - Encapsulating peritonitis and familial Mediterranean fever
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L40704263&from=export
http://dx.doi.org/10.3748/wjg.v11.i18.2844
VL  - 11
ID  - 628
ER  - 

TY  - JOUR
AB  - Background: Despite rigorous manual counting protocols and the classification of retained surgical items (RSIs) as potential "never events," RSIs continue to occur in approximately 1 per 1,000 to 18,000 operations. This study's goals were to evaluate the incorporation of a radiofrequency detection system (RFDS) into existing laparotomy sponge- and Raytec-counting protocols for the detection of RSIs and define associated risk factors. Study Design: All patients undergoing surgery at the University of North Carolina Hospitals from September 2009 to August 2010 were enrolled consecutively. The performance of an RFDS-incorporated accounting protocol for detecting RSIs was prospectively evaluated. Several operative metrics were recorded to identify risk factors for miscounts. Results: A total of 2,285 patients were enrolled. One near miss was detected by the RFDS. Thirty-five miscounts occurred, for a rate of 1.53%. The ultimate locations of miscounted items were surgical site (n = 11), within operative suite (n = 10), surgical drapes (n = 2), and emergency protocol deviations (n = 12). Perioperative variables associated with miscounts were higher estimated volume of blood lost, longer operations, higher number of laparotomy sponges used, open surgical approach, "after hours" operations, change of surgical team during operation, weekend or holiday operations, unanticipated changes in operative plan during surgery, and emergency operations. Body mass index was not associated with miscounts. Surveys completed by participating surgical staff suggested high confidence in the RFDS for prevention of RSIs. Conclusions: The incorporation of the RFDS assisted in the resolution of a near-miss event (1 of 2,285) not detected by manual counting protocols and assisted in the resolution of 35 surgical-sponge miscounts. No known RSIs occurred during the study period. Risk factors for miscounts were identified and can help identify at-risk surgical populations. © 2012 American College of Surgeons.
AD  - Department of Surgery, University of North Carolina School of Medicine, 4035 Burnett-Womack Bldg, CB #7081, Chapel Hill, NC 27599, United States
University of North Carolina Health Care System, Chapel Hill, NC, United States
University of North Carolina Lineberger Comprehensive Cancer Center Biostatistics Core, Chapel Hill, NC, United States
AU  - Rupp, C. C.
AU  - Kagarise, M. J.
AU  - Nelson, S. M.
AU  - Deal, A. M.
AU  - Phillips, S.
AU  - Chadwick, J.
AU  - Petty, T.
AU  - Meyer, A. A.
AU  - Kim, H. J.
DB  - Scopus
DO  - 10.1016/j.jamcollsurg.2012.06.014
IS  - 4
M3  - Article
N1  - Cited By :25
Export Date: 10 November 2020
PY  - 2012
SP  - 524-533
ST  - Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: A prospective trial of 2,285 patients
T2  - Journal of the American College of Surgeons
TI  - Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: A prospective trial of 2,285 patients
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84866399971&doi=10.1016%2fj.jamcollsurg.2012.06.014&partnerID=40&md5=c84e3afd73ee890b132042422b5c817c
VL  - 215
ID  - 1356
ER  - 

TY  - JOUR
AD  - University of North Carolina School of Medicine, Chapel Hill, NC. Electronic address: crupp@med.unc.edu.
AN  - 104367722. Language: English. Entry Date: 20130111. Revision Date: 20200708. Publication Type: Journal Article
AU  - Rupp, C. C.
AU  - Kagarise, M. J.
AU  - Nelson, S. M.
AU  - Deal, A. M.
AU  - Phillips, S.
AU  - Chadwick, J.
AU  - Petty, T.
AU  - Meyer, A. A.
AU  - Kim, H. J.
DB  - ccm
DO  - 10.1016/j.jamcollsurg.2012.06.014
DP  - EBSCOhost
IS  - 4
KW  - Foreign Bodies -- Diagnosis
Foreign Bodies -- Prevention and Control
Radio Waves
Surgical Sponges
Equipment Design
Female
Human
Male
Middle Age
Prospective Studies
N1  - research. Journal Subset: Biomedical; USA. Special Interest: Perioperative Care. NLM UID: 9431305.
PMID: NLM22770865.
PY  - 2012
SN  - 1072-7515
SP  - 524-533
ST  - Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients
T2  - Journal of the American College of Surgeons
TI  - Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: a prospective trial of 2,285 patients
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104367722&site=ehost-live&scope=site
VL  - 215
ID  - 833
ER  - 

TY  - JOUR
AB  - Background: Despite rigorous manual counting protocols and the classification of retained surgical items (RSIs) as potential "never events," RSIs continue to occur in approximately 1 per 1,000 to 18,000 operations. This study's goals were to evaluate the incorporation of a radiofrequency detection system (RFDS) into existing laparotomy sponge- and Raytec-counting protocols for the detection of RSIs and define associated risk factors. Study Design: All patients undergoing surgery at the University of North Carolina Hospitals from September 2009 to August 2010 were enrolled consecutively. The performance of an RFDS-incorporated accounting protocol for detecting RSIs was prospectively evaluated. Several operative metrics were recorded to identify risk factors for miscounts. Results: A total of 2,285 patients were enrolled. One near miss was detected by the RFDS. Thirty-five miscounts occurred, for a rate of 1.53%. The ultimate locations of miscounted items were surgical site (n = 11), within operative suite (n = 10), surgical drapes (n = 2), and emergency protocol deviations (n = 12). Perioperative variables associated with miscounts were higher estimated volume of blood lost, longer operations, higher number of laparotomy sponges used, open surgical approach, "after hours" operations, change of surgical team during operation, weekend or holiday operations, unanticipated changes in operative plan during surgery, and emergency operations. Body mass index was not associated with miscounts. Surveys completed by participating surgical staff suggested high confidence in the RFDS for prevention of RSIs. Conclusions: The incorporation of the RFDS assisted in the resolution of a near-miss event (1 of 2,285) not detected by manual counting protocols and assisted in the resolution of 35 surgical-sponge miscounts. No known RSIs occurred during the study period. Risk factors for miscounts were identified and can help identify at-risk surgical populations. © 2012 American College of Surgeons.
AD  - C.C. Rupp, Department of Surgery, University of North Carolina School of Medicine, 4035 Burnett-Womack Bldg, CB #7081, Chapel Hill, NC 27599, United States
AU  - Rupp, C. C.
AU  - Kagarise, M. J.
AU  - Nelson, S. M.
AU  - Deal, A. M.
AU  - Phillips, S.
AU  - Chadwick, J.
AU  - Petty, T.
AU  - Meyer, A. A.
AU  - Kim, H. J.
DB  - Embase
Medline
DO  - 10.1016/j.jamcollsurg.2012.06.014
IS  - 4
KW  - adult
article
bleeding
body mass
emergency surgery
female
heart surgery
human
information processing device
laparotomy
major clinical study
male
operating room personnel
operation duration
patient safety
perioperative period
peritoneal cavity
priority journal
prospective study
radiofrequency detection system
radiofrequency identification
risk factor
surgical approach
surgical drape
surgical sponge
thorax surgery
LA  - English
M3  - Article
N1  - L52098231
2012-07-09
2012-10-01
PY  - 2012
SN  - 1072-7515
1879-1190
SP  - 524-533
ST  - Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: A prospective trial of 2,285 patients
T2  - Journal of the American College of Surgeons
TI  - Effectiveness of a radiofrequency detection system as an adjunct to manual counting protocols for tracking surgical sponges: A prospective trial of 2,285 patients
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L52098231&from=export
http://dx.doi.org/10.1016/j.jamcollsurg.2012.06.014
VL  - 215
ID  - 502
ER  - 

TY  - JOUR
AB  - Retained surgical items (eg, sponges, instruments) remain the most frequently reported sentinel events. The primary strategy for preventing retained sponges is the sponge count. Reconciling sponge counts is time consuming and can extend the duration of operative and other invasive procedures. The primary objective of this observational study was to evaluate the effect of a radiofrequency (RF) surgical-sponge detection system on time spent searching for surgical sponges. The study included 27,637 procedures during nine months before and after implementing an RF surgical-sponge detection system. After implementation of the system, time spent searching for sponges was reduced by 79.58%, the percentage of unreconciled counts was reduced by 71.28%, and time spent using radiography to rule out a retained sponge was reduced by 46.31%. This resulted in a reduction of costs. These findings should be used as part of a comprehensive cost analysis of alternative methods when evaluating RF sponge detection technology. © AORN, Inc, 2019
AD  - University of Iowa College of Nursing, Iowa City, United States
University of Iowa Hospitals & Clinics, Iowa City, United States
University of Iowa College of Public Health, Iowa City, United States
AU  - Steelman, V. M.
AU  - Schaapveld, A. G.
AU  - Storm, H. E.
AU  - Perkhounkova, Y.
AU  - Shane, D. M.
DB  - Scopus
DO  - 10.1002/aorn.12698
IS  - 6
KW  - radiofrequency
retained surgical item
sponge count
sponge detection
unreconciled count
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2019
SP  - 718-727
ST  - The Effect of Radiofrequency Technology on Time Spent Searching for Surgical Sponges and Associated Costs
T2  - AORN Journal
TI  - The Effect of Radiofrequency Technology on Time Spent Searching for Surgical Sponges and Associated Costs
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85067071865&doi=10.1002%2faorn.12698&partnerID=40&md5=fb53c907451cc727c3ce2c57b502fa72
VL  - 109
ID  - 1031
ER  - 

TY  - JOUR
AB  - Retained surgical items (eg, sponges, instruments) remain the most frequently reported sentinel events. The primary strategy for preventing retained sponges is the sponge count. Reconciling sponge counts is time consuming and can extend the duration of operative and other invasive procedures. The primary objective of this observational study was to evaluate the effect of a radiofrequency (RF) surgical‐sponge detection system on time spent searching for surgical sponges. The study included 27,637 procedures during nine months before and after implementing an RF surgical‐sponge detection system. After implementation of the system, time spent searching for sponges was reduced by 79.58%, the percentage of unreconciled counts was reduced by 71.28%, and time spent using radiography to rule out a retained sponge was reduced by 46.31%. This resulted in a reduction of costs. These findings should be used as part of a comprehensive cost analysis of alternative methods when evaluating RF sponge detection technology.
AN  - 136688892. Language: English. Entry Date: 20190531. Revision Date: 20190531. Publication Type: Article
AU  - Steelman, Victoria M.
AU  - Schaapveld, Ann G.
AU  - Storm, Hillary E.
AU  - Perkhounkova, Yelena
AU  - Shane, Dan M.
DB  - ccm
DO  - 10.1002/aorn.12698
DP  - EBSCOhost
IS  - 6
KW  - Surgical Technology -- Methods
Radio Frequency Identification -- Evaluation
Retained Instruments -- Prevention and Control
Time Factors
Costs and Cost Analysis
Human
Surgical Count Procedure
Surgical Sponges
Nonexperimental Studies
Academic Medical Centers
Midwestern United States
Questionnaires
Electronic Health Records
Quality Improvement
Descriptive Statistics
Random Sample
Cost Savings
N1  - research; tables/charts. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0372403.
PY  - 2019
SN  - 0001-2092
SP  - 718-727
ST  - The Effect of Radiofrequency Technology on Time Spent Searching for Surgical Sponges and Associated Costs
T2  - AORN Journal
TI  - The Effect of Radiofrequency Technology on Time Spent Searching for Surgical Sponges and Associated Costs
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136688892&site=ehost-live&scope=site
VL  - 109
ID  - 713
ER  - 

TY  - JOUR
AB  - Retained surgical items (eg, sponges, instruments) remain the most frequently reported sentinel events. The primary strategy for preventing retained sponges is the sponge count. Reconciling sponge counts is time consuming and can extend the duration of operative and other invasive procedures. The primary objective of this observational study was to evaluate the effect of a radiofrequency (RF) surgical-sponge detection system on time spent searching for surgical sponges. The study included 27,637 procedures during nine months before and after implementing an RF surgical-sponge detection system. After implementation of the system, time spent searching for sponges was reduced by 79.58%, the percentage of unreconciled counts was reduced by 71.28%, and time spent using radiography to rule out a retained sponge was reduced by 46.31%. This resulted in a reduction of costs. These findings should be used as part of a comprehensive cost analysis of alternative methods when evaluating RF sponge detection technology.
AU  - Steelman, V. M.
AU  - Schaapveld, A. G.
AU  - Storm, H. E.
AU  - Perkhounkova, Y.
AU  - Shane, D. M.
DB  - Medline
DO  - 10.1002/aorn.12698
IS  - 6
KW  - diagnostic imaging
foreign body
human
postoperative complication
procedures
radio frequency identification device
sentinel surveillance
surgical sponge
LA  - English
M3  - Article
N1  - L628048832
2019-06-17
2020-07-24
PY  - 2019
SN  - 1878-0369
SP  - 718-727
ST  - The Effect of Radiofrequency Technology on Time Spent Searching for Surgical Sponges and Associated Costs
T2  - AORN journal
TI  - The Effect of Radiofrequency Technology on Time Spent Searching for Surgical Sponges and Associated Costs
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L628048832&from=export
http://dx.doi.org/10.1002/aorn.12698
VL  - 109
ID  - 313
ER  - 

TY  - JOUR
AB  - Cardiopulmonary bypass (CPB) produces an inflammatory response due to the interaction of blood with a foreign body surface. The lungs are most affected by this inflammatory response. Pentoxifylline (PTX), a phosphodiesterase inhibitor and an inhibitor of leukocyte activation, is used to minimize damage in lungs where leukocytes play an important role. Twenty patients with mitral valve stenosis with planned mitral valve surgery were included in the study. The ten patients receiving pentoxifylline (PTX group) were administered 400 mg PTX orally TID for 3 days preoperatively and, following anesthetic induction, a 300 mg PTX infusion was given. The ten patients receiving no PTX were the control group (CT). Platelet and leukocyte counts, mean pulmonary arterial pressure (mPAP), pulmonary capillary wedge pressure (PCWP), cardiac index (CI), pulmonary vascular resistance (PVR), alveolar-arterial PO2 gradient (AaDO2) were measured just before and after CPB,and 2 h postoperatively. The number of the leukocytes increased in the blood samples drawn 15 min after CPB in both groups and 2 h postoperatively showed no statistical change. The number of platelets had decreased significantly at the end of the CPB in both groups and, 2 h postoperatively, there was a further decrease in the blood count in the control group (P &lt; 0.05). There was no significant difference in either the preoperative or postoperative PAP, PAWP, and CI. Pulmonary vascular resistance increased in both groups following the CPB (CT, before: 136±44, after: 177±94 dyne· sec · cm-5; PTX, before: 151±82, after 182±43 dynes · sec · cm-5). Two hours postoperatively, a considerable increase continued in the control group (CT 219±170 dynes · sec · cm-5), while there was an insignificant increase in the PTX group (PTX 193±51 dynes · sec · cm-5) (P &lt; 0.05). The alveolar-arterial PO2 gradient increased after the CPB in both groups but a moderate decrease was observed 2 h postoperatively. In lung biopsy specimens taken before and after the CPB, there was marked leukocyte sequestration in the control group, whereas the number of leukocytes was seen to be insignificant in the PTX group (P &lt; 0.005). This dosage regimen of PTX inhibits the postoperative increase in PVR and greatly minimized leukocyte sequestration in the lung due to CPB. © Springer-Verlag 1996.
AD  - Department of Cardiovascular Surgery, Izmir State Hospital, Izmir, Turkey
Department of Pathology, 9th September University Hospital, Izmir, Turkey
Department of Anesthesiology, Izmir State Hospital, Izmir, Turkey
PK 16 Küçükyali, Izmir, Turkey
AU  - Türköz, R.
AU  - Yörükoǧlu, K.
AU  - Akcay, A.
AU  - Yilik, L.
AU  - Baltalarli, A.
AU  - Karahan, N.
AU  - Adanir, T.
AU  - Şaǧban, M.
DB  - Scopus
DO  - 10.1016/S1010-7940(96)80092-3
IS  - 5
KW  - Cardiopulmonary bypass
Lung
Pentoxifylline
M3  - Article
N1  - Cited By :31
Export Date: 10 November 2020
PY  - 1996
SP  - 339-346
ST  - The effect of pentoxifylline on the lung during cardiopulmonary bypass
T2  - European Journal of Cardio-thoracic Surgery
TI  - The effect of pentoxifylline on the lung during cardiopulmonary bypass
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0029690879&doi=10.1016%2fS1010-7940%2896%2980092-3&partnerID=40&md5=cf334b6a668933d1d8a94f993b8da84b
VL  - 10
ID  - 1719
ER  - 

TY  - JOUR
AB  - Cardiopulmonary bypass (CPB) produces an inflammatory response due to the interaction of blood with a foreign body surface. The lungs are most affected by this inflammatory response. Pentoxifylline (PTX), a phosphodiesterase inhibitor and an inhibitor of leukocyte activation, is used to minimize damage in lungs where leukocytes play an important role. Twenty patients with mitral valve stenosis with planned mitral valve surgery were included in the study. The ten patients receiving pentoxifylline (PTX group) were administered 400 mg PTX orally TID for 3 days preoperatively and, following anesthetic induction, a 300 mg PTX infusion was given. The ten patients receiving no PTX were the control group (CT). Platelet and leukocyte counts, mean pulmonary arterial pressure (mPAP), pulmonary capillary wedge pressure (PCWP), cardiac index (CI), pulmonary vascular resistance (PVR), alveolar-arterial PO2 gradient (AaDO2) were measured just before and after CPB, and 2 h postoperatively. The number of the leukocytes increased in the blood samples drawn 15 min after CPB in both groups and 2 h postoperatively showed no statistical change. The number of platelets had decreased significantly at the end of the CPB in both groups and, 2 h postoperatively, there was a further decrease in the blood count in the control group (P < 0.05). There was no significant difference in either the preoperative or postoperative PAP, PAWP, and CI. Pulmonary vascular resistance increased in both groups following the CPB (CT, before: 136 +/- 44, after: 177 +/- 94 dyne. sec.cm-5; PTX, before: 151 +/- 82, after 182 +/- 43 dynes.sec.cm-5). Two hours postoperatively, a considerable increase continued in the control group (CT 219 +/- 170 dynes.sec. cm-5), while there was an insignificant increase in the PTX group (PTX 193 +/- 51 dynes.sec.cm-5) (P < 0.05). The alveolar-arterial PO2 gradient increased after the CPB in both groups but a moderate decrease was observed 2 h postoperatively. In lung biopsy specimens taken before and after the CPB, there was marked leukocyte sequestration in the control group, whereas the number of leukocytes was seen to be insignificant in the PTX group (P < 0.005). This dosage regimen of PTX inhibits the postoperative increase in PVR and greatly minimized leukocyte sequestration in the lung due to CPB.
AD  - R. Türköz, Department of Cardiovascular Surgery, Izmir State Hospital, Turkey.
AU  - Türköz, R.
AU  - Yörükoglu, K.
AU  - Akcay, A.
AU  - Yilik, L.
AU  - Baltalarli, A.
AU  - Karahan, N.
AU  - Adanir, T.
AU  - Sagban, M.
DB  - Medline
IS  - 5
KW  - pentoxifylline
phosphodiesterase inhibitor
adult
article
cardiopulmonary bypass
clinical trial
controlled clinical trial
controlled study
dose response
drug administration
drug effect
female
foreign body reaction
hemodynamics
human
immunology
leukocyte count
lung
lung alveolus
male
middle aged
mitral valve stenosis
neutrophil
premedication
systemic inflammatory response syndrome
platelet count
vascular resistance
vascularization
LA  - English
M3  - Article
N1  - L126262143
1996-11-06
PY  - 1996
SN  - 1010-7940
SP  - 339-346
ST  - The effect of pentoxifylline on the lung during cardiopulmonary bypass
T2  - European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
TI  - The effect of pentoxifylline on the lung during cardiopulmonary bypass
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L126262143&from=export
VL  - 10
ID  - 665
ER  - 

TY  - JOUR
AB  - PURPOSE: To evaluate changes in endothelial cell count after pterygium surgery with 5-minute application of mitomycin C (MMC) 0.02%. METHODS: The study participants included 24 consecutive patients (17 men and 7 women) who underwent pterygium surgery with MMC at a major tertiary center between September and October 2005. The bare sclera technique was used in all cases. After excision of the head and neck of the pterygium, a surgical sponge soaked with MMC 0.02% was placed on the exposed sclera for 5 minutes, with the conjunctival layer draped over the sponge. Thereafter, the sclera was irrigated with balanced salt solution, and surgery was completed. Endothelial images were acquired at the center of the cornea with a specular microscope (average of 3 measurements) before surgery and at 1 week, 1 month, and 3 months after surgery. RESULTS: Mean preoperative endothelial cell count was 2254 ± 128 cells/mm. The percentage of postoperative cell loss was 21.25% ± 2.8% at 1 week, 24.26% ± 1.8% at 1 month, and 21.05% ± 3.2% at 3 months. The difference in cell count from the preoperative value was significant at all time points (P < 0.02). There were no adverse drug effects and no serious operative complications. CONCLUSIONS: A 5-minute application of MMC 0.02% to the bare sclera during pterygium surgery has an immediate and significant effect on endothelial cell density, which remains stable for up to 90 days. Furthermore, longer-term studies are needed of different concentrations and durations of the drug and of procedures wherein MMC is applied before excision of the pterygium head. © 2008 by Lippincott Williams & Wilkins.
AD  - Department of Ophthalmology, Rabin Medical Center, Hasharon and Beilinson Hospitals, Petah Tiqwa, Israel
Sackler Faculty of Medicine, Tel Aviv, Israel
Department of Ophthalmology and External Eye Disease, Rabin Medical Center, Hasharon Hospital, PO Box 121, Petah Tiqwa 49372, Israel
AU  - Avisar, R.
AU  - Avisar, I.
AU  - Bahar, I.
AU  - Weinberger, D.
DB  - Scopus
DO  - 10.1097/ICO.0b013e318165b158
IS  - 5
KW  - Corneal endothelium
Mitomycin C
Pterygium
M3  - Article
N1  - Cited By :18
Export Date: 10 November 2020
PY  - 2008
SP  - 559-561
ST  - Effect of mitomycin C in pterygium surgery on corneal endothelium
T2  - Cornea
TI  - Effect of mitomycin C in pterygium surgery on corneal endothelium
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-48249150393&doi=10.1097%2fICO.0b013e318165b158&partnerID=40&md5=1a6f3f4d04e54fa83427ade65862a3e8
VL  - 27
ID  - 1527
ER  - 

TY  - JOUR
AB  - Background During functionality testing and packaging of reusable surgical instruments (RSI) for sterilization, instruments are frequently touched. There is a lack of standards relating to hand hygiene frequency and use of gloves in the sterilizing service unit packing area. Aim To determine the effect of hand hygiene and glove use on maintenance of RSI cleanliness. Methods Following manual and automated cleaning, Halsted-mosquito forceps were assessed for adenosine triphosphate (ATP), protein and microbial contamination after handling with gloved and ungloved but washed hands using an ATP surface swab test, bicinchoninic acid assay, and standard culture plate/broth, respectively. Gram's stain was used to classify the isolates. RSI contamination was assessed immediately following and 1, 2, and 4 h after washing hands. Findings Packing instruments with hands that had been unwashed for 2 or 4 h resulted in a significant increase in contaminating ATP when compared with all other treatment groups (P < 0.05). There was a significant correlation between the time since washing hands, the amount of ATP (r = 0.93; P ≤ 0.001), and the microbial load (r = 0.83; P ≤ 0.001) contaminating the forceps, where the longer the time the hands remained unwashed the higher the contamination. Significantly more contaminating protein was found on forceps handled with ungloved hands that had not been washed for 2 or 4 h (P < 0.001). Conclusion Critical RSI inspection, assembling, lubricating and packing should be performed using either gloves or within 1 h of washing hands. © 2017 The Healthcare Infection Society
AD  - Surgical Infection Research Group, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, Australia
Faculty of Nursing, Federal University of Goias, Goiania, Brazil
Macquarie University Hospital, Macquarie University, Sydney, Australia
AU  - Costa, D. M.
AU  - Lopes, L. K. O.
AU  - Tipple, A. F. V.
AU  - Castillo, R. B.
AU  - Hu, H.
AU  - Deva, A. K.
AU  - Vickery, K.
DB  - Scopus
DO  - 10.1016/j.jhin.2017.06.018
IS  - 4
KW  - Colony count
Gloves
Hand hygiene
Microbial
Sterilization
Surgical instruments
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2017
SP  - 348-352
ST  - Effect of hand hygiene and glove use on cleanliness of reusable surgical instruments
T2  - Journal of Hospital Infection
TI  - Effect of hand hygiene and glove use on cleanliness of reusable surgical instruments
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85024848007&doi=10.1016%2fj.jhin.2017.06.018&partnerID=40&md5=4ac2b40c3456851df62516b5f73e566b
VL  - 97
ID  - 1112
ER  - 

TY  - JOUR
AD  - J.B. Russell
AU  - Russell, J. B.
DB  - Medline
IS  - 6
KW  - article
foreign body
human
malpractice
postoperative complication
surgery
surgical equipment
LA  - English
M3  - Article
N1  - L5451264
1975-01-17
PY  - 1974
SN  - 0039-6087
SP  - 919
ST  - Editorial: Medicolegal necessity for counting sharps
T2  - Surgery, gynecology & obstetrics
TI  - Editorial: Medicolegal necessity for counting sharps
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L5451264&from=export
VL  - 139
ID  - 689
ER  - 

TY  - JOUR
AB  - Hardware removal after complete fracture healing is a laborious and traumatic procedure that bears the risks of refracture, infection, and soft tissue damage. Absorbable materials for fracture fixation have the advantage of eliminating the need for removal; however, they may stimulate a considerable inflammatory response. For that reason, we compared in a prospective randomized experimental animal model study the incidence of foreign-body reactions between Inion OTPSTM absorbable plate implants, consisting of carbon trimethylene, L-polylactic acid, and D, L-polylactic acid, and conventional titanium plates. Seventy rabbits were equally divided into two groups. Titanium (Group A) or absorbable (Group B) plates and screws were implanted in the femoral shaft of the rabbits. Wound reaction and laboratory tests including white blood cell count (WBC), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) values were measured and compared at different time points. Radiographs and histological analysis of tissue samples from all animals were also used to identify potential foreign-body reactions. WBC showed normal values in both groups. In Group A, ESR levels were higher at all time points but CRP values were normalized at 3 weeks postoperatively. In Group B, ESR and CRP levels reached a peak at 3 weeks and were above normal values throughout the whole experiment (p &lt; 0.001). Radiologic examination revealed periosteal thickening and surrounding sclerosis in 23 out of 35 animals of Group B (66%). All Group A animals had normal radiographic findings. Histopathology showed a typical non-specific foreign-body reaction in all animals in Group B (100%) but none in Group A. However, only four of them (11.8%) developed non-infected wound complications and showed significantly elevated CRP and ESR values (p = 0.054). Although Inion OTPSTM Biodegradable Plating System stimulates a foreign-body reaction, only a small but not negligible percentage of almost 12% may lead to wound problems. However, this difference compared to titanium plates was of borderline not statistically significant. Future studies should focus on the development of absorbable implants with improved biocompatibility aiming to further decrease the potential of foreign-body reaction and eliminate the need for additional reoperative procedures. © 2020 IOP Publishing Ltd
AD  - Orthopaedic Department of Aristotle, University of Thessaloniki, George Papanikolaou Hospital Thessaloniki, Thessaloniki, Greece
Research Centre ELPEN, Director of Experimental, Thessaloniki, Greece
AU  - Chalidis, B.
AU  - Kitridis, D.
AU  - Savvidis, P.
AU  - Papalois, A.
AU  - Givissis, P.
C7  - aba326
DB  - Scopus
DO  - 10.1088/1748-605X/aba326
IS  - 6
KW  - Absorbable implants
Animal study
Foreign-body reaction
Rabbits
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
ST  - Does the Inion OTPSTM absorbable plating system induce higher foreign-body reaction than titanium implants? An experimental randomized comparative study in rabbits
T2  - Biomedical Materials (Bristol)
TI  - Does the Inion OTPSTM absorbable plating system induce higher foreign-body reaction than titanium implants? An experimental randomized comparative study in rabbits
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85093092299&doi=10.1088%2f1748-605X%2faba326&partnerID=40&md5=2852e631d45e3341460f0e74597529ac
VL  - 15
ID  - 950
ER  - 

TY  - JOUR
AB  - Hardware removal after complete fracture healing is a laborious and traumatic procedure that bears the risks of refracture, infection, and soft tissue damage. Absorbable materials for fracture fixation have the advantage of eliminating the need for removal; however, they may stimulate a considerable inflammatory response. For that reason, we compared in a prospective randomized experimental animal model study the incidence of foreign-body reactions between Inion OTPSTM absorbable plate implants, consisting of carbon trimethylene, L-polylactic acid, and D, L-polylactic acid, and conventional titanium plates. Seventy rabbits were equally divided into two groups. Titanium (Group A) or absorbable (Group B) plates and screws were implanted in the femoral shaft of the rabbits. Wound reaction and laboratory tests including white blood cell count (WBC), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) values were measured and compared at different time points. Radiographs and histological analysis of tissue samples from all animals were also used to identify potential foreign-body reactions. WBC showed normal values in both groups. In Group A, ESR levels were higher at all time points but CRP values were normalized at 3 weeks postoperatively. In Group B, ESR and CRP levels reached a peak at 3 weeks and were above normal values throughout the whole experiment (p < 0.001). Radiologic examination revealed periosteal thickening and surrounding sclerosis in 23 out of 35 animals of Group B (66%). All Group A animals had normal radiographic findings. Histopathology showed a typical non-specific foreign-body reaction in all animals in Group B (100%) but none in Group A. However, only four of them (11.8%) developed non-infected wound complications and showed significantly elevated CRP and ESR values (p = 0.054). Although Inion OTPSTM Biodegradable Plating System stimulates a foreign-body reaction, only a small but not negligible percentage of almost 12% may lead to wound problems. However, this difference compared to titanium plates was of borderline not statistically significant. Future studies should focus on the development of absorbable implants with improved biocompatibility aiming to further decrease the potential of foreign-body reaction and eliminate the need for additional reoperative procedures.
AU  - Chalidis, B.
AU  - Kitridis, D.
AU  - Savvidis, P.
AU  - Papalois, A.
AU  - Givissis, P.
DB  - Embase
Medline
DO  - 10.1088/1748-605X/aba326
IS  - 6
KW  - animal experiment
animal model
animal tissue
article
biocompatibility
biodegradable implant
comparative study
controlled study
erythrocyte sedimentation rate
femoral shaft
foreign body reaction
histology
histopathology
human
incidence
laboratory test
Leporidae
leukocyte count
nonhuman
normal value
periosteum
prospective study
protein expression
radiodiagnosis
sclerosis
wound complication
X ray film
C reactive protein
carbon
endogenous compound
polylactic acid
titanium
LA  - English
M3  - Article
N1  - L2008008094
2020-10-27
PY  - 2020
SN  - 1748-605X
1748-6041
ST  - Does the Inion OTPSTM absorbable plating system induce higher foreign-body reaction than titanium implants? An experimental randomized comparative study in rabbits
T2  - Biomedical Materials (Bristol)
TI  - Does the Inion OTPSTM absorbable plating system induce higher foreign-body reaction than titanium implants? An experimental randomized comparative study in rabbits
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L2008008094&from=export
http://dx.doi.org/10.1088/1748-605X/aba326
VL  - 15
ID  - 267
ER  - 

TY  - JOUR
AU  - Tammelleo, A. D.
DB  - Scopus
IS  - 5
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 1986
SP  - 1
ST  - Doctors, nurses and "sponge counts"
T2  - The Regan report on nursing law
TI  - Doctors, nurses and "sponge counts"
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0022801973&partnerID=40&md5=7ebb8589a4d7b212ce647318418fa5e4
VL  - 27
ID  - 1747
ER  - 

TY  - JOUR
AD  - A.D. Tammelleo
AU  - Tammelleo, A. D.
DB  - Medline
IS  - 5
KW  - article
case report
cesarean section
female
foreign body
human
legal aspect
male
malpractice
newborn
operating room personnel
pregnancy
surgery
surgical equipment
United States
LA  - English
M3  - Article
N1  - L17675488
1987-01-02
PY  - 1986
SN  - 0034-3196
SP  - 1
ST  - Doctors, nurses and "sponge counts"
T2  - The Regan report on nursing law
TI  - Doctors, nurses and "sponge counts"
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L17675488&from=export
VL  - 27
ID  - 675
ER  - 

TY  - JOUR
AB  - Introduction. Dislodgement of orthodontic appliance into operation wounds may occur while performing orthognathic surgery. Its occurrence is commonly associated with bonded upper molar tube. Case Report. A 25-year-old gentleman presented with recurrent upper right vestibular abscess three months following a bimaxillary orthognathic surgery. A bonded molar orthodontic tube had dislodged into the wound during the operation. The clinical presentation initially mimics an odontogenic infection until our investigations revealed that it originated from the dislodged appliance. The abscess was drained, the wound site was explored, and the molar tube and neighbouring rigid fixation plates and screws were removed. The patient recovered well following the procedure. Conclusion. Dislodged metal orthodontic appliance in oral wound acts as a foreign body that may exert allergic reactions, infection, or inflammation. Pre- and postoperative intraoral examination of fixed orthodontic appliances including its count should be recorded in orthognathic surgery protocol. Copyright 2018 Tengku Aszraf Tengku Shaeran and A. R. Samsudin.
AD  - Oral and Maxillofacial Surgery Unit, School of Dental Sciences, University of Science Malaysia (USM), Kubang Kerian, Kelantan, 16150, Malaysia
Sharjah Institute for Medical Research (SIMR), University of Sharjah, Sharjah, United Arab Emirates
AU  - Shaeran, T. A. Te
AU  - Samsudin, A. R.
C7  - 6540945
DB  - Scopus
DO  - 10.1155/2018/6540945
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2018
ST  - Dislodged bonded molar tube into wound during orthognathic surgery
T2  - Case Reports in Dentistry
TI  - Dislodged bonded molar tube into wound during orthognathic surgery
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85055863960&doi=10.1155%2f2018%2f6540945&partnerID=40&md5=b19ce87a42e9f0a2cf6680b919ac4d47
VL  - 2018
ID  - 1099
ER  - 

TY  - JOUR
AB  - Background: The purpose of this study was to compare the efficacy and safety of difluprednate 0.05% (PRO-145) versus prednisolone acetate 1% (Prednefrin® SF), for management of postoperative inflammation and pain, after cataract surgery. Methods: This was a Phase III, multicenter, prospective, double-blind, clinical trial. Intentto-treat population included 178 post-phacoemulsification patients that were assigned to receive either PRO-145, or prednisolone. One day after unilateral eye surgery, patients instilled a drop 4 times a day for 14 days (then tapering the dose downward for 14 days). The primary efficacy endpoints were anterior chamber (AC) cell grade and flare. Other parameters measured included: retinal central thickness (measured via OCT), conjunctival hyperemia, edema, pain and photophobia. Tolerability and safety were assessed through burning, itching, foreign body sensation, visual acuity (VA), intraocular pressure (IOP) and incidence of adverse events (AE). Results: A total of 171 subjects were randomized (1:1) and completed the study. Compared to day 1, there was a significant improvement in the AC cell count and flare in both groups by the final visit (80.2% vs 88.4%, p=1.000). Conjunctival hyperemia improved in a similar fashion (81.2% vs 79%, p=0.234) in both PRO-145 and prednisolone groups, without differences between them. This was also observed for edema (82.4% vs 82.5%, p=0.246), pain (15.3% vs 7%, p=0.497) and photophobia (16.4% vs 15.1%, p=0.246), respectively. There was no significant difference between treatments for any tolerability parameter studied. Finally, at the 4-week postoperative visit, there were no significant differences between treatments for VA, IOP and AE results (p-values; 0.095, 0.053 and 0.099, respectively). Conclusion: The results of this study suggest that PRO-145 is as effective and safe as prednisolone acetate in treating postoperative inflammation and pain in patients undergoing phacoemulsification. The study was registered at ClinicalTrials.gov as NCT03693989. © 2020 Palacio-Pastrana et al.
AD  - Fundación Hospital Nuestra Señora de la Luz, IAP, CDMX, Mexico
Fundación de Asistencia, Privada Conde de Valenciana, IAP, CDMX, Mexico
Catarata y Glaucoma de Occidente SA de CV, Guadalajara, Jalisco, Mexico
Private Office, Guadalajara, Jalisco, Mexico
Aris Vision Institute, Guadalajara, Jalisco, Mexico
Asociación Para Evitar la Ceguera en México, IAP, CDMX, Mexico
Visión Cirugía Ambulatoria, Monterrey, Nuevo Leon, Mexico
Medical Affairs, Laboratorios Sophia, SA de CV, Zapopan, Jalisco, Mexico
AU  - Palacio-Pastrana, C.
AU  - Mondragón, E. C.
AU  - Soto-Gómez, A.
AU  - Suárez-Velasco, R.
AU  - Montes-Salcedo, M.
AU  - de Ortega, L. F.
AU  - Nasser-Nasser, L.
AU  - Baiza-Durán, L.
AU  - Olvera-Montaño, O.
AU  - Muñoz-Villegas, P.
DB  - Scopus
DO  - 10.2147/OPTH.S254705
KW  - Cataract surgery
Difluprednate
Dose-reduction
Ophthalmic corticosteroids
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
SP  - 1581-1589
ST  - Difluprednate 0.05% versus prednisolone acetate post-phacoemulsification for inflammation and pain: An efficacy and safety clinical trial
T2  - Clinical Ophthalmology
TI  - Difluprednate 0.05% versus prednisolone acetate post-phacoemulsification for inflammation and pain: An efficacy and safety clinical trial
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85086644506&doi=10.2147%2fOPTH.S254705&partnerID=40&md5=a17b8f8bb9b5d09c52a316ef1d186512
VL  - 14
ID  - 985
ER  - 

TY  - JOUR
AB  - Background: The purpose of this study was to compare the efficacy and safety of difluprednate 0.05% (PRO-145) versus prednisolone acetate 1% (Prednefrin® SF), for management of postoperative inflammation and pain, after cataract surgery. Methods: This was a Phase III, multicenter, prospective, double-blind, clinical trial. Intentto-treat population included 178 post-phacoemulsification patients that were assigned to receive either PRO-145, or prednisolone. One day after unilateral eye surgery, patients instilled a drop 4 times a day for 14 days (then tapering the dose downward for 14 days). The primary efficacy endpoints were anterior chamber (AC) cell grade and flare. Other parameters measured included: retinal central thickness (measured via OCT), conjunctival hyperemia, edema, pain and photophobia. Tolerability and safety were assessed through burning, itching, foreign body sensation, visual acuity (VA), intraocular pressure (IOP) and incidence of adverse events (AE). Results: A total of 171 subjects were randomized (1:1) and completed the study. Compared to day 1, there was a significant improvement in the AC cell count and flare in both groups by the final visit (80.2% vs 88.4%, p=1.000). Conjunctival hyperemia improved in a similar fashion (81.2% vs 79%, p=0.234) in both PRO-145 and prednisolone groups, without differences between them. This was also observed for edema (82.4% vs 82.5%, p=0.246), pain (15.3% vs 7%, p=0.497) and photophobia (16.4% vs 15.1%, p=0.246), respectively. There was no significant difference between treatments for any tolerability parameter studied. Finally, at the 4-week postoperative visit, there were no significant differences between treatments for VA, IOP and AE results (p-values; 0.095, 0.053 and 0.099, respectively). Conclusion: The results of this study suggest that PRO-145 is as effective and safe as prednisolone acetate in treating postoperative inflammation and pain in patients undergoing phacoemulsification. The study was registered at ClinicalTrials.gov as NCT03693989.
AD  - P. Muñoz-Villegas, Medical Affairs, Laboratorios Sophia, SA de CV, Zapopan, Jalisco, Mexico
AU  - Palacio-Pastrana, C.
AU  - Mondragón, E. C.
AU  - Soto-Gómez, A.
AU  - Suárez-Velasco, R.
AU  - Montes-Salcedo, M.
AU  - de Ortega, L. F.
AU  - Nasser-Nasser, L.
AU  - Baiza-Durán, L.
AU  - Olvera-Montaño, O.
AU  - Muñoz-Villegas, P.
C1  - prednefrin(Allergan,United States)
pro 145(Laboratorios Sophia,Mexico)
C2  - Laboratorios Sophia(Mexico)
Allergan(United States)
DB  - Embase
DO  - 10.2147/OPTH.S254705
KW  - NCT03693989
difluprednate
prednefrin
prednisolone acetate
pro 145
adult
aged
anterior eye chamber
article
blurred vision
central retinal thickness
chemosis
conjunctival hyperemia
controlled study
double blind procedure
drug dose reduction
drug efficacy
drug safety
drug tolerability
eye burning
eye pain
female
headache
human
incidence
influenza
intention to treat analysis
intraocular foreign body
intraocular hypertension
intraocular pressure
major clinical study
male
multicenter study
ocular pruritus
optical coherence tomography
phacoemulsification
phase 3 clinical trial
photophobia
postoperative inflammation
postoperative pain
prospective study
randomized controlled trial
retina macula cystoid edema
treatment duration
very elderly
visual acuity
LA  - English
M3  - Article
N1  - L2004578509
2020-07-27
2020-07-31
PY  - 2020
SN  - 1177-5483
1177-5467
SP  - 1581-1589
ST  - Difluprednate 0.05% versus prednisolone acetate post-phacoemulsification for inflammation and pain: An efficacy and safety clinical trial
T2  - Clinical Ophthalmology
TI  - Difluprednate 0.05% versus prednisolone acetate post-phacoemulsification for inflammation and pain: An efficacy and safety clinical trial
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L2004578509&from=export
http://dx.doi.org/10.2147/OPTH.S254705
VL  - 14
ID  - 291
ER  - 

TY  - JOUR
AB  - The differentiation of bacterial from aseptic meningitis in postoperative neurosurgical patients has traditionally been based on the clinical setting, a recent history of steroid administration, and cerebrospinal fluid (CSF) studies, including the total and differential leukocyte counts, Gram stain, glucose, and total protein. Recent reports questioning both the validity of a relative CSF lymphocytosis in excluding bacterial meningitis and the usefulness of standard CSF testing prompted the authors to reevaluate these standard criteria. The type of operation, the presence of a foreign body, use of steroids, postoperative day on which symptoms developed, altered mental status, neck stiffness, headache, and nausea were not helpful in the differential diagnosis. High fever, new neurological deficits, and active CSF leak, and elevated leukocyte counts in the CSF and peripheral blood favored a bacterial etiology. The CSF glucose level and the differential leukocyte count were less helpful. No criterion or combination of criteria was sensitive and specific enough to reliably differentiate aseptic from bacterial meningitis in the majority of patients. The possibility of improving diagnostic accuracy with newer tests, such as CSF lactate, ferritin, total amino acids, C-reactive protein, and amyloid-A, should be assessed.
AD  - Department of Neurological Surgery, University of California, San Francisco, CA 94122, United States
AU  - Ross, D.
AU  - Rosegay, H.
AU  - Pons, V.
DB  - Scopus
DO  - 10.3171/jns.1988.69.5.0669
IS  - 5
M3  - Article
N1  - Cited By :90
Export Date: 10 November 2020
PY  - 1988
SP  - 669-674
ST  - Differentiation of aseptic and bacterial meningitis in postoperative neurosurgical patients
T2  - Journal of Neurosurgery
TI  - Differentiation of aseptic and bacterial meningitis in postoperative neurosurgical patients
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0023691179&doi=10.3171%2fjns.1988.69.5.0669&partnerID=40&md5=aef7adb3ff2b0823004ca75018a7d178
VL  - 69
ID  - 1744
ER  - 

TY  - JOUR
AB  - The differentiation of bacterial from aseptic meningitis in postoperative neurosurgical patients has traditionally been based on the clinical setting, a recent history of steroid administration, and cerebrospinal fluid (CSF) studies, including the total and differential leukocyte counts, Gram stain, glucose, and total protein. Recent reports questioning both the validity of a relative CSF lymphocytosis in excluding bacterial meningitis and the usefulness of standard CSF testing prompted the authors to reevaluate these standard criteria. The type of operation, the presence of a foreign body, use of steroids, postoperative day on which symptoms developed, altered mental status, neck stiffness, headache, and nausea were not helpful in the differential diagnosis. High fever, new neurological deficits, and active CSF leak, and elevated leukocyte counts in the CSF and peripheral blood favored a bacterial etiology. The CSF glucose level and the differential leukocyte count were less helpful. No criterion or combination of criteria was sensitive and specific enough to reliably differentiate aseptic from bacterial meningitis in the majority of patients. The possibility of improving diagnostic accuracy with newer tests, such as CSF lactate, ferritin, total amino acids, C-reactive protein, and amyloid-A, should be assessed.
AD  - Department of Neurological Surgery, University of California, San Francisco, CA 94122
AU  - Ross, D.
AU  - Rosegay, H.
AU  - Pons, V.
DB  - Embase
Medline
DO  - 10.3171/jns.1988.69.5.0669
IS  - 5
KW  - aseptic meningitis
bacterial meningitis
brain surgery
clinical article
complication
Haemophilus influenzae
human
priority journal
Staphylococcus aureus
LA  - English
M3  - Article
N1  - L18258039
1988-11-29
PY  - 1988
SN  - 0022-3085
SP  - 669-674
ST  - Differentiation of aseptic and bacterial meningitis in postoperative neurosurgical patients
T2  - Journal of Neurosurgery
TI  - Differentiation of aseptic and bacterial meningitis in postoperative neurosurgical patients
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L18258039&from=export
http://dx.doi.org/10.3171/jns.1988.69.5.0669
VL  - 69
ID  - 673
ER  - 

TY  - JOUR
AB  - This study investigated the effect of nursing experience on attention allocation and task performance during surgery. The prevention of cases of retained foreign bodies after surgery typically depends on scrub nurses, who are responsible for performing multiple tasks that impose heavy demands on the nurses' cognitive resources. However, the relationship between the level of experiences and attention allocation strategies has not been extensively studied. Eye movement data were collected from 10 novice and 10 experienced scrub nurses in the operating theater for caesarean section surgeries. Visual scanning data, analyzed by dividing the workstation into four main areas and the surgery into four stages, were compared to the optimum expected value estimated by SEEV (Salience, Effort, Expectancy, and Value) model. Both experienced and novice nurses showed significant correlations to the optimal percentage dwell time values, and significant differences were found in attention allocation optimality between experienced and novice nurses, with experienced nurses adhering significantly more to the optimal in the stages of high workload. Experienced nurses spent less time on the final count and encountered fewer interruptions during the count than novices indicating better performance in task management, whereas novice nurses switched attention between areas of interest more than experienced nurses. The results provide empirical evidence of a relationship between the application of optimal visual attention management strategies and performance, opening up possibilities to the development of visual attention and interruption training for better performance. © 2011 American Psychological Association.
AD  - T. Park, School of Mechanical and Aerospace Engineering, Nanyang Technological University, 50 Nanyang Avenue, Singapore 639798, Singapore
AU  - Koh, R. Y. I.
AU  - Park, T.
AU  - Wickens, C. D.
AU  - Ong, L. T.
AU  - Chia, S. N.
DB  - Medline
DO  - 10.1037/a0025171
IS  - 3
KW  - adult
article
attention
clinical competence
eye movement
human
nursing staff
operating room
task performance
workload
LA  - English
M3  - Article
N1  - L362714149
2012-02-01
PY  - 2011
SN  - 1076-898X
SP  - 233-246
ST  - Differences in Attentional Strategies by Novice and Experienced Operating Theatre Scrub Nurses
T2  - Journal of Experimental Psychology: Applied
TI  - Differences in Attentional Strategies by Novice and Experienced Operating Theatre Scrub Nurses
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L362714149&from=export
http://dx.doi.org/10.1037/a0025171
VL  - 17
ID  - 534
ER  - 

TY  - JOUR
AB  - Background: Surgical infections cause substantial morbidity and mortality in low-and middle-income countries (LMICs). To improve adherence to critical perioperative infection prevention standards, we developed Clean Cut, a checklist-based quality improvement program to improve compliance with best practices. We hypothesized that process mapping infection prevention activities can help clinicians identify strategies for improving surgical safety. Study design: We introduced Clean Cut at a tertiary hospital in Ethiopia. Infection prevention standards included skin antisepsis, ensuring a sterile field, instrument decontamination/sterilization, prophylactic antibiotic administration, routine swab/gauze counting, and use of a surgical safety checklist. Processes were mapped by a visiting surgical fellow and local operating theater staff to facilitate the development of contextually relevant solutions; processes were reassessed for improvements. Results: Process mapping helped identify barriers to using alcohol-based hand solution due to skin irritation, inconsistent administration of prophylactic antibiotics due to variable delivery outside of the operating theater, inefficiencies in assuring sterility of surgical instruments through lack of confirmatory measures, and occurrences of retained surgical items through inappropriate guidelines, staffing, and training in proper routine gauze counting. Compliance with most processes improved significantly following organizational changes to align tasks with specific process goals. Conclusions: Enumerating the steps involved in surgical infection prevention using a process mapping technique helped identify opportunities for improving adherence and plotting contextually relevant solutions, resulting in superior compliance with antiseptic standards. Simplifying these process maps into an adaptable tool could be a powerful strategy for improving safe surgery delivery in LMICs. © 2018 American College of Surgeons
AD  - Department of Surgery, Stanford University, Stanford, CA, United States
Lifebox Foundation, Ariadne Labs, Brigham, United States
Women's Hospital and the Harvard TH Chan School of Public Health, Boston, MA, United States
Department of Surgery, Massachusetts General Hospital, Boston, MA, United States
Department of Obstetrics and Gynecology, School of Medicine, College of Health Sciences, Jimma University, Jimma, Ethiopia
Department of Surgery, School of Medicine, College of Health Sciences, Jimma University, Jimma, Ethiopia
Department of Health Economics, Management, and Policy, Jimma University Medical Center, Jimma, Ethiopia
Department of Clinical Surgery, Royal Infirmary of Edinburgh, University of Edinburgh, Edinburgh, United Kingdom
AU  - Forrester, J. A.
AU  - Koritsanszky, L. A.
AU  - Amenu, D.
AU  - Haynes, A. B.
AU  - Berry, W. R.
AU  - Alemu, S.
AU  - Jiru, F.
AU  - Weiser, T. G.
DB  - Scopus
DO  - 10.1016/j.jamcollsurg.2018.03.020
IS  - 6
M3  - Article
N1  - Cited By :10
Export Date: 10 November 2020
PY  - 2018
SP  - 1103-1116.e3
ST  - Developing Process Maps as a Tool for a Surgical Infection Prevention Quality Improvement Initiative in Resource-Constrained Settings
T2  - Journal of the American College of Surgeons
TI  - Developing Process Maps as a Tool for a Surgical Infection Prevention Quality Improvement Initiative in Resource-Constrained Settings
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85045272740&doi=10.1016%2fj.jamcollsurg.2018.03.020&partnerID=40&md5=f26ebf4b19968bee10d7fe8b0dcdcf85
VL  - 226
ID  - 1076
ER  - 

TY  - JOUR
AB  - Background: Surgical infections cause substantial morbidity and mortality in low-and middle-income countries (LMICs). To improve adherence to critical perioperative infection prevention standards, we developed Clean Cut, a checklist-based quality improvement program to improve compliance with best practices. We hypothesized that process mapping infection prevention activities can help clinicians identify strategies for improving surgical safety.Study Design: We introduced Clean Cut at a tertiary hospital in Ethiopia. Infection prevention standards included skin antisepsis, ensuring a sterile field, instrument decontamination/sterilization, prophylactic antibiotic administration, routine swab/gauze counting, and use of a surgical safety checklist. Processes were mapped by a visiting surgical fellow and local operating theater staff to facilitate the development of contextually relevant solutions; processes were reassessed for improvements.Results: Process mapping helped identify barriers to using alcohol-based hand solution due to skin irritation, inconsistent administration of prophylactic antibiotics due to variable delivery outside of the operating theater, inefficiencies in assuring sterility of surgical instruments through lack of confirmatory measures, and occurrences of retained surgical items through inappropriate guidelines, staffing, and training in proper routine gauze counting. Compliance with most processes improved significantly following organizational changes to align tasks with specific process goals.Conclusions: Enumerating the steps involved in surgical infection prevention using a process mapping technique helped identify opportunities for improving adherence and plotting contextually relevant solutions, resulting in superior compliance with antiseptic standards. Simplifying these process maps into an adaptable tool could be a powerful strategy for improving safe surgery delivery in LMICs.
AD  - Department of Surgery, Stanford University, Stanford, CA
Lifebox Foundation, Ariadne Labs, Brigham
Department of Obstetrics and Gynecology, School of Medicine, College of Health Sciences, Jimma University, Jimma, Ethiopia
Women's Hospital and the Harvard TH Chan School of Public Health, Boston, MA
Department of Surgery, Massachusetts General Hospital, Boston, MA
Department of Surgery, School of Medicine, College of Health Sciences, Jimma University, Jimma, Ethiopia
Department of Health Economics, Management, and Policy, Jimma University Medical Center, Jimma, Ethiopia
Department of Clinical Surgery, Royal Infirmary of Edinburgh, University of Edinburgh, Edinburgh, UK
AN  - 129625672. Language: English. Entry Date: 20190830. Revision Date: 20190912. Publication Type: journal article
AU  - Forrester, Jared A.
AU  - Koritsanszky, Luca A.
AU  - Amenu, Demisew
AU  - Haynes, Alex B.
AU  - Berry, William R.
AU  - Alemu, Seifu
AU  - Jiru, Fekadu
AU  - Weiser, Thomas G.
DB  - ccm
DO  - 10.1016/j.jamcollsurg.2018.03.020
DP  - EBSCOhost
IS  - 6
KW  - Surgical Wound Infection -- Prevention and Control
Health Resource Utilization
Process Assessment (Health Care)
Quality Improvement
Protective Clothing
Antiinfective Agents, Local -- Therapeutic Use
Antibiotic Prophylaxis
Sterilization and Disinfection -- Standards
Academic Medical Centers
Human
Ethiopia
Checklists
Prospective Studies
Validation Studies
Comparative Studies
Evaluation Research
Multicenter Studies
Ferrans and Powers Quality of Life Index
N1  - research. Journal Subset: Biomedical; USA. Instrumentation: Ferrans and Powers Quality of Life Index. NLM UID: 9431305.
PMID: NLM29574175.
PY  - 2018
SN  - 1072-7515
SP  - 1103-1116.e3
ST  - Developing Process Maps as a Tool for a Surgical Infection Prevention Quality Improvement Initiative in Resource-Constrained Settings
T2  - Journal of the American College of Surgeons
TI  - Developing Process Maps as a Tool for a Surgical Infection Prevention Quality Improvement Initiative in Resource-Constrained Settings
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129625672&site=ehost-live&scope=site
VL  - 226
ID  - 828
ER  - 

TY  - JOUR
AB  - Background: Surgical infections cause substantial morbidity and mortality in low-and middle-income countries (LMICs). To improve adherence to critical perioperative infection prevention standards, we developed Clean Cut, a checklist-based quality improvement program to improve compliance with best practices. We hypothesized that process mapping infection prevention activities can help clinicians identify strategies for improving surgical safety. Study design: We introduced Clean Cut at a tertiary hospital in Ethiopia. Infection prevention standards included skin antisepsis, ensuring a sterile field, instrument decontamination/sterilization, prophylactic antibiotic administration, routine swab/gauze counting, and use of a surgical safety checklist. Processes were mapped by a visiting surgical fellow and local operating theater staff to facilitate the development of contextually relevant solutions; processes were reassessed for improvements. Results: Process mapping helped identify barriers to using alcohol-based hand solution due to skin irritation, inconsistent administration of prophylactic antibiotics due to variable delivery outside of the operating theater, inefficiencies in assuring sterility of surgical instruments through lack of confirmatory measures, and occurrences of retained surgical items through inappropriate guidelines, staffing, and training in proper routine gauze counting. Compliance with most processes improved significantly following organizational changes to align tasks with specific process goals. Conclusions: Enumerating the steps involved in surgical infection prevention using a process mapping technique helped identify opportunities for improving adherence and plotting contextually relevant solutions, resulting in superior compliance with antiseptic standards. Simplifying these process maps into an adaptable tool could be a powerful strategy for improving safe surgery delivery in LMICs.
AD  - J.A. Forrester, Stanford University, Department of Surgery, Section of Trauma and Critical Care, 300 Pasteur Dr, S067, Stanford, CA, United States
AU  - Forrester, J. A.
AU  - Koritsanszky, L. A.
AU  - Amenu, D.
AU  - Haynes, A. B.
AU  - Berry, W. R.
AU  - Alemu, S.
AU  - Jiru, F.
AU  - Weiser, T. G.
DB  - Embase
Medline
DO  - 10.1016/j.jamcollsurg.2018.03.020
IS  - 6
KW  - surgical drape
surgical glove
surgical gown
surgical swab
alcohol
ampicillin
ceftriaxone
soap
antibiotic prophylaxis
antisepsis
article
decontamination
hand washing
human
infection prevention
infection risk
instrument sterilization
priority journal
prospective study
skin decontamination
skin irritation
surgical infection
total quality management
LA  - English
M3  - Article
N1  - L2000639543
2018-04-18
2018-05-31
PY  - 2018
SN  - 1879-1190
1072-7515
SP  - 1103-1116.e3
ST  - Developing Process Maps as a Tool for a Surgical Infection Prevention Quality Improvement Initiative in Resource-Constrained Settings
T2  - Journal of the American College of Surgeons
TI  - Developing Process Maps as a Tool for a Surgical Infection Prevention Quality Improvement Initiative in Resource-Constrained Settings
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L2000639543&from=export
http://dx.doi.org/10.1016/j.jamcollsurg.2018.03.020
VL  - 226
ID  - 345
ER  - 

TY  - JOUR
AB  - BACKGROUND: While the true incidence of retained foreign bodies after surgery is unknown, it has been approximated at 1:5,500 operations overall, with substantially less frequency in hand and upper extremity procedures. Despite the rarity of foreign body retention in hand and upper extremity surgery, universal radiofrequency scanning for electronically-tagged sponges and automatic radiographic evaluation for incorrect sponge counts are employed for all surgical procedures at our institution. We demonstrate the infeasibility of retaining an operative sponge of a standard size in commonly performed hand and upper extremity procedures with incision sizes of two centimeters or less, and establish that visual detection of sponges in these cases is adequate. METHODS: Eighteen trigger finger releases, five carpal tunnel releases, three trigger thumb releases, and three de Quervain's tenosynovitis releases were successfully performed upon five cadaveric specimens by residents under supervision of fellowship-trained hand surgeons for a total of 29 two-centimeter or smaller incisions. Randomized surgical sponge placement was evaluated by a blinded observer at two distances and incision sizes were quantified. Kappa values were calculated to determine the acuity of visual detection versus the actual presence of a sponge. RESULTS: The maximum length of the standard surgical sponge that could be contained within an incision was three centimeters. When compared with the gold standard (whether the sponge had been placed or not by the operating resident), the placement of a standard surgical sponge could be detected correctly in 100% of cases at both "across the room" and "at the table" distances, for kappa values of 1.0 and 1.0 respectively. This did not vary with incision size or surgical procedure. CONCLUSIONS: The added cost and time from radiofrequency detection of retained sponges and radiographic evaluation in the event of incorrect sponge counts can be safely eliminated if sponges can be reliably visually detected. CLINICAL RELEVANCE: This cadaveric study informs patient safety practices by demonstrating that visual detection of surgical sponges is adequate for certain upper extremity procedures.
AD  - University of Iowa Hospitals and Clinics Department of Orthopaedics and Rehabilitation
AU  - Tofte, J. N.
AU  - Caldwell, L. S.
DB  - Scopus
KW  - hand
patient safety
quality improvement
radiofrequency
retained foreign body
retained foreign object
upper extremity
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2017
SP  - 189-192
ST  - Detection of Retained Foreign Objects in Upper Extremity Surgical Procedures With Incisions of Two Centimeters or Smaller
T2  - The Iowa orthopaedic journal
TI  - Detection of Retained Foreign Objects in Upper Extremity Surgical Procedures With Incisions of Two Centimeters or Smaller
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85047183001&partnerID=40&md5=704208d631881a394f63290cbab1e8fd
VL  - 37
ID  - 1150
ER  - 

TY  - JOUR
AB  - BACKGROUND: While the true incidence of retained foreign bodies after surgery is unknown, it has been approximated at 1:5,500 operations overall, with substantially less frequency in hand and upper extremity procedures. Despite the rarity of foreign body retention in hand and upper extremity surgery, universal radiofrequency scanning for electronically-tagged sponges and automatic radiographic evaluation for incorrect sponge counts are employed for all surgical procedures at our institution. We demonstrate the infeasibility of retaining an operative sponge of a standard size in commonly performed hand and upper extremity procedures with incision sizes of two centimeters or less, and establish that visual detection of sponges in these cases is adequate. METHODS: Eighteen trigger finger releases, five carpal tunnel releases, three trigger thumb releases, and three de Quervain's tenosynovitis releases were successfully performed upon five cadaveric specimens by residents under supervision of fellowship-trained hand surgeons for a total of 29 two-centimeter or smaller incisions. Randomized surgical sponge placement was evaluated by a blinded observer at two distances and incision sizes were quantified. Kappa values were calculated to determine the acuity of visual detection versus the actual presence of a sponge. RESULTS: The maximum length of the standard surgical sponge that could be contained within an incision was three centimeters. When compared with the gold standard (whether the sponge had been placed or not by the operating resident), the placement of a standard surgical sponge could be detected correctly in 100% of cases at both "across the room" and "at the table" distances, for kappa values of 1.0 and 1.0 respectively. This did not vary with incision size or surgical procedure. CONCLUSIONS: The added cost and time from radiofrequency detection of retained sponges and radiographic evaluation in the event of incorrect sponge counts can be safely eliminated if sponges can be reliably visually detected. CLINICAL RELEVANCE: This cadaveric study informs patient safety practices by demonstrating that visual detection of surgical sponges is adequate for certain upper extremity procedures.
AU  - Tofte, J. N.
AU  - Caldwell, L. S.
DB  - Medline
KW  - foreign body
human
orthopedic surgery
surgery
surgical sponge
upper limb
LA  - English
M3  - Article
N1  - L622253947
2018-05-28
PY  - 2017
SN  - 1555-1377
SP  - 189-192
ST  - Detection of Retained Foreign Objects in Upper Extremity Surgical Procedures With Incisions of Two Centimeters or Smaller
T2  - The Iowa orthopaedic journal
TI  - Detection of Retained Foreign Objects in Upper Extremity Surgical Procedures With Incisions of Two Centimeters or Smaller
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L622253947&from=export
VL  - 37
ID  - 384
ER  - 

TY  - JOUR
AB  - Background: The Agency for Healthcare Research and Quality (AHRQ) developed patient safety indicator (PSI) 5, "Foreign body left during procedure," to flag accidental foreign bodies in surgical and medical procedures. This study examined how well this indicator identifies true foreign body events in the Veterans Health Administration (VA). Study Design: This was a retrospective study within 28 selected VA hospitals from fiscal year 2003 to 2007. Trained abstractors reviewed medical charts flagged by PSI 5 and determined true foreign body cases. We calculated the positive predictive value (PPV) of this indicator and performed descriptive analyses of true positive and false positive cases. Results: Of the 652,093 eligible cases, 93 were flagged by PSI 5 (0.14 per 1,000). Forty-two were true positives, yielding a PPV of 45% (95% CI 35% to 56%). False positives were due to a foreign body that was present on admission (57%) or coding errors (43%). True foreign bodies were associated with surgical (n = 23) and medical (n = 19) procedures. The most common type of surgical foreign body was a sponge (52%). Overall, approximately 40% of foreign bodies were related to a device failure or malfunction (30% surgical vs 53% medical foreign bodies). Postoperative complications included pain (24%), infection (12%), adhesions (5%), and bowel obstruction (5%). Conclusions: The reported rate of foreign body events as detected by PSI 5 is low in the VA, but occurs in both surgical and medical procedures. Despite widespread implementation of surgical counts, quality improvement efforts should focus on novel ways to eliminate this "never event" from operations. Future studies are needed to better understand the preventability of medical procedure-associated foreign bodies and particularly, device failure-related foreign bodies. © 2011 by the American College of Surgeons.
AD  - Center for Organization, Leadership and Management Research (COLMR), 150 S Huntington Ave, Boston, MA 02130, United States
Department of Surgery, VA Boston Healthcare System, Boston, MA, United States
Department of Health Policy and Management, Boston University School of Public Health, Boston, MA, United States
Department of Surgery, Brigham and Women's Hospital, Boston, MA, United States
Boston University School of Medicine, Boston, MA, United States
Department of Surgery, Harvard Medical School, Boston, MA, United States
Center for Health Quality, Outcomes and Economic Research (CHQOER), Bedford VAMC, Bedford, MA, United States
AU  - Chen, Q.
AU  - Rosen, A. K.
AU  - Cevasco, M.
AU  - Shin, M.
AU  - Itani, K. M. F.
AU  - Borzecki, A. M.
DB  - Scopus
DO  - 10.1016/j.jamcollsurg.2011.02.003
IS  - 6
M3  - Article
N1  - Cited By :22
Export Date: 10 November 2020
PY  - 2011
SP  - 977-983
ST  - Detecting patient safety indicators: How valid is "foreign body left during procedure" in the Veterans Health Administration?
T2  - Journal of the American College of Surgeons
TI  - Detecting patient safety indicators: How valid is "foreign body left during procedure" in the Veterans Health Administration?
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-79957618548&doi=10.1016%2fj.jamcollsurg.2011.02.003&partnerID=40&md5=8c503640a2e20faacb940915a1f11f95
VL  - 212
ID  - 1418
ER  - 

TY  - JOUR
AB  - Background: The Agency for Healthcare Research and Quality (AHRQ) developed patient safety indicator (PSI) 5, "Foreign body left during procedure," to flag accidental foreign bodies in surgical and medical procedures. This study examined how well this indicator identifies true foreign body events in the Veterans Health Administration (VA). Study Design: This was a retrospective study within 28 selected VA hospitals from fiscal year 2003 to 2007. Trained abstractors reviewed medical charts flagged by PSI 5 and determined true foreign body cases. We calculated the positive predictive value (PPV) of this indicator and performed descriptive analyses of true positive and false positive cases. Results: Of the 652,093 eligible cases, 93 were flagged by PSI 5 (0.14 per 1,000). Forty-two were true positives, yielding a PPV of 45% (95% CI 35% to 56%). False positives were due to a foreign body that was present on admission (57%) or coding errors (43%). True foreign bodies were associated with surgical (n = 23) and medical (n = 19) procedures. The most common type of surgical foreign body was a sponge (52%). Overall, approximately 40% of foreign bodies were related to a device failure or malfunction (30% surgical vs 53% medical foreign bodies). Postoperative complications included pain (24%), infection (12%), adhesions (5%), and bowel obstruction (5%). Conclusions: The reported rate of foreign body events as detected by PSI 5 is low in the VA, but occurs in both surgical and medical procedures. Despite widespread implementation of surgical counts, quality improvement efforts should focus on novel ways to eliminate this "never event" from operations. Future studies are needed to better understand the preventability of medical procedure-associated foreign bodies and particularly, device failure-related foreign bodies. © 2011 by the American College of Surgeons.
AD  - A. K. Rosen, Center for Organization, Leadership and Management Research (COLMR), 150 S Huntington Ave, Boston, MA 02130, United States
AU  - Chen, Q.
AU  - Rosen, A. K.
AU  - Cevasco, M.
AU  - Shin, M.
AU  - Itani, K. M. F.
AU  - Borzecki, A. M.
DB  - Embase
Medline
DO  - 10.1016/j.jamcollsurg.2011.02.003
IS  - 6
KW  - aged
article
clinical indicator
descriptive research
false positive result
female
foreign body
foreign body left during procedure
gauze dressing
hospital admission
human
intestine obstruction
major clinical study
male
medical device
medical record review
patient coding
patient safety
postoperative complication
postoperative infection
postoperative pain
predictive value
priority journal
retrospective study
surgical sponge
tissue adhesion
treatment failure
LA  - English
M3  - Article
N1  - L51373145
2011-04-15
2011-06-06
PY  - 2011
SN  - 1072-7515
1879-1190
SP  - 977-983
ST  - Detecting patient safety indicators: How valid is "foreign body left during procedure" in the Veterans Health Administration?
T2  - Journal of the American College of Surgeons
TI  - Detecting patient safety indicators: How valid is "foreign body left during procedure" in the Veterans Health Administration?
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L51373145&from=export
http://dx.doi.org/10.1016/j.jamcollsurg.2011.02.003
VL  - 212
ID  - 538
ER  - 

TY  - JOUR
AB  - A retained surgical sponge is a sentinel event that can result in serious negative outcomes for the patient. Current standards rely on manual counting, the accuracy of which may be suspect, yet little is known about why counting fails to prevent retained sponges. The objectives of this project were to describe perioperative processes to prevent retained sponges after elective abdominal surgery; to identify potential failures; and to rate the causes, probability, and severity of these failures. A total of 57 potential failures were identified, associated with room preparation, the initial count, adding sponges, removing sponges, the first closing count, and the final closing count. The most frequently identified causes of failures included distraction, multitasking, not following procedure, and time pressure. Most of the failures are not likely to be affected by an educational intervention, so additional technological controls should be considered in efforts to improve safety. © 2011 AORN, Inc.
AD  - Center for Comprehensive Access and Delivery Research (CADRE), VA Iowa City Health Care System, Iowa City, IA, United States
Chief of Surgical Services, Veterans Administration Medical Center, Iowa City, IA, United States
AU  - Steelman, V. M.
AU  - Cullen, J. J.
DB  - Scopus
DO  - 10.1016/j.aorn.2010.09.034
IS  - 2
KW  - Operating room safety
Retained surgical items
Sponge counts
Surgical sponge
M3  - Article
N1  - Cited By :26
Export Date: 10 November 2020
PY  - 2011
SP  - 132-141
ST  - Designing a Safer Process to Prevent Retained Surgical Sponges: A Healthcare Failure Mode and Effect Analysis
T2  - AORN Journal
TI  - Designing a Safer Process to Prevent Retained Surgical Sponges: A Healthcare Failure Mode and Effect Analysis
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-79960760012&doi=10.1016%2fj.aorn.2010.09.034&partnerID=40&md5=357dd1024f18d8dd85b67db3475ba8c6
VL  - 94
ID  - 1410
ER  - 

TY  - JOUR
AB  - A retained surgical sponge is a sentinel event that can result in serious negative outcomes for the patient. Current standards rely on manual counting, the accuracy of which may be suspect, yet little is known about why counting fails to prevent retained sponges. The objectives of this project were to describe perioperative processes to prevent retained sponges after elective abdominal surgery; to identify potential failures; and to rate the causes, probability, and severity of these failures. A total of 57 potential failures were identified, associated with room preparation, the initial count, adding sponges, removing sponges, the first closing count, and the final closing count. The most frequently identified causes of failures included distraction, multitasking, not following procedure, and time pressure. Most of the failures are not likely to be affected by an educational intervention, so additional technological controls should be considered in efforts to improve safety.
AN  - 104672594. Language: English. Entry Date: 20111021. Revision Date: 20200708. Publication Type: Journal Article
AU  - Steelman, Victoria M.
AU  - Cullen, Joseph J.
DB  - ccm
DO  - 10.1016/j.aorn.2010.09.034
DP  - EBSCOhost
IS  - 2
KW  - Health Care Errors -- Prevention and Control
Patient Safety
Process Assessment (Health Care) -- Methods
Quality Improvement
Retained Instruments -- Prevention and Control
Surgical Count Procedure
Focus Groups
Health Care Errors -- Etiology
Hospitals, Veterans -- Iowa
Iowa
Observational Methods
Radio Frequency Identification
Surgical Patients
N1  - algorithm; statistics; tables/charts. Commentary: Hackney Catherine, Steelman Victoria M, Moore Sullen. Responses to a quality improvement project on improving the surgical count. (AORN J) Mar2012; 95 (3): 317-319. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Special Interest: Patient Safety; Perioperative Care; Quality Assurance. NLM UID: 0372403.
PMID: NLM21802540.
PY  - 2011
SN  - 0001-2092
SP  - 132-141
ST  - Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis
T2  - AORN Journal
TI  - Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104672594&site=ehost-live&scope=site
VL  - 94
ID  - 746
ER  - 

TY  - JOUR
AB  - A retained surgical sponge is a sentinel event that can result in serious negative outcomes for the patient. Current standards rely on manual counting, the accuracy of which may be suspect, yet little is known about why counting fails to prevent retained sponges. The objectives of this project were to describe perioperative processes to prevent retained sponges after elective abdominal surgery; to identify potential failures; and to rate the causes, probability, and severity of these failures. A total of 57 potential failures were identified, associated with room preparation, the initial count, adding sponges, removing sponges, the first closing count, and the final closing count. The most frequently identified causes of failures included distraction, multitasking, not following procedure, and time pressure. Most of the failures are not likely to be affected by an educational intervention, so additional technological controls should be considered in efforts to improve safety. © 2011 AORN, Inc.
AD  - V.M. Steelman, Center for Comprehensive Access and Delivery Research (CADRE), VA Iowa City Health Care System, Iowa City, IA, United States
AU  - Steelman, V. M.
AU  - Cullen, J. J.
DB  - Medline
DO  - 10.1016/j.aorn.2010.09.034
IS  - 2
KW  - article
human
public hospital
safety
sentinel surveillance
surgical sponge
United States
LA  - English
M3  - Article
N1  - L362225371
2012-02-06
PY  - 2011
SN  - 0001-2092
SP  - 132-141
ST  - Designing a Safer Process to Prevent Retained Surgical Sponges: A Healthcare Failure Mode and Effect Analysis
T2  - AORN Journal
TI  - Designing a Safer Process to Prevent Retained Surgical Sponges: A Healthcare Failure Mode and Effect Analysis
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L362225371&from=export
http://dx.doi.org/10.1016/j.aorn.2010.09.034
VL  - 94
ID  - 536
ER  - 

TY  - JOUR
AB  - Purpose. To compare the effectiveness of deep lamellar keratoplasty (DLK) with that of penetrating keratoplasty (PKP) in cases of corneal lesions not involving the endothelium. Methods. Forty-eight eyes with leukomatous corneal opacity (n = 33), keratoconus with apical scarring (n = 6), granular corneal dystrophy (n = 5), lattice corneal dystrophy (n = 2), and multiple corneal foreign bodies (n = 2) in an age group varying from 16 to 53 years underwent DLK (n = 24) and PKP (n = 24) by utilizing B and (B+ and A) grade M-K preserved donor tissue, respectively. The patients were followed up closely, and the graft clarity, visual achievement, astigmatism and endothelial cell count were evaluated at repeated occasions up to 1 year. Results. Astigmatism of &lt;3 diopters (D) and ≥5D was obtained in 19 eyes and one eye, respectively, after DLK at 6 months, whereas six eyes of the PKP group had astigmatism &lt;3D, and 12 eyes had ≥5D at the end of 6 months. The same at 1 year was observed in 20 and one eye in the DLK and eight and five eyes of the PKP group. Astigmatism of ≥5D at the end of 6 months in both the groups showed highly significant changes (p &lt; 0.001). Best corrected visual acuity of 6/18 or more was achieved in 18 and 12 eyes at 6 months after DLK and PKP, respectively, which were statistically highly significant (p &lt; 0.001), whereas at 1 year, it was seen in 17 and 15 eyes of the DLK and PKP groups, respectively, which was nonsignificant. The mean endothelial cell count was 2,233.3 ± 64.453 cells/mm2 and 2,219.6 ± 102.48 cells/mm2 at 6 months and 1 year, respectively, after DLK, which was nonsignificant. The mean cell count of the donor eyes used for PKP was 2,191 ± 52.164 cells/mm2, 1,902.8 ± 70.346 cells/mm2 at 6 months, and 1,579.0 ± 80.24 cells/ram2 at 1 year. All the values showed highly significant changes (p &lt; 0.001). Further, the graft clarity of ≥3+ was achieved in 20 and 18 eyes at 6 months postoperatively in the DLK and PKP groups, whereas the same was observed in 19 and 13 eyes of both the groups, respectively, at 1-year follow-up. Conclusion. DLK is a promising procedure and should be practiced more frequently for corneal pathology not involving the endothelium.
AD  - Rajendra Prasad Ctr. Ophthal. Sci., All India Inst. of Medical Sciences, New Delhi, India
404, Hawa Singh Block, Asiad Village, New Delhi 110049, India
AU  - Panda, A.
AU  - Bageshwar, L. M. S.
AU  - Ray, M.
AU  - Singh, J. P.
AU  - Kumar, A.
DB  - Scopus
DO  - 10.1097/00003226-199903000-00005
IS  - 2
KW  - 8 Endothelium
Astigmatism
Deep lamellar keratoplasty
Penetrating keratoplasty
Stroma
M3  - Article
N1  - Cited By :144
Export Date: 10 November 2020
PY  - 1999
SP  - 172-175
ST  - Deep lamellar keratoplasty versus penetrating keratoplasty for corneal lesions
T2  - Cornea
TI  - Deep lamellar keratoplasty versus penetrating keratoplasty for corneal lesions
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0032930811&doi=10.1097%2f00003226-199903000-00005&partnerID=40&md5=5109f462fe594175df91d66344fc41f7
VL  - 18
ID  - 1692
ER  - 

TY  - JOUR
AB  - Purpose. To compare the effectiveness of deep lamellar keratoplasty (DLK) with that of penetrating keratoplasty (PKP) in cases of corneal lesions not involving the endothelium. Methods. Forty-eight eyes with leukomatous corneal opacity (n = 33), keratoconus with apical scarring (n = 6), granular corneal dystrophy (n = 5), lattice corneal dystrophy (n = 2), and multiple corneal foreign bodies (n = 2) in an age group varying from 16 to 53 years underwent DLK (n = 24) and PKP (n = 24) by utilizing B and (B+ and A) grade M-K preserved donor tissue, respectively. The patients were followed up closely, and the graft clarity, visual achievement, astigmatism and endothelial cell count were evaluated at repeated occasions up to 1 year. Results. Astigmatism of <3 diopters (D) and ≥5D was obtained in 19 eyes and one eye, respectively, after DLK at 6 months, whereas six eyes of the PKP group had astigmatism <3D, and 12 eyes had ≥5D at the end of 6 months. The same at 1 year was observed in 20 and one eye in the DLK and eight and five eyes of the PKP group. Astigmatism of ≥5D at the end of 6 months in both the groups showed highly significant changes (p < 0.001). Best corrected visual acuity of 6/18 or more was achieved in 18 and 12 eyes at 6 months after DLK and PKP, respectively, which were statistically highly significant (p < 0.001), whereas at 1 year, it was seen in 17 and 15 eyes of the DLK and PKP groups, respectively, which was nonsignificant. The mean endothelial cell count was 2,233.3 ± 64.453 cells/mm2 and 2,219.6 ± 102.48 cells/mm2 at 6 months and 1 year, respectively, after DLK, which was nonsignificant. The mean cell count of the donor eyes used for PKP was 2,191 ± 52.164 cells/mm2, 1,902.8 ± 70.346 cells/mm2 at 6 months, and 1,579.0 ± 80.24 cells/ram2 at 1 year. All the values showed highly significant changes (p < 0.001). Further, the graft clarity of ≥3+ was achieved in 20 and 18 eyes at 6 months postoperatively in the DLK and PKP groups, whereas the same was observed in 19 and 13 eyes of both the groups, respectively, at 1-year follow-up. Conclusion. DLK is a promising procedure and should be practiced more frequently for corneal pathology not involving the endothelium.
AD  - A. Panda, 404, Hawa Singh Block, Asiad Village, New Delhi 110049, India
AU  - Panda, A.
AU  - Bageshwar, L. M. S.
AU  - Ray, M.
AU  - Singh, J. P.
AU  - Kumar, A.
DB  - Embase
Medline
DO  - 10.1097/00003226-199903000-00005
IS  - 2
KW  - adolescent
adult
article
astigmatism
clinical article
cornea dystrophy
cornea opacity
female
foreign body
human
intermethod comparison
leukomalacia
male
penetrating keratoplasty
priority journal
surgical technique
visual acuity
LA  - English
M3  - Article
N1  - L29159259
1999-04-20
PY  - 1999
SN  - 0277-3740
SP  - 172-175
ST  - Deep lamellar keratoplasty versus penetrating keratoplasty for corneal lesions
T2  - Cornea
TI  - Deep lamellar keratoplasty versus penetrating keratoplasty for corneal lesions
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L29159259&from=export
http://dx.doi.org/10.1097/00003226-199903000-00005
VL  - 18
ID  - 656
ER  - 

TY  - JOUR
AB  - Background Reducing granulomatous reaction for stent implantation is important for the treatment of tracheobronchomalacia because formation of granuloma leads to refractory complication causing further respiratory distress. The purpose of this study was to clarify granulomatous reaction of newly innovated coated stents compared to non-coated metal stents. Methods Materials and animal experiments were performed using the newly invented metallic stent (laser-cut stainless steel with a coating of polyurethane). In the materials experiment, the correlation between the holding force and deformity was tested by a compressor. In the animal examination, coated stents were orally implanted into the trachea in five rabbits, while non-coated stents were implanted in another five rabbits. After 3 weeks' observation, the inner diameter was measured by 3-D computed tomography, and the number of granulation tissues was counted by bronchofiberscope. Histological investigation followed in both groups. Results In the materials experiment, new stents demonstrated a holding force similar to stainless steel stents. In the animal experiment, no difference was found in the inner diameter of the coated and non-coated stent groups (5.70 ± 0.17 vs 5.60 ± 0.27, P = 0.07). However, the number of granulation tissues was higher in non-coated stents than in coated stents (1.60 ± 0.55 vs 0.40 ± 0.55, P < 0.01). Histological investigation showed direct attachment of metal to the tracheal wall around the non-coated stents where epithelial structure was destroyed, while tracheal epithelia were preserved in the group of coated stents. Conclusions The new polyurethane-coated metallic stent maintains enough holding force, and reduces histobiological reaction to foreign bodies in this experiment. © 2014 Japan Pediatric Society.
AD  - Department of Intensive Care Unit, Nagano Children's Hospital, 3100 Toyoshina, Azumino City, Nagano, 3998288, Japan
Department of Neonatology, Nagano Children's Hospital, Nagano, Japan
Department of Pathology, Nagano Children's Hospital, Nagano, Japan
Department of Neonatology, Tokyo Women's Medical University Medical Centre East, Tokyo, Japan
AU  - Matsui, H.
AU  - Hiroma, T.
AU  - Hasegawa, H.
AU  - Ogiso, Y.
DB  - Scopus
DO  - 10.1111/ped.12360
IS  - 6
KW  - airway
collapse
granulation tissue
stent implantation
tracheobronchomalacia
M3  - Article
N1  - Cited By :5
Export Date: 10 November 2020
PY  - 2014
SP  - 817-821
ST  - Decreased granulomatous reaction by polyurethane-coated stent in the trachea
T2  - Pediatrics International
TI  - Decreased granulomatous reaction by polyurethane-coated stent in the trachea
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84919382665&doi=10.1111%2fped.12360&partnerID=40&md5=fcac3fc289686877dc1a369be05ce862
VL  - 56
ID  - 1293
ER  - 

TY  - JOUR
AB  - Debridement of contaminated wounds is an essential component of uncomplicated wound healing. Efficient techniques should be capable of removing bacteria as well as foreign matter because of the well-known ability of foreign bodies to potentiate infection. We have compared the ability of current debridement techniques with the relatively new ultrasound debridement to clean wounds contaminated with bacteria and particulate matter. In part I, we prepared dorsal wounds on 15 Sprague-Dawley rats, and 20 mg of Montmorillonite clay soil fraction, a well-known infection-potentiating factor, was placed in each wound. Animals were randomly assigned to one of three treatment groups: ultrasound debridement, soaking, and irrigation. The amount of clay removed from each wound was measured. In part II, 48 Sprague- Dawley rats were given a standard wound and inoculated with a subinfective dose of Staphylococcus aureus bacteria and 10 mg of Montmorillonite clay particles. Each rat was randomly assigned to a debridement technique-soaking, scrubbing, high-pressure irrigation, and ultrasound-and was examined after 7 days for inflammatory responses. Results of part I demonstrated that ultrasound debridement and irrigation remove statistically equal amounts of clay (p < 0.05). In part II, we found that high-pressure irrigation and ultrasound debridement effectively treat contaminated wounds (gross infection, p < 0.05; wound induration, p < 0.0001; bacteria counts, p < 0.002). This study presents ultrasound debridement as effective treatment of contaminated wounds.
AD  - 1140 W La Veta Ave, Orange, CA 92668-4202, United States
AU  - McDonald, W. S.
AU  - Nichter, L. S.
DB  - Scopus
DO  - 10.1097/00000637-199408000-00004
IS  - 2
M3  - Article
N1  - Cited By :30
Export Date: 10 November 2020
PY  - 1994
SP  - 142-147
ST  - Debridement of bacterial and particulate-contaminated wounds
T2  - Annals of Plastic Surgery
TI  - Debridement of bacterial and particulate-contaminated wounds
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0027930672&doi=10.1097%2f00000637-199408000-00004&partnerID=40&md5=2258973af9e1d54f8b1b6fdd97abc8cc
VL  - 33
ID  - 1727
ER  - 

TY  - JOUR
AB  - Debridement is defined as the removal of nonviable material, foreign bodies, and poorly healing tissue from a wound. Although surgeons recognize the importance of debridement, few data have been generated in randomized trials to support its use. Debridement provides for removal of tissue with the highest bacterial count, reliable cultures, and identification of osteomyelitis. The most direct form of debridement is surgical excision. For patients who are poor candidates for surgical debridement or have limited access to a surgeon, other forms of debridement (including mechanical, autolytic, enzymatic, and biologic) can be used. Although operative debridement is best performed by those with surgical training, the other forms of debridement can be accomplished by other allied health care professionals. Debridement remains an important adjunct to good wound care, but questions of what type, how much, and how often it should be performed remain unresolved. © 2004 Excerpta Medica, Inc. All rights reserved.
AD  - Department of Surgery, A1011 UPMC Presbyterian, University of Pittsburgh, 200 Lothrop Street, Pittsburgh, PA 15213, United States
AU  - Steed, D. L.
DB  - Scopus
DO  - 10.1016/S0002-9610(03)00307-6
IS  - 5 SUPPL. 1
M3  - Article
N1  - Cited By :86
Export Date: 10 November 2020
PY  - 2004
SP  - S71-S74
ST  - Debridement
T2  - American Journal of Surgery
TI  - Debridement
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-2442481779&doi=10.1016%2fS0002-9610%2803%2900307-6&partnerID=40&md5=befe3ae6f73d1b4b0134b0deb7f1e996
VL  - 187
ID  - 1632
ER  - 

TY  - JOUR
AB  - Debridement is defined as the removal of nonviable material, foreign bodies, and poorly healing tissue from a wound. Although surgeons recognize the importance of debridement, few data have been generated in randomized trials to support its use. Debridement provides for removal of tissue with the highest bacterial count, reliable cultures, and identification of osteomyelitis. The most direct form of debridement is surgical excision. For patients who are poor candidates for surgical debridement or have limited access to a surgeon, other forms of debridement (including mechanical, autolytic, enzymatic, and biologic) can be used. Although operative debridement is best performed by those with surgical training, the other forms of debridement can be accomplished by other allied health care professionals. Debridement remains an important adjunct to good wound care, but questions of what type, how much, and how often it should be performed remain unresolved. © 2004 Excerpta Medica, Inc. All rights reserved.
AD  - D.L. Steed, Department of Surgery, A1011 UPMC Presbyterian, University of Pittsburgh, 200 Lothrop Street, Pittsburgh, PA 15213, United States
AU  - Steed, D. L.
C2  - Ortho McNeil(United States)
DB  - Embase
Medline
DO  - 10.1016/S0002-9610(03)00307-6
IS  - 5 SUPPL. 1
KW  - anesthetic agent
antibiotic agent
becaplermin
collagenase
corticosteroid
enzyme
fibrin
growth factor
hemostatic agent
oxidized cellulose
papain
platelet derived growth factor
sodium chloride
thrombin
transforming growth factor beta
urea
autolysis
bacterial count
bacterium culture
biology
bleeding
cauterization
debridement
excision
foreign body
health care cost
health care personnel
human
osteomyelitis
pain
priority journal
review
surgeon
surgical training
tissue necrosis
wound care
wound dressing
wound healing
LA  - English
M3  - Review
N1  - L38625991
2004-06-27
PY  - 2004
SN  - 0002-9610
SP  - 71S-74S
ST  - Debridement
T2  - American Journal of Surgery
TI  - Debridement
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L38625991&from=export
http://dx.doi.org/10.1016/S0002-9610(03)00307-6
VL  - 187
ID  - 636
ER  - 

TY  - JOUR
AB  - Background: Marking of surgical instruments is essential to ensure their proper identification after sterile processing. The National Quality Forum defines unintentionally retained foreign objects in a surgical patient as a serious reportable event also called "never event.". Presentation of the hypothesis: We hypothesize that established practices of surgical instrument identification using unkempt tape labels and plastic tags may expose patients to "never events" from retained disintegrating labels.Testing of the hypothesis: We demonstrate the near miss of a "never event" during a surgical case in which the breakage of an instrument label remained initially unwitnessed. A fragment of the plastic label was accidentally found in the wound upon closing. Further clinical testing of the occurrence of this "never event" appears not feasible. As the name implies a patient should never be exposed to the risk of fragmenting labels.Implication of the hypothesis: Current practice does not mandate verifying intact instrument markers as part of the instrument count. The clinical confirmation of our hypothesis mandates a change in perioperative practice: Mechanical labels need to undergo routine inspection and maintenance. The perioperative count must not only verify the quantity of surgical instruments but also the intactness of labels to ensure that no part of an instrument is left behind. Proactive maintenance of taped and dipped labels should be performed routinely. The implementation of newer labeling technologies - such as laser engraved codes - appears to eliminate risks seen in traditional mechanical labels.This article reviews current instrument marking technologies, highlights shortcomings and recommends safe instrument handling and marking practices implementing newer available technologies. © 2013 Ipaktchi et al.; licensee BioMed Central Ltd.
AD  - Department of Orthopaedic Surgery, Denver Health Medical Center, 777 Bannock Street, Denver, CO 80204, United States
Department of Medicine, Infectious Diseases, Denver Health Medical Center, 777 Bannock Street, Denver, CO 80204, United States
University of Colorado School of Medicine, Anschutz Campus, Aurora, CO 80045, United States
AU  - Ipaktchi, K.
AU  - Kolnik, A.
AU  - Messina, M.
AU  - Banegas, R.
AU  - Livermore, M.
AU  - Price, C.
C7  - 31
DB  - Scopus
DO  - 10.1186/1754-9493-7-31
IS  - 1
KW  - "Never event"
Instrument identification
Surgical instrument marking
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2013
ST  - Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: A hypothesis
T2  - Patient Safety in Surgery
TI  - Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: A hypothesis
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84884687030&doi=10.1186%2f1754-9493-7-31&partnerID=40&md5=46e527208329327bcca083e79a70134c
VL  - 7
ID  - 1309
ER  - 

TY  - JOUR
AB  - Background: Marking of surgical instruments is essential to ensure their proper identification after sterile processing. The National Quality Forum defines unintentionally retained foreign objects in a surgical patient as a serious reportable event also called "never event.". Presentation of the hypothesis: We hypothesize that established practices of surgical instrument identification using unkempt tape labels and plastic tags may expose patients to "never events" from retained disintegrating labels.Testing of the hypothesis: We demonstrate the near miss of a "never event" during a surgical case in which the breakage of an instrument label remained initially unwitnessed. A fragment of the plastic label was accidentally found in the wound upon closing. Further clinical testing of the occurrence of this "never event" appears not feasible. As the name implies a patient should never be exposed to the risk of fragmenting labels.Implication of the hypothesis: Current practice does not mandate verifying intact instrument markers as part of the instrument count. The clinical confirmation of our hypothesis mandates a change in perioperative practice: Mechanical labels need to undergo routine inspection and maintenance. The perioperative count must not only verify the quantity of surgical instruments but also the intactness of labels to ensure that no part of an instrument is left behind. Proactive maintenance of taped and dipped labels should be performed routinely. The implementation of newer labeling technologies - such as laser engraved codes - appears to eliminate risks seen in traditional mechanical labels.This article reviews current instrument marking technologies, highlights shortcomings and recommends safe instrument handling and marking practices implementing newer available technologies. © 2013 Ipaktchi et al.; licensee BioMed Central Ltd.
AD  - K. Ipaktchi, Department of Orthopaedic Surgery, Denver Health Medical Center, 777 Bannock Street, Denver, CO 80204, United States
AU  - Ipaktchi, K.
AU  - Kolnik, A.
AU  - Messina, M.
AU  - Banegas, R.
AU  - Livermore, M.
AU  - Price, C.
DB  - Embase
DO  - 10.1186/1754-9493-7-31
IS  - 1
KW  - article
clinical practice
human
hypothesis
materials handling
patient safety
perioperative period
quantitative analysis
retained instrument
risk assessment
risk reduction
surgical equipment
surgical equipment labeling
wound closure
LA  - English
M3  - Article
N1  - L52798757
2013-10-07
2013-10-23
PY  - 2013
SN  - 1754-9493
ST  - Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: A hypothesis
T2  - Patient Safety in Surgery
TI  - Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: A hypothesis
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L52798757&from=export
http://dx.doi.org/10.1186/1754-9493-7-31
http://www.pssjournal.com/content/7/1/31
VL  - 7
ID  - 476
ER  - 

TY  - JOUR
AB  - Significant changes have taken place in the epidemiology, microbiology and antibiotic therapy of bone and joint infections. Gram-negative bacilli have become an increasingly common cause, particularly in immunocompromised patients; anaerobes have been implicated in osteomyelitis associated with metallic foreign bodies; and there is increasing use of oral antibiotic regimens following an initial period of parenteral treatment. Gram-negative bacilli and anaerobes are found in polymicrobial non-haematogenous osteomyelitis (e.g. post-traumatic, post-surgical), but Staphylococcus aureus remains the most common cause of acute haematogenous osteomyelitis, with streptococci and Haemophilus influenzae responsible for most of the remainder. A precise microbiological diagnosis is essential. Diagnosis is based on Gram stain and culture of bone biopsies or aspirated pus, or on blood cultures. Specimens should be obtained before starting therapy. Any suspected primary foci of infection should be cultured. Parenteral antibiotics are given as soon as specimens are obtained, and continued for at least 3 weeks. The common causative organisms in septic arthritis are the same as in osteomyelitis, with the addition of Neisseria gonorrhoeae in young, sexually active adults. As in osteomyelitis, a precise microbiological diagnosis is of paramount importance, ideally by joint aspiration for cell count, Gram stain, biochemical analysis and culture, or by blood cultures. Optimum therapy is with antibiotics, repeated therapeutic aspirations, and resting the joint. Parenteral antibiotics should be started as soon as specimens are obtained and continued for 4 to 6 weeks. Gonococcal arthritis, however, can be treated successfully with 1 week of antibiotics. When treatment of either osteomyelitis or septic arthritis is continued with oral antibiotics, serum antibiotic concentrations or serum bactericidal levels are mandatory to ensure adequate absorption. © 1986, ADIS Press Limited. All rights reserved.
AD  - Department of Clinical Microbiology, Middlemore Hospital, Otahuhu, Auckland, New Zealand
AU  - Dickie, A. S.
DB  - Scopus
DO  - 10.2165/00003495-198632050-00004
IS  - 5
M3  - Article
N1  - Cited By :27
Export Date: 10 November 2020
PY  - 1986
SP  - 458-475
ST  - Current Concepts in the Management of Infections in Bones and Joints
T2  - Drugs
TI  - Current Concepts in the Management of Infections in Bones and Joints
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0023008498&doi=10.2165%2f00003495-198632050-00004&partnerID=40&md5=3c6e8c3f5c74dc0412ba20fe161c0ab8
VL  - 32
ID  - 1750
ER  - 

TY  - JOUR
AB  - Significant changes have taken place in the epidemiology, microbiology and antibiotic therapy of bone and joint infections. Gram-negative bacilli have become an increasingly common cause, particularly in immunocompromised patients; anaerobes have been implicated in osteomyelitis with metallic foreign bodies; and there is increasing use of oral antibiotic regimens following an initial period of parenteral treatment. Gram-negative bacilli and anaerobes are found in polymicrobial non-haematogenous osteomyelitis (e.g. post-traumatic, post-surgical), but Staphylococcus aureus remains the most common cause of acute haematogenous osteomyelitis, with streptococci and Haemophilus influenzae responsible for most of the remainder. A precise microbiological diagnosis is essential. Diagnosis is based on Gram stain and culture of bone biopsies or aspirated pus, or on blood cultures. Specimens should be obtained before starting therapy. Any suspected primary foci of infection should be cultured. Parenteral antibiotics are given as soon as specimens are obtained, and continued for at least 3 weeks. The common causative organisms in septic arthritis are the same as in osteomyelitis, with the addition of Neisseria gonorrhoeae in young, sexually active adults. As in osteomyelitis, a precise microbiological diagnosis is of paramount importance, ideally by joint aspiration for cell count, Gram stain, biochemical analysis and culture, or by blood cultures. Optimum therapy is with antibiotics, repeated therapeutic aspirations, and resting the joint. Parenteral antibiotics should be started as soon as specimens are obtained and continued for 4 to 6 weeks. Gonococcal arthritis, however, can be treated successfully with 1 week of antibiotics. When treatment of either osteomyelitis or septic arthritis is continued with oral antibiotics, serum antibiotic concentrations or serum bactericidal levels are mandatory to ensure adequate absorption.
AD  - Department of Clinical Microbiology, Middlemore Hospital, Auckland 6
AU  - Dickie, A. S.
DB  - Embase
Medline
IS  - 5
KW  - ampicillin
antibiotic agent
cefalotin
cefazolin
cefotaxime
cefoxitin
ceftriaxone
cefuroxime
chloramphenicol
clindamycin
cloxacillin
doxycycline
erythromycin
flucloxacillin
fusidic acid
metronidazole
penicillin G
piperacillin
rifampicin
ticarcillin
vancomycin
arthritis
bone
bone infection
clinical article
diagnosis
drug blood level
drug dose
drug efficacy
drug indication
drug therapy
Gram negative bacterium
human
intravenous drug administration
joint
oral drug administration
osteomyelitis
priority journal
survey
therapy
LA  - English
M3  - Article
N1  - L17174377
1987-01-14
PY  - 1986
SN  - 0012-6667
SP  - 458-475
ST  - Current concepts in the management of infections in bones and joints
T2  - Drugs
TI  - Current concepts in the management of infections in bones and joints
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L17174377&from=export
VL  - 32
ID  - 674
ER  - 

TY  - JOUR
DB  - Scopus
IS  - 3
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2010
SP  - 1
ST  - Courts rejected RIL: did nurses botch sponge count? Baxter v. Ash Samaritan Hospital, LLC, 2008-CA-000541-MR KYCA (1/15/2010)-KY
T2  - Nursing law's Regan report
TI  - Courts rejected RIL: did nurses botch sponge count? Baxter v. Ash Samaritan Hospital, LLC, 2008-CA-000541-MR KYCA (1/15/2010)-KY
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-79952108218&partnerID=40&md5=d1850dadece543a65979d5a966658329
VL  - 51
ID  - 1453
ER  - 

TY  - JOUR
DB  - Medline
IS  - 3
KW  - appendectomy
article
cesarean section
female
foreign body reaction
homicide
human
legal aspect
malpractice
newborn
operating room personnel
pregnancy
premature labor
surgical sponge
United States
LA  - English
M3  - Article
N1  - L360241432
2011-03-07
PY  - 2010
SN  - 1528-848X
SP  - 1
ST  - Courts rejected RIL: did nurses botch sponge count? Baxter v. Ash Samaritan Hospital, LLC, 2008-CA-000541-MR KYCA (1/15/2010)-KY
T2  - Nursing law's Regan report
TI  - Courts rejected RIL: did nurses botch sponge count? Baxter v. Ash Samaritan Hospital, LLC, 2008-CA-000541-MR KYCA (1/15/2010)-KY
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L360241432&from=export
VL  - 51
ID  - 561
ER  - 

TY  - JOUR
AB  - The article discusses a court case wherein the trial court denied the plaintiff's motion for summary judgment, which the plaintiff brought under the doctrine of Res Ipsa Loquitor (RIL). In the case of Baxter v. Ash Samaritan Hospital LLC, the plaintiff Secily Baxter sued the hospital nurses and the doctor who performed her caesarian section delivery, when it was found that a surgical sponge was left inside her body. She alleged that the surgical sponge caused her injuries that ultimately resulted in the death of her baby.
AN  - 54551204. Language: English. Entry Date: 20101025. Revision Date: 20101111. Publication Type: Article
AU  - Tammelleo, A. David
DB  - ccm
DP  - EBSCOhost
IS  - 3
KW  - Surgical Sponges
Childbirth, Premature
Infant Mortality
Courts -- Legislation and Jurisprudence -- Kentucky
Malpractice -- Legislation and Jurisprudence -- Kentucky
Surgical Count Procedure
Childbirth
Appendectomy
Jury
Nursing Role
Female
Pregnancy
Kentucky
N1  - legal case. Journal Subset: Blind Peer Reviewed; Core Nursing; Editorial Board Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. Legal Case: Baxter v. Ash Samaritan Hospital, LLC, 2008-CA-000541-MR KYCA [2010 KY]. NLM UID: 100936959.
PY  - 2010
SN  - 1528-848X
SP  - 1-1
ST  - Courts Rejected RIL: Did Nurses Botch Sponge Count?
T2  - Nursing Law's Regan Report
TI  - Courts Rejected RIL: Did Nurses Botch Sponge Count?
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=54551204&site=ehost-live&scope=site
VL  - 51
ID  - 934
ER  - 

TY  - JOUR
AB  - Background: Retained surgical items (RSIs), such as a sponge, instrument, or needle, after a surgery or invasive procedure is an uncommon but potentially serious event associated with significant morbidity and mortality. A 27-yearold woman was discovered to have a retained vaginal sponge a week after she underwent the repair of a vaginal tear following normal vaginal delivery. The retained sponge was removed with no further complications. Root Cause Analysis: The fundamental error involved the obstetric team's failure to perform the standard protocol of counting sponges before, as well as after, the procedure. This was attributed to a lack of reminders to perform the count, relatively recent implementation of the sponge-count policy, and a breakdown in teamwork and communication between physicians and nurses. Corrective Actions: The corrective actions focused on systems improvement, as opposed to the human error of the memory lapse. The sponge-counting process was reinforced by incorporating a sign-out at the end of obstetric procedures to ensure that the counts have been done and any discrepancies addressed. A specialized delivery note with mandatory field to document sponge count was implemented in the electronic health record as an additional reminder. All staff participated in a teamwork and com munication training program. Tracking Compliance: Since the incident's occurrence in 2010, the staff has demonstrated 100% compliance with the corrective actions, and a retained surgical item complication has not recurred. Conclusion: Individual accountability must be balanced with systems improvement, given that most medical errors are a result of fallible humans working in chaotic, unpredictable, and complex clinical environment.
AD  - Kings County Hospital Center, State University of New York, Downstate College of Medicine, Brooklyn, NY, United States
AU  - Agrawal, A.
DB  - Scopus
DO  - 10.1016/s1553-7250(12)38074-4
IS  - 12
M3  - Article
N1  - Cited By :12
Export Date: 10 November 2020
PY  - 2012
SP  - 566-574
ST  - Counting matters: Lessons from the root cause analysis of a retained surgical item
T2  - Joint Commission Journal on Quality and Patient Safety
TI  - Counting matters: Lessons from the root cause analysis of a retained surgical item
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84869143022&doi=10.1016%2fs1553-7250%2812%2938074-4&partnerID=40&md5=71e6e1d6caf8bb27011b662a04a06869
VL  - 38
ID  - 1389
ER  - 

TY  - JOUR
AB  - Background: Retained surgical items (RSIs), such as a sponge, instrument, or needle, after a surgery or invasive procedure is an uncommon but potentially serious event associated with significant morbidity and mortality. A 27-year-old woman was discovered to have a retained vaginal sponge a week after she underwent the repair of a vaginal tear following normal vaginal delivery. The retained sponge was removed with no further complications. Root Cause Analysis: The fundamental error involved the obstetric team's failure to perform the standard protocol of counting sponges before, as well as after, the procedure. This was attributed to a lack of reminders to perform the count, relatively recent implementation of the sponge-count policy, and a breakdown in teamwork and communication between physicians and nurses. Corrective Actions: The corrective actions focused on systems improvement, as opposed to the human error of the memory lapse. The sponge-counting process was reinforced by incorporating a sign-out at the end of obstetric procedures to ensure that the counts have been done and any discrepancies addressed. A specialized delivery note with mandatory field to document sponge count was implemented in the electronic health record as an additional reminder. All staff participated in a teamwork and com munication training program. Tracking Compliance: Since the incident's occurrence in 2010, the staff has demonstrated 100% compliance with the corrective actions, and a retained surgical item complication has not recurred. Conclusion: Individual accountability must be balanced with systems improvement, given that most medical errors are a result of fallible humans working in chaotic, unpredictable, and complex clinical environment.
AN  - 108078889. Language: English. Entry Date: 20130125. Revision Date: 20200706. Publication Type: Journal Article
AU  - Agrawal, Abha
DB  - ccm
DO  - 10.1016/s1553-7250(12)38074-4
DP  - EBSCOhost
IS  - 12
KW  - Retained Instruments
Root Cause Analysis
Accountability
Adult
Audit
Bar Coding
Communication
Electronic Health Records
Documentation
Female
Hospital Policies
Operating Room Personnel
Pregnancy
Professional Compliance
Retained Instruments -- Prevention and Control
Risk Management
Staff Development
Surgical Count Procedure
Surgical Sponges
Teamwork
Vagina -- Surgery
Vaginal Birth -- Adverse Effects
N1  - algorithm; case study; forms; tables/charts. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; USA. Special Interest: Obstetric Care; Patient Safety; Perioperative Care; Quality Assurance; Women's Health. NLM UID: 101238023.
PMID: NLM23240265.
PY  - 2012
SN  - 1553-7250
SP  - 566-573
ST  - Counting Matters: Lessons from the Root Cause Analysis of a Retained Surgical Item
T2  - Joint Commission Journal on Quality & Patient Safety
TI  - Counting Matters: Lessons from the Root Cause Analysis of a Retained Surgical Item
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=108078889&site=ehost-live&scope=site
VL  - 38
ID  - 795
ER  - 

TY  - JOUR
AB  - BACKGROUND: Retained surgical items (RSIs), such as a sponge, instrument, or needle, after a surgery or invasive procedure is an uncommon but potentially serious event associated with significant morbidity and mortality. A 27-year-old woman was discovered to have a retained vaginal sponge a week after she underwent the repair of a vaginal tear following normal vaginal delivery. The retained sponge was removed with no further complications. ROOT CAUSE ANALYSIS: The fundamental error involved the obstetric team's failure to perform the standard protocol of counting sponges before, as well as after, the procedure. This was attributed to a lack of reminders to perform the count, relatively recent implementation of the sponge-count policy, and a breakdown in teamwork and communication between physicians and nurses. CORRECTIVE ACTIONS: The corrective actions focused on systems improvement, as opposed to the human error of the memory lapse. The sponge-counting process was reinforced by incorporating a sign-out at the end of obstetric procedures to ensure that the counts have been done and any discrepancies addressed. A specialized delivery note with mandatory field to document sponge count was implemented in the electronic health record as an additional reminder. All staff participated in a teamwork and communication training program. TRACKING COMPLIANCE: Since the incident's occurrence in 2010, the staff has demonstrated 100% compliance with the corrective actions, and a retained surgical item complication has not recurred. CONCLUSION: Individual accountability must be balanced with systems improvement, given that most medical errors are a result of fallible humans working in chaotic, unpredictable, and complex clinical environment.
AD  - A. Agrawal, Kings County Hospital Center, USA.
AU  - Agrawal, A.
DB  - Medline
IS  - 12
KW  - adult
article
case report
obstetric delivery
female
foreign body
human
medical error
root cause analysis
surgical sponge
tertiary health care
LA  - English
M3  - Article
N1  - L366379590
2013-02-11
PY  - 2012
SN  - 1553-7250
SP  - 566-574
ST  - Counting matters: lessons from the root cause analysis of a retained surgical item
T2  - Joint Commission journal on quality and patient safety / Joint Commission Resources
TI  - Counting matters: lessons from the root cause analysis of a retained surgical item
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L366379590&from=export
VL  - 38
ID  - 498
ER  - 

TY  - JOUR
AD  - Dartmouth-Hitchcock Medical Center, Lebanon, NH, United States
AU  - Beyea, S. C.
DB  - Scopus
DO  - 10.1016/S0001-2092(06)60778-3
IS  - 2
M3  - Article
N1  - Cited By :21
Export Date: 10 November 2020
PY  - 2003
SP  - 290, 293-294
ST  - Counting instruments and sponges
T2  - AORN journal
TI  - Counting instruments and sponges
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0642304835&doi=10.1016%2fS0001-2092%2806%2960778-3&partnerID=40&md5=ca2c69b6ddec03a0d70af794e8243482
VL  - 78
ID  - 1648
ER  - 

TY  - JOUR
AD  - Franciscan Health Group, Tacoma, Wash, United States
AU  - Watson, D. S.
DB  - Scopus
DO  - 10.1016/S0001-2092(06)60494-8
IS  - 2
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2006
SP  - 273-275
ST  - Counting for patient safety
T2  - AORN Journal
TI  - Counting for patient safety
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-33750522435&doi=10.1016%2fS0001-2092%2806%2960494-8&partnerID=40&md5=18c9fe84e567aad2e2847f0d48610268
VL  - 84
ID  - 1579
ER  - 

TY  - JOUR
AB  - Patients in whom a sponge or instruments is left after surgery may suffer complications including pain, infection, abscess, or intestinal obstruction. Consequences or retained items for surgical team members may include malpractice lawsuits and adverse actions from the National Practitioner Data Bank and state licensing board. Adherence to AORN recommended practices for counting and facility counting policies can protect both patients and practitioners.
AD  - Circulating nurse, Harry S. Truman Medical Center, Columbia, MO
AN  - 105887322. Language: English. Entry Date: 20080418. Revision Date: 20200708. Publication Type: Journal Article
AU  - Jackson, S.
AU  - Brady, S.
DB  - ccm
DO  - 10.1016/j.aorn.2007.07.023
DP  - EBSCOhost
IS  - 2
KW  - Needles
Retained Instruments
Surgical Count Procedure
Surgical Sponges
AORN -- Standards
Coronary Artery Bypass
Education, Continuing (Credit)
Hospital Policies
Liability, Legal
Male
Perioperative Nursing
Radiography, Thoracic
Retained Instruments -- Diagnosis
Retained Instruments -- Epidemiology
Retained Instruments -- Etiology
Retained Instruments -- Symptoms
United States
N1  - case study; CEU; pictorial; statistics; tables/charts. Note: For CE see pages 329-32. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0372403.
PMID: NLM18323022.
PY  - 2008
SN  - 0001-2092
SP  - 315-321
ST  - Counting difficulties: retained instruments, sponges, and needles
T2  - AORN Journal
TI  - Counting difficulties: retained instruments, sponges, and needles
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105887322&site=ehost-live&scope=site
VL  - 87
ID  - 765
ER  - 

TY  - JOUR
AB  - Patients in whom a sponge or instruments is left after surgery may suffer complications including pain, infection, abscess, or intestinal obstruction. Consequences or retained items for surgical team members may include malpractice lawsuits and adverse actions from the National Practitioner Data Bank and state licensing board. Adherence to AORN recommended practices for counting and facility counting policies can protect both patients and practitioners.
AD  - S. Jackson, Harry S. Truman Medical Center, Comlumbia, MO, USA.
AU  - Jackson, S.
AU  - Brady, S.
DB  - Medline
DO  - 10.1016/j.aorn.2007.07.023
IS  - 2
KW  - case report
foreign body
health care facility
human
legal aspect
medical error
organization and management
patient care
review
surgical equipment
surgical sponge
United States
LA  - English
M3  - Review
N1  - L352122050
2008-08-14
PY  - 2008
SN  - 0001-2092
SP  - 315-321
ST  - Counting difficulties: retained instruments, sponges, and needles
T2  - AORN journal
TI  - Counting difficulties: retained instruments, sponges, and needles
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L352122050&from=export
http://dx.doi.org/10.1016/j.aorn.2007.07.023
VL  - 87
ID  - 604
ER  - 

TY  - JOUR
AD  - T.A. Mattei, Department of Neurosurgery, University of Illinois, College of Medicine at Peoria, Illinois Neurological Institute, Peoria, IL, United States
AU  - Mattei, T. A.
AU  - Goulart, C. R.
DB  - Embase
Medline
DO  - 10.1016/j.wneu.2012.12.023
IS  - 1-2
KW  - clinical practice
clip
computer assisted tomography
diffusion weighted imaging
fever
foreign body
headache
health care policy
health care quality
human
letter
medical society
nausea
neurosurgery
nuclear magnetic resonance imaging
patient safety
posterior lumbar spinal surgery
postoperative complication
postoperative period
public health
retained instrument
soft tissue swelling
spine surgery
surgical drainage
surgical equipment
surgical error
surgical mortality
surgical sponge
swelling
LA  - English
M3  - Letter
N1  - L607386032
2015-12-30
2016-01-05
PY  - 2014
SN  - 1878-8769
1878-8750
SP  - e378-e384
ST  - "count on Me!": Urgent Public Health and Safety Policies to Avoid Complications Associated with Foreign Body Retention in Neurosurgical Procedures, with Special Attention to "miscellaneous Small Items"
T2  - World Neurosurgery
TI  - "count on Me!": Urgent Public Health and Safety Policies to Avoid Complications Associated with Foreign Body Retention in Neurosurgical Procedures, with Special Attention to "miscellaneous Small Items"
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L607386032&from=export
http://dx.doi.org/10.1016/j.wneu.2012.12.023
VL  - 82
ID  - 465
ER  - 

TY  - JOUR
AB  - Background: Emergency surgery increases the risk of a retained surgical sponge (RSS) by 9-fold. In most cases, surgical counts are falsely reported as correct. We hypothesized that the institutional costs resulting from a RSS would make routine intraoperative radiography (IOR) more cost-effective than surgical counts in preventing RSS after emergent open cavity cases. Methods: A cost-effectiveness analysis was performed to compare routine IOR with surgical counts after emergent open cavity operations. Parameter estimates were obtained from the literature, expert opinion via a standardized survey, and existing institutional data. Results: Routine IOR was the preferred strategy ($705 vs $1155 per patient) under the assumptions of the base case. The surgical count strategy was dominated by the institutional costs incurred after a RSS. Routine IOR was preferential as long as the sensitivity of surgical counts was less than 98% and the legal fees were more than $44,000 per case of RSS. Conclusions: Routine IOR is a simple, cost-effective option to reduce the occurrence of this preventable medical error. Institutional costs and legal fees associated with RSS dominate the cost of the surgical count strategy, making routine IOR a more cost-effective strategy than surgical counts given the best available parameter estimates. © 2008 Mosby, Inc. All rights reserved.
AD  - Department of Surgery, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tenn, United States
Department of Medicine, Center for Health Services Research, Vanderbilt University Medical Center, Nashville, Tenn, United States
Department of Biostatistics, Vanderbilt University Medical Center, Nashville, Tenn, United States
Department of Surgery, Tennessee Valley VA Medical Center, Nashville, Tenn, United States
VA Tennessee Valley Geriatric Research, Education and Clinical Center (GRECC), Tennessee Valley VA Medical Center, Nashville, Tenn, United States
HSR, D Targeted Research Enhancement Program (TREP) Center for Patient Healthcare Behavior, Tennessee Valley VA Medical Center, Nashville, Tenn, United States
AU  - Dossett, L. A.
AU  - Dittus, R. S.
AU  - Speroff, T.
AU  - May, A. K.
AU  - Cotton, B. A.
DB  - Scopus
DO  - 10.1016/j.surg.2008.03.012
IS  - 2
M3  - Article
N1  - Cited By :25
Export Date: 10 November 2020
PY  - 2008
SP  - 317-321
ST  - Cost-effectiveness of routine radiographs after emergent open cavity operations
T2  - Surgery
TI  - Cost-effectiveness of routine radiographs after emergent open cavity operations
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-47549104716&doi=10.1016%2fj.surg.2008.03.012&partnerID=40&md5=5413b44b2d4b816efd6d05251a7a6a47
VL  - 144
ID  - 1520
ER  - 

TY  - JOUR
AB  - Background: Emergency surgery increases the risk of a retained surgical sponge (RSS) by 9-fold. In most cases, surgical counts are falsely reported as correct. We hypothesized that the institutional costs resulting from a RSS would make routine intraoperative radiography (IOR) more cost-effective than surgical counts in preventing RSS after emergent open cavity cases. Methods: A cost-effectiveness analysis was performed to compare routine IOR with surgical counts after emergent open cavity operations. Parameter estimates were obtained from the literature, expert opinion via a standardized survey, and existing institutional data. Results: Routine IOR was the preferred strategy ($705 vs $1155 per patient) under the assumptions of the base case. The surgical count strategy was dominated by the institutional costs incurred after a RSS. Routine IOR was preferential as long as the sensitivity of surgical counts was less than 98% and the legal fees were more than $44,000 per case of RSS. Conclusions: Routine IOR is a simple, cost-effective option to reduce the occurrence of this preventable medical error. Institutional costs and legal fees associated with RSS dominate the cost of the surgical count strategy, making routine IOR a more cost-effective strategy than surgical counts given the best available parameter estimates. © 2008 Mosby, Inc. All rights reserved.
AD  - L.A. Dossett, Department of Surgery, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center, Nashville, Tenn, United States
AU  - Dossett, L. A.
AU  - Dittus, R. S.
AU  - Speroff, T.
AU  - May, A. K.
AU  - Cotton, B. A.
DB  - Embase
Medline
DO  - 10.1016/j.surg.2008.03.012
IS  - 2
KW  - article
cost effectiveness analysis
emergency surgery
health care cost
priority journal
radiography
retained instrument
surgical approach
surgical error
surgical sponge
LA  - English
M3  - Article
N1  - L50166932
2008-09-02
PY  - 2008
SN  - 0039-6060
SP  - 317-321
ST  - Cost-effectiveness of routine radiographs after emergent open cavity operations
T2  - Surgery
TI  - Cost-effectiveness of routine radiographs after emergent open cavity operations
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L50166932&from=export
http://dx.doi.org/10.1016/j.surg.2008.03.012
VL  - 144
ID  - 594
ER  - 

TY  - JOUR
AB  - BACKGROUND: Integra, a dermal replacement template consisting of bovine collagen, chondroitin-6-sulfate, and a silastic sheet is a postexcisional treatment for deep partial to full thickness burns where autograft is limited. This study correlates Integra histology and quantitative microbiology cultures with clinical outcomes after autografting. METHODS: Charts of 29 burn patients who underwent Integra treatment and neodermis biopsy at the time of ultra thin autografting were reviewed. We analyzed microbial contamination, inflammatory reaction, and autograft take. RESULTS: The mean burn size and age were 43% total body surface area and 39 years old, respectively. In quantitative neodermis cultures, 90% of samples had bacterial growth; nine samples (31%) had >10 colony forming units per gram. The most common organism was Staphylococcus aureus (31%). Patients with quantitative bacterial counts >10 CFU/g received targeted systemic antibiotics. Integra take (83%) and autograft take (92%) were acceptable even in patients with high bacterial counts (78% Integra take; 86% autograft take). More than 50% of biopsies had dermal regeneration similar to normal dermis; foreign body reactions were unusual. Histologic evidence of inflammation, especially polymorphonuclear cells, was increased in biopsies with high bacterial counts. CONCLUSION: Integra and autograft take can be acceptable even with high bacterial counts if wounds are treated with appropriate targeted topical and systemic antibiotics in the presence of microbial contamination. Neodermis biopsies showed fibrous in-growth congruent with existing Integra fibers with minimal foreign body reaction. These data support Integra use as a safe and effective treatment modality in patients with major burns. © 2006 Lippincott Williams & Wilkins, Inc.
AD  - University of Washington Burn Center, University of Washington, Seattle, WA, United States
Department of Surgery, University of Washington, Seattle, WA, United States
Division of Plastic Surgery, University of Washington, Seattle, WA, United States
Department of Pathology, University of Washington, Seattle, WA, United States
University of Washington, Department of Surgery, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, United States
AU  - Muangman, P.
AU  - Deubner, H.
AU  - Honari, S.
AU  - Heimbach, D. M.
AU  - Engrav, L. H.
AU  - Klein, M. B.
AU  - Gibran, N. S.
DB  - Scopus
DO  - 10.1097/01.ta.0000195982.71400.84
IS  - 5
M3  - Article
N1  - Cited By :36
Export Date: 10 November 2020
PY  - 2006
SP  - 1212-1217
ST  - Correlation of clinical outcome of integra application with microbiologic and pathological biopsies
T2  - Journal of Trauma - Injury, Infection and Critical Care
TI  - Correlation of clinical outcome of integra application with microbiologic and pathological biopsies
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-33750953859&doi=10.1097%2f01.ta.0000195982.71400.84&partnerID=40&md5=ed9782e2e7fb02ab4b3cd30344bafa96
VL  - 61
ID  - 1575
ER  - 

TY  - JOUR
AB  - BACKGROUND: Integra, a dermal replacement template consisting of bovine collagen, chondroitin-6-sulfate, and a silastic sheet is a postexcisional treatment for deep partial to full thickness burns where autograft is limited. This study correlates Integra histology and quantitative microbiology cultures with clinical outcomes after autografting. METHODS: Charts of 29 burn patients who underwent Integra treatment and neodermis biopsy at the time of ultra thin autografting were reviewed. We analyzed microbial contamination, inflammatory reaction, and autograft take. RESULTS: The mean burn size and age were 43% total body surface area and 39 years old, respectively. In quantitative neodermis cultures, 90% of samples had bacterial growth; nine samples (31%) had >10 colony forming units per gram. The most common organism was Staphylococcus aureus (31%). Patients with quantitative bacterial counts >10 CFU/g received targeted systemic antibiotics. Integra take (83%) and autograft take (92%) were acceptable even in patients with high bacterial counts (78% Integra take; 86% autograft take). More than 50% of biopsies had dermal regeneration similar to normal dermis; foreign body reactions were unusual. Histologic evidence of inflammation, especially polymorphonuclear cells, was increased in biopsies with high bacterial counts. CONCLUSION: Integra and autograft take can be acceptable even with high bacterial counts if wounds are treated with appropriate targeted topical and systemic antibiotics in the presence of microbial contamination. Neodermis biopsies showed fibrous in-growth congruent with existing Integra fibers with minimal foreign body reaction. These data support Integra use as a safe and effective treatment modality in patients with major burns. © 2006 Lippincott Williams & Wilkins, Inc.
AD  - N.S. Gibran, University of Washington, Department of Surgery, Harborview Medical Center, 325 Ninth Avenue, Seattle, WA 98104, United States
AU  - Muangman, P.
AU  - Deubner, H.
AU  - Honari, S.
AU  - Heimbach, D. M.
AU  - Engrav, L. H.
AU  - Klein, M. B.
AU  - Gibran, N. S.
DB  - Embase
Medline
DO  - 10.1097/01.ta.0000195982.71400.84
IS  - 5
KW  - antibiotic agent
animal cell
article
artificial skin
bacterial count
bacterial growth
bacterial infection
bacterium culture
body surface
burn
colony forming unit
controlled study
foreign body reaction
histology
human
human tissue
inflammation
microbial contamination
nonhuman
polymorphonuclear cell
postoperative care
postoperative infection
priority journal
skin autograft
skin biopsy
LA  - English
M3  - Article
N1  - L44737032
2006-11-30
PY  - 2006
SN  - 0022-5282
1529-8809
SP  - 1212-1217
ST  - Correlation of clinical outcome of integra application with microbiologic and pathological biopsies
T2  - Journal of Trauma - Injury, Infection and Critical Care
TI  - Correlation of clinical outcome of integra application with microbiologic and pathological biopsies
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L44737032&from=export
http://dx.doi.org/10.1097/01.ta.0000195982.71400.84
VL  - 61
ID  - 617
ER  - 

TY  - JOUR
AB  - Cochlear implantation is an effective, established procedure for patients with profound deafness. Although implant electrodes have been considered as biocompatible prostheses, surgical insertion of the electrode induces various changes within the cochlea. Immediate changes include insertional trauma to the cochlea. Delayed changes include a tissue response consisting of inflammation, fibrosis and neo-osteogenesis induced by trauma and an immunologic reaction to a foreign body. The goal of this study was to evaluate the effect of these delayed changes on the word recognition scores achieved post-operatively. Seventeen temporal bones from patients who in life had undergone cochlear implantation were prepared for light microscopy. We digitally calculated the volume of fibrous tissue and new bone within the cochlea using Amira® three-dimensional reconstruction software and assessed the correlations of various clinical and histologic factors. The postoperative CNC word score was positively correlated with total spiral ganglion cell count. Fibrous tissue and new bone were found within the cochlea of all seventeen specimens. The postoperative CNC word score was negatively correlated with the % volume of new bone within the scala tympani, scala media/vestibuli and the cochlea, but not with the % volume of fibrous tissue. The % volume of new bone in the scala media/vestibuli was positively correlated with the degree of intracochlear insertional trauma, especially trauma to the basilar membrane. Our results revealed that the % volume of new bone as well as residual total spiral ganglion cell count are important factors influencing post-implant hearing performance. New bone formation may be reduced by limiting insertional trauma and increasing the biocompatibility of the electrodes. © 2016 Elsevier B.V.
AD  - Human Otopathology Laboratory, Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA, United States
Department of Otolaryngology, Harvard Medical School, Boston, MA, United States
AU  - Kamakura, T.
AU  - Nadol, J. B., Jr.
DB  - Scopus
DO  - 10.1016/j.heares.2016.06.015
KW  - Cochlear implant
Fibrous tissue
Human inner ear
Insertional trauma
New bone
Word recognition score
M3  - Article
N1  - Cited By :48
Export Date: 10 November 2020
PY  - 2016
SP  - 132-141
ST  - Correlation between word recognition score and intracochlear new bone and fibrous tissue after cochlear implantation in the human
T2  - Hearing Research
TI  - Correlation between word recognition score and intracochlear new bone and fibrous tissue after cochlear implantation in the human
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84979020946&doi=10.1016%2fj.heares.2016.06.015&partnerID=40&md5=7e3099f52b14001eb84e48d165cccb36
VL  - 339
ID  - 1172
ER  - 

TY  - JOUR
AB  - Cochlear implantation is an effective, established procedure for patients with profound deafness. Although implant electrodes have been considered as biocompatible prostheses, surgical insertion of the electrode induces various changes within the cochlea. Immediate changes include insertional trauma to the cochlea. Delayed changes include a tissue response consisting of inflammation, fibrosis and neo-osteogenesis induced by trauma and an immunologic reaction to a foreign body. The goal of this study was to evaluate the effect of these delayed changes on the word recognition scores achieved post-operatively. Seventeen temporal bones from patients who in life had undergone cochlear implantation were prepared for light microscopy. We digitally calculated the volume of fibrous tissue and new bone within the cochlea using Amira® three-dimensional reconstruction software and assessed the correlations of various clinical and histologic factors. The postoperative CNC word score was positively correlated with total spiral ganglion cell count. Fibrous tissue and new bone were found within the cochlea of all seventeen specimens. The postoperative CNC word score was negatively correlated with the % volume of new bone within the scala tympani, scala media/vestibuli and the cochlea, but not with the % volume of fibrous tissue. The % volume of new bone in the scala media/vestibuli was positively correlated with the degree of intracochlear insertional trauma, especially trauma to the basilar membrane. Our results revealed that the % volume of new bone as well as residual total spiral ganglion cell count are important factors influencing post-implant hearing performance. New bone formation may be reduced by limiting insertional trauma and increasing the biocompatibility of the electrodes.
AD  - J.B. Nadol, Human Otopathology Laboratory, Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA, United States
AU  - Kamakura, T.
AU  - Nadol, J. B.
DB  - Embase
Medline
DO  - 10.1016/j.heares.2016.06.015
KW  - aged
article
basilar membrane
cell count
clinical article
cochlea
cochlea duct
cochlea injury
cochlea prosthesis
cochlear implantation
software
Consonant Vowel Nucleus Consonant Word Test
female
fibrous tissue
human
human tissue
image reconstruction
male
microscopy
ossification
priority journal
scala tympani
scala vestibuli
spiral ganglion
temporal bone
tissues
very elderly
volumetry
word memory test
word recognition
Amira
LA  - English
M3  - Article
N1  - L611310036
2016-07-28
2016-08-03
PY  - 2016
SN  - 1878-5891
0378-5955
SP  - 132-141
ST  - Correlation between word recognition score and intracochlear new bone and fibrous tissue after cochlear implantation in the human
T2  - Hearing Research
TI  - Correlation between word recognition score and intracochlear new bone and fibrous tissue after cochlear implantation in the human
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L611310036&from=export
http://dx.doi.org/10.1016/j.heares.2016.06.015
VL  - 339
ID  - 397
ER  - 

TY  - JOUR
AB  - We reviewed the clinical benefits of hospitalization, esophagogastroduodenoscopy, and surgical intervention for ingested foreign bodies in adults. Patients with esophageal foreign bodies were not included in the study group. A 10-year experience is reported. Each patient's physical examination findings at presentation, white blood cell count, length of hospital stay, number and types of foreign bodies ingested, endoscopic interventions, surgical interventions, and complications were reviewed. There were 75 separate hospitalizations, all occurring in 22 male prison inmates. A total of 256 foreign bodies were ingested. Patients incurred 281 hospitalization days (average 3.7 days per admission). One patient had signs of peritonitis. White blood cell count was less than 10 K/μL in 85%. Sixty-four endoscopies were performed with removal of 79 of 163 foreign bodies (48% success rate). Five patients required general anesthesia because of a lack of cooperation. Complications occurred in four of them, one requiring laparotomy. Eight additional laparotomies were performed. One was performed for an acute abdomen on admission and one for the development of an acute abdomen after conservative management. Two were performed to remove metal bezoars. Four additional laparotomies were performed because of surgeon preference. Among the 23 patients admitted and managed conservatively, 77 (97%) of 79 foreign bodies passed spontaneously. One patient required laparotomy. Of the 256 ingested foreign bodies, 79 were removed endoscopically, 71 were removed surgically, and 106 passed spontaneously. The size, shape, and number were not predictive of the ability to transit the gastrointestinal tract. Foreign body ingestion is problematic in prison inmates. With conservative management, most foreign bodies will pass spontaneously. Endoscopy has a high failure rate and is associated with significant complications. Surgical intervention should be reserved for those who have acute conditions in the abdomen or large bezoars. © 2002 The Society for Surgery of the Alimentary Tract, Inc.
AD  - Department of Surgery, University of Wisconsin Hospital, Madison, WI, United States
Department of Surgery, University of Wisconsin Hospital, 600 Highland Ave., Madison, WI 53792, United States
AU  - Weiland, S. T.
AU  - Schurr, M. J.
DB  - Scopus
DO  - 10.1016/S1091-255X(01)00027-0
IS  - 3
KW  - Bezoars
Endoscopy
Laparotomy
Prisoners
M3  - Article
N1  - Cited By :74
Export Date: 10 November 2020
PY  - 2002
SP  - 496-500
ST  - Conservative management of ingested foreign bodies
T2  - Journal of Gastrointestinal Surgery
TI  - Conservative management of ingested foreign bodies
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0036580621&doi=10.1016%2fS1091-255X%2801%2900027-0&partnerID=40&md5=d0934955f3221aaa450f073b9faf4adb
VL  - 6
ID  - 1661
ER  - 

TY  - JOUR
AB  - We reviewed the clinical benefits of hospitalization, esophagogastroduodenoscopy, and surgical intervention for ingested foreign bodies in adults. Patients with esophageal foreign bodies were not included in the study group. A 10-year experience is reported. Each patient's physical examination findings at presentation, white blood cell count, length of hospital stay, number and types of foreign bodies ingested, endoscopic interventions, surgical interventions, and complications were reviewed. There were 75 separate hospitalizations, all occurring in 22 male prison inmates. A total of 256 foreign bodies were ingested. Patients incurred 281 hospitalization days (average 3.7 days per admission). One patient had signs of peritonitis. White blood cell count was less than 10 K/microL in 85%. Sixty-four endoscopies were performed with removal of 79 of 163 foreign bodies (48% success rate). Five patients required general anesthesia because of a lack of cooperation. Complications occurred in four of them, one requiring laparotomy. Eight additional laparotomies were performed. One was performed for an acute abdomen on admission and one for the development of an acute abdomen after conservative management. Two were performed to remove metal bezoars. Four additional laparotomies were performed because of surgeon preference. Among the 23 patients admitted and managed conservatively, 77 (97%) of 79 foreign bodies passed spontaneously. One patient required laparotomy. Of the 256 ingested foreign bodies, 79 were removed endoscopically, 71 were removed surgically, and 106 passed spontaneously. The size, shape, and number were not predictive of the ability to transit the gastrointestinal tract. Foreign body ingestion is problematic in prison inmates. With conservative management, most foreign bodies will pass spontaneously. Endoscopy has a high failure rate and is associated with significant complications. Surgical intervention should be reserved for those who have acute conditions in the abdomen or large bezoars.
AD  - S.T. Weiland, Department of Surgery, University of Wisconsin Hospital, Madison, Wisconsin 53792, USA.
AU  - Weiland, S. T.
AU  - Schurr, M. J.
DB  - Medline
IS  - 3
KW  - adult
article
foreign body
gastrointestinal endoscopy
human
length of stay
male
middle aged
prisoner
treatment outcome
LA  - English
M3  - Article
N1  - L35593457
2002-05-21
PY  - 2002
SN  - 1091-255X
SP  - 496-500
ST  - Conservative management of ingested foreign bodies
T2  - Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
TI  - Conservative management of ingested foreign bodies
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L35593457&from=export
VL  - 6
ID  - 648
ER  - 

TY  - JOUR
AB  - PURPOSE: To assess the efficacy, safety, and predictability of conductive keratoplasty for the treatment of corneal trauma/incision-induced hyperopic or compound astigmatism. METHODS: Thirteen eyes with corneal trauma/incision- induced astigmatism underwent conductive keratoplasty in this prospective study. The main outcome measures included distance uncorrected visual acuity (UCVA), near UCVA, best spectacle-corrected visual acuity (BSCVA), manifest refraction cylinder, keratometric astigmatism, manifest refraction spherical equivalent (MRSE), contrast sensitivity, glare sensitivity, intraocular pressure, tear break-up time, endothelial cell count, and pachymetry. Patients were followed 1 week and 1, 3, and 6 months postoperatively. RESULTS: Mean logMAR scores for distance UCVA, near UCVA, and BSCVA significantly improved from 0.87±0.31, 1.32±0.41, and 0.18±0.18, respectively, to 0.32±0.21, 0.59±0.21, and 0.08±0.11 (P≤.05), respectively, 6 months after conductive keratoplasty. Mean manifest refraction cylinder, keratometric astigmatism, and MRSE significantly reduced from 4.12±2.86 diopters (D), 4.15±2.40 D, and 0.73±2.56 D, respectively, to 1.46±1.35 D, 1.66±1.44 D, and -0.52±0.99 D (P≤.05), respectively, at 6 months postoperatively. Contrast sensitivity and glare sensitivity showed significant improvement at spatial frequencies of 1, 1.6, 2.5, 4, and 6.3 cycles per degree (P≤.05). Surgically induced astigmatism calculated by vector analysis highly correlated to target induced astigmatism (P≤.05). No severe complications occurred postoperatively. CONCLUSIONS: This study suggests that conductive keratoplasty is an effective and safe treatment for hyperopic or compound astigmatism after corneal trauma or incision. Copyright ©SLACK Incorporated.
AD  - Eye Center, Second Affiliated Hospital, Zhejiang University, No. 88 Jiefang Rd, Hangzhou 310009, China
AU  - Xu, W.
AU  - Ye, P.
AU  - Yao, K.
AU  - Ma, J.
AU  - Xu, H.
DB  - Scopus
DO  - 10.3928/1081597X-20101215-05
IS  - 1
M3  - Article
N1  - Cited By :9
Export Date: 10 November 2020
PY  - 2010
SP  - 33-42
ST  - Conductive keratoplasty for the treatment of astigmatism induced by corneal trauma or incision
T2  - Journal of Refractive Surgery
TI  - Conductive keratoplasty for the treatment of astigmatism induced by corneal trauma or incision
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-74949119706&doi=10.3928%2f1081597X-20101215-05&partnerID=40&md5=cdf8bf0a30bd0439161513bbc8b8c91a
VL  - 26
ID  - 1479
ER  - 

TY  - JOUR
AB  - Objective: Complications of penetrating craniocerebral injuries in war can be early (during the first week after wounding) or late (after that period). Postoperative hematomas, infections, seizures, and cerebrospinal fluid fistulas (CSFFs) are counted among the early complications, whereas foreign bodies migrating intracranially, seizures, infections, and posttraumatic hydrocephalus represent late complications. A total of 176 patients with well-defined head injuries from missiles, sustained during the Croatian Homeland War (1991-1995), developed a total of 61 (34.5%) complications.Methods: A retrospective statistical analysis of the medical records of the patients in our series was performed to determine the risk factors for the onset of complications, which have unfavorable effects on outcomes.Results: There were a total of 28 (15.9%) infections (deep or superficial), 21 (11.9%) cases of CSFFs, 9 (5.11%) cases of early epilepsy, and 3 cases of post-traumatic hydrocephalus. A total of 47.6% of patients with CSFFs developed intracranial infections. Of eight patients with meningoencephalitis, five had CSFFs and four had intracranially retained foreign bodies. Only one patient developed a cerebral abscess. Two patients died because of infectious complications (13.3%). Post-traumatic hydrocephalus (1.7%) required shunt placement. For 60% of patients with deep-seated intracranial infectious complications and 76% of patients with CSFFs, reoperations had to be performed, whereas this was the case for only 8% of patients without infections (chi2 = 43.6, p = 0.00001).Conclusions: Intracranially retained foreign bodies, wound age, wound site, and operations performed outside the neurosurgical services were the main risk factors for the development of complications. Complications themselves exerted a very unfavorable influence on outcomes. The development of complications reflects very reliably the neurosurgical technique applied.
AD  - Department of Neurosurgery, Clinical Hospital Split, Vjekoslava Spinéića 1, 21000 Split, Croatia
Department of Neurosurgery, Clinical Hospital Split, Vjekoslava Spineica 1, 21000 Split, Croatia
AN  - 106508228. Language: English. Entry Date: 20050902. Revision Date: 20200624. Publication Type: journal article
AU  - Tudor, M.
AU  - Tudor, L.
AU  - Tudor, K. I.
AU  - Tudor, Mario
AU  - Tudor, Lorainne
AU  - Tudor, Katarina Ivana
DB  - ccm
DO  - 10.7205/milmed.170.5.422
DP  - EBSCOhost
IS  - 5
KW  - Epilepsy -- Epidemiology
Epilepsy -- Etiology
Head Injuries -- Complications
Wounds, Penetrating -- Complications
Adult
Cerebrospinal Fluid
Chi Square Test
Clinical Assessment Tools
Croatia
Debridement
Descriptive Statistics
Female
Fisher's Exact Test
Fistula -- Epidemiology
Foreign Bodies -- Epidemiology
Head Injuries -- Epidemiology
Head Injuries -- Etiology
Hydrocephalus -- Epidemiology
Incidence
Kruskal-Wallis Test
Male
Mann-Whitney U Test
Meningoencephalitis -- Epidemiology
Postoperative Complications -- Epidemiology
Reoperation
Retrospective Design
Risk Factors
Statistical Significance
Time Factors
War
Wound Infection -- Epidemiology
Human
N1  - research; tables/charts. Journal Subset: Biomedical; Expert Peer Reviewed; Peer Reviewed; USA. Instrumentation: Modified Glasgow Outcome Scale. NLM UID: 2984771R.
PMID: NLM15974211.
PY  - 2005
SN  - 0026-4075
SP  - 422-426
ST  - Complications of missile craniocerebral injuries during the Croatian Homeland War
T2  - Military Medicine
TI  - Complications of missile craniocerebral injuries during the Croatian Homeland War
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106508228&site=ehost-live&scope=site
VL  - 170
ID  - 783
ER  - 

TY  - JOUR
AB  - Objective: Complications of penetrating craniocerebral injuries in war can be early (during the first week after wounding) or late (after that period). Postoperative hematomas, infections, seizures, and cerebrospinal fluid fistulas (CSFFs) are counted among the early complications, whereas foreign bodies migrating intracranially, seizures, infections, and posttraumatic hydrocephalus represent late complications. A total of 176 patients with well-defined head injuries from missiles, sustained during the Croatian Homeland War (1991-1995), developed a total of 61 (34.5%) complications. Methods: A retrospective statistical analysis of the medical records of the patients in our series was performed to determine the risk factors for the onset of complications, which have unfavorable effects on outcomes. Results: There were a total of 28 (15.9%) infections (deep or superficial), 21 (11.9%) cases of CSFFs, 9 (5.11%) cases of early epilepsy, and 3 cases of post-traumatic hydrocephalus. A total of 47.6% of patients with CSFFs developed intracranial infections. Of eight patients with meningoencephalitis, five had CSFFs and four had intracranially retained foreign bodies. Only one patient developed a cerebral abscess. Two patients died because of infectious complications (13.3%). Post-traumatic hydrocephalus (1.7%) required shunt placement. For 60% of patients with deep-seated intracranial infectious complications and 76% of patients with CSFFs, reoperations had to be performed, whereas this was the case for only 8% of patients without infections (χ2 = 43.6, p = 0.00001). Conclusions: Intracranially retained foreign bodies, wound age, wound site, and operations performed outside the neurosurgical services were the main risk factors for the development of complications. Complications themselves exerted a very unfavorable influence on outcomes. The development of complications reflects very reliably the neurosurgical technique applied.
AD  - Department of Neurosurgery, Clinical Hospital Split, Vjekoslava Spinèića 1, 21000 Split, Croatia
AU  - Tudor, M.
AU  - Tudor, L.
AU  - Tudor, K. I.
DB  - Scopus
DO  - 10.7205/MILMED.170.5.422
IS  - 5
M3  - Article
N1  - Cited By :10
Export Date: 10 November 2020
PY  - 2005
SP  - 422-426
ST  - Complications of missile craniocerebral injuries during the Croatian Homeland War
T2  - Military Medicine
TI  - Complications of missile craniocerebral injuries during the Croatian Homeland War
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-18544390000&doi=10.7205%2fMILMED.170.5.422&partnerID=40&md5=423b4fa4c49c7b5b306e4df6e20a461f
VL  - 170
ID  - 1616
ER  - 

TY  - JOUR
AB  - Objective: Complications of penetrating craniocerebral injuries in war can be early (during the first week after wounding) or late (after that period). Postoperative hematomas, infections, seizures, and cerebrospinal fluid fistulas (CSFFs) are counted among the early complications, whereas foreign bodies migrating intracranially, seizures, infections, and posttraumatic hydrocephalus represent late complications. A total of 176 patients with well-defined head injuries from missiles, sustained during the Croatian Homeland War (1991-1995), developed a total of 61 (34.5%) complications. Methods: A retrospective statistical analysis of the medical records of the patients in our series was performed to determine the risk factors for the onset of complications, which have unfavorable effects on outcomes. Results: There were a total of 28 (15.9%) infections (deep or superficial), 21 (11.9%) cases of CSFFs, 9 (5.11%) cases of early epilepsy, and 3 cases of post-traumatic hydrocephalus. A total of 47.6% of patients with CSFFs developed intracranial infections. Of eight patients with meningoencephalitis, five had CSFFs and four had intracranially retained foreign bodies. Only one patient developed a cerebral abscess. Two patients died because of infectious complications (13.3%). Post-traumatic hydrocephalus (1.7%) required shunt placement. For 60% of patients with deep-seated intracranial infectious complications and 76% of patients with CSFFs, reoperations had to be performed, whereas this was the case for only 8% of patients without infections (χ2 = 43.6, p = 0.00001). Conclusions: Intracranially retained foreign bodies, wound age, wound site, and operations performed outside the neurosurgical services were the main risk factors for the development of complications. Complications themselves exerted a very unfavorable influence on outcomes. The development of complications reflects very reliably the neurosurgical technique applied.
AD  - M. Tudor, Department of Neurosurgery, Clinical Hospital Split, Vjekoslava Spinèića 1, 21000 Split, Croatia
AU  - Tudor, M.
AU  - Tudor, L.
AU  - Tudor, K. I.
DB  - Embase
Medline
DO  - 10.7205/MILMED.170.5.422
IS  - 5
KW  - adult
article
brain infection
cerebrospinal fluid fistula
craniotomy
Croatia
female
head injury
hematoma
human
hydrocephalus
major clinical study
male
meningoencephalitis
missile wound
neurosurgery
postoperative complication
reoperation
retrospective study
seizure
statistical analysis
surgical technique
treatment outcome
war
LA  - English
M3  - Article
N1  - L40656807
2005-05-24
PY  - 2005
SN  - 0026-4075
SP  - 422-426
ST  - Complications of missile craniocerebral injuries during the Croatian Homeland War
T2  - Military Medicine
TI  - Complications of missile craniocerebral injuries during the Croatian Homeland War
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L40656807&from=export
http://dx.doi.org/10.7205/MILMED.170.5.422
VL  - 170
ID  - 629
ER  - 

TY  - JOUR
AB  - Major complications of foreign bodies in the esophagus carry significant morbidity and mortality risks. A retrospective case control study was performed to assess the factors associated with major complications. In total, 273 patients seen within a 7-year period were divided into 2 groups; 253 had no or minor complications, and 20 had major complications. Age, sex, duration of the foreign body, total white cell count (TWC), and nature and site of the foreign body were analyzed in the 2 groups. The major complication rate was 7.3%. Duration of the foreign body and TWC were the only statistically significant factors associated with major complications. Six patients required open neck exploration, 1 had an open thoracotomy, and 13 were treated by endoscopic removal. There were 2 deaths. Given the significant morbidity and mortality risks, we conclude that patients with a prolonged history of a foreign body in the esophagus and a raised TWC should be treated urgently.
AD  - Department of Otolaryngology, National University Hospital, Singapore
Department of Otolaryngology, National University of Singapore, Singapore
Biostatistic Consultancy Unit, National University Medical Institute, Clinical Research Centre, Singapore
AU  - Loh, K. S.
AU  - Tan, L. K. S.
AU  - Smith, J. D.
AU  - Yeoh, K. H.
AU  - Dong, F.
DB  - Scopus
DO  - 10.1067/mhn.2000.110616
IS  - 5
M3  - Article
N1  - Cited By :78
Export Date: 10 November 2020
PY  - 2000
SP  - 613-616
ST  - Complications of foreign bodies in the esophagus
T2  - Otolaryngology - Head and Neck Surgery
TI  - Complications of foreign bodies in the esophagus
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0033728159&doi=10.1067%2fmhn.2000.110616&partnerID=40&md5=1d2885d3f43da035659326765a913ff8
VL  - 123
ID  - 1680
ER  - 

TY  - JOUR
AB  - Major complications of foreign bodies in the esophagus carry significant morbidity and mortality risks. A retrospective case control study was performed to assess the factors associated with major complications. In total, 273 patients seen within a 7-year period were divided into 2 groups; 253 had no or minor complications, and 20 had major complications. Age, sex, duration of the foreign body, total white cell count (TWC), and nature and site of the foreign body were analyzed in the 2 groups. The major complication rate was 7.3%. Duration of the foreign body and TWC were the only statistically significant factors associated with major complications. Six patients required open neck exploration, 1 had an open thoracotomy, and 13 were treated by endoscopic removal. There were 2 deaths. Given the significant morbidity and mortality risks, we conclude that patients with a prolonged history of a foreign body in the esophagus and a raised TWC should be treated urgently.
AD  - K.S. Loh, Department of Otolaryngology, National University Hospital, 5 Lower Kent Ridge Rd, Singapore 119074, Singapore
AU  - Loh, K. S.
AU  - Tan, L. K. S.
AU  - Smith, J. D.
AU  - Yeoh, K. H.
AU  - Dong, F.
DB  - Embase
Medline
DO  - 10.1067/mhn.2000.110616
IS  - 5
KW  - adolescent
adult
aged
article
child
demography
disease course
endoscopic therapy
esophagus fistula
esophagus foreign body
female
human
leukocyte count
major clinical study
male
mediastinitis
morbidity
mortality
perforation
pneumonia
retropharyngeal abscess
sex ratio
thoracotomy
LA  - English
M3  - Article
N1  - L30839360
2000-11-29
PY  - 2000
SN  - 0194-5998
SP  - 613-616
ST  - Complications of foreign bodies in the esophagus
T2  - Otolaryngology - Head and Neck Surgery
TI  - Complications of foreign bodies in the esophagus
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L30839360&from=export
http://dx.doi.org/10.1067/mhn.2000.110616
VL  - 123
ID  - 653
ER  - 

TY  - JOUR
AB  - PURPOSE: To describe the clinical and histopathologic features of intractable secondary glaucoma induced by AlphaCor keratoprosthesis. METHODS: An elderly woman with pseudoexfoliation glaucoma and pseudophakic bullous keratopathy in the right eye had graft failures after penetrating keratoplasty. Her best-corrected visual acuity at presentation was counting fingers in the right eye and 20/30 in the left eye. Examination showed severe corneal neovascularization. Chirila keratoprosthesis type II was implanted in 2 stages. Ten months later, the patient developed dense retrocorneal membrane, 360° occlusion of angles, intractable glaucoma, no light perception, and nasal stromal melting associated with partial extrusion of the keratoprosthesis. RESULTS: Histopathology revealed invasion of the porous material of the keratoprosthesis by reactive fibroblasts and multinucleated foreign-body giant cells. In the area of dehiscence, we noted thinning and lysis of the collagen fibers, infiltration of lymphocytes, and plasma cells with a sheet of fibroinflammatory tissue extending into the anterior chamber. CONCLUSIONS: Corneal stromal melting and retrocorneal prosthetic membrane formation after AlphaCor keratoprosthesis implantation led to intractable glaucoma and extrusion of the implant. © 2007 Lippincott Williams & Wilkins, Inc.
AD  - Department of Ophthalmology, University of Florida College of Medicine, Jacksonville, FL, United States
Department of Ophthalmology, Illinois Eye and Ear Infirmary, Chicago, IL, United States
Department of Ophthalmology, Tower 2, 580 W. 8th Street, Jacksonville, FL 32209, United States
AU  - Chalam, K. V.
AU  - Chokshi, A.
AU  - Agarwal, S.
AU  - Edward, D. P.
DB  - Scopus
DO  - 10.1097/ICO.0b013e31813e0bd8
IS  - 10
KW  - AlphaCor keratoprosthesis
Complication
Graft failure
Histopathology
Penetrating keratoplasty
M3  - Article
N1  - Cited By :14
Export Date: 10 November 2020
PY  - 2007
SP  - 1258-1260
ST  - Complications of AlphaCor keratoprosthesis: A clinicopathologic report
T2  - Cornea
TI  - Complications of AlphaCor keratoprosthesis: A clinicopathologic report
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-36549035811&doi=10.1097%2fICO.0b013e31813e0bd8&partnerID=40&md5=f2f059ec02e124f328ae3485fb252b8b
VL  - 26
ID  - 1547
ER  - 

TY  - JOUR
AB  - PURPOSE: To describe the clinical and histopathologic features of intractable secondary glaucoma induced by AlphaCor keratoprosthesis. METHODS: An elderly woman with pseudoexfoliation glaucoma and pseudophakic bullous keratopathy in the right eye had graft failures after penetrating keratoplasty. Her best-corrected visual acuity at presentation was counting fingers in the right eye and 20/30 in the left eye. Examination showed severe corneal neovascularization. Chirila keratoprosthesis type II was implanted in 2 stages. Ten months later, the patient developed dense retrocorneal membrane, 360° occlusion of angles, intractable glaucoma, no light perception, and nasal stromal melting associated with partial extrusion of the keratoprosthesis. RESULTS: Histopathology revealed invasion of the porous material of the keratoprosthesis by reactive fibroblasts and multinucleated foreign-body giant cells. In the area of dehiscence, we noted thinning and lysis of the collagen fibers, infiltration of lymphocytes, and plasma cells with a sheet of fibroinflammatory tissue extending into the anterior chamber. CONCLUSIONS: Corneal stromal melting and retrocorneal prosthetic membrane formation after AlphaCor keratoprosthesis implantation led to intractable glaucoma and extrusion of the implant. © 2007 Lippincott Williams & Wilkins, Inc.
AD  - K.V. Chalam, Department of Ophthalmology, Tower 2, 580 W. 8th Street, Jacksonville, FL 32209, United States
AU  - Chalam, K. V.
AU  - Chokshi, A.
AU  - Agarwal, S.
AU  - Edward, D. P.
DB  - Embase
Medline
DO  - 10.1097/ICO.0b013e31813e0bd8
IS  - 10
KW  - aged
anterior eye chamber
article
case report
cornea neovascularization
cornea stroma
Descemet membrane
female
glaucoma
graft failure
histopathology
human
human tissue
keratopathy
keratoprosthesis
penetrating keratoplasty
priority journal
pseudoexfoliation
visual acuity
Chirila Kpro
LA  - English
M3  - Article
N1  - L350190921
2007-12-17
PY  - 2007
SN  - 0277-3740
SP  - 1258-1260
ST  - Complications of AlphaCor keratoprosthesis: A clinicopathologic report
T2  - Cornea
TI  - Complications of AlphaCor keratoprosthesis: A clinicopathologic report
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L350190921&from=export
http://dx.doi.org/10.1097/ICO.0b013e31813e0bd8
VL  - 26
ID  - 609
ER  - 

TY  - JOUR
AB  - We determined the incidence of acute, major complications in a population of 28,395 patients who underwent lumbar laminectomy for discogenic radiculopathy in the United States in 1980. This population was drawn from a broad cross-section of community hospital and represented 31% of all patients who underwent laminectomy that year for this condition. Our cohort excluded patients with a) operations exceeding two disc levels, b) fusion, c) previous lumbar laminectomy, or d) coexistent discitis, spondylosis, spinal stenosis, myelopathy, or arachnoiditis. The incidence of death was 5.9 per 10,000. The causes of death were septicemia, myocardial infarction, and pulmonary embolus. The incidence of at least one major complication was 157 per 10,000. The incidences of specific complications were as follows: infection requiring intravenously administered antibiotics, 30.7; major neurological deficit, 29.8; pulmonary embolus, 10.7; and myocardial infarction, 5.6. We studied four additional categories of complication. Patients were counted only when a second operation was required to treat the complication. The categories and incidence per 10,000 were as follows: incisional hematoma, 8.7; cerebrospinal fluid fistula, 10.5; ventral perforation, 1.6; and retention of a foreign body, 0.7. Among the patients whose hospitalizations were otherwise normal, 6.7% received a blood transfusion; of the patients whose hospitalizations were complicated, 24% required transfusion. The demographic characteristics of patients with a normal hospitalization were tabulated separately from those whose hospitalizations were complicated. Neurosurgeons performed 60% of the operations, and orthopedic surgeons performed 40%. The speciality of the surgeon was not a factor in determining the risk involved in surgery. Spinal anesthesia was used in 7% of the cases, and no pattern of complications emerged that was uniquely related to that technique.
AD  - Department of Neurosurgery, University of Wisconsin, Madison, WI 53792, United States
AU  - Ramirez, L. F.
AU  - Thisted, R.
AU  - Sypert, G. W.
AU  - Horwitz, N.
DB  - Scopus
DO  - 10.1227/00006123-198908000-00012
IS  - 2
M3  - Article
N1  - Cited By :142
Export Date: 10 November 2020
PY  - 1989
SP  - 226-231
ST  - Complications and demographic characteristics of patients undergoing lumbar discectomy in community hospitals
T2  - Neurosurgery
TI  - Complications and demographic characteristics of patients undergoing lumbar discectomy in community hospitals
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0024396225&doi=10.1227%2f00006123-198908000-00012&partnerID=40&md5=b569b0509c04e2478d509e6908c19a31
VL  - 25
ID  - 1741
ER  - 

TY  - JOUR
AB  - We determined the incidence of acute, major complications in a population of 28,395 patients who underwent lumbar laminectomy for discogenic radiculopathy in the United States in 1980. This population was drawn from a broad cross-section of community hospital and represented 31% of all patients who underwent laminectomy that year for this condition. Our cohort excluded patients with a) operations exceeding two disc levels, b) fusion, c) previous lumbar laminectomy, or d) coexistent discitis, spondylosis, spinal stenosis, myelopathy, or arachnoiditis. The incidence of death was 5.9 per 10,000. The causes of death were septicemia, myocardial infarction, and pulmonary embolus. The incidence of at least one major complication was 157 per 10,000. The incidences of specific complications were as follows: infection requiring intravenously administered antibiotics, 30.7; major neurological deficit, 29.8; pulmonary embolus, 10.7; and myocardial infarction, 5.6. We studied four additional categories of complication. Patients were counted only when a second operation was required to treat the complication. The categories and incidence per 10,000 were as follows: incisional hematoma, 8.7; cerebrospinal fluid fistula, 10.5; ventral perforation, 1.6; and retention of a foreign body, 0.7. Among the patients whose hospitalizations were otherwise normal, 6.7% received a blood transfusion; of the patients whose hospitalizations were complicated, 24% required transfusion. The demographic characteristics of patients with a normal hospitalization were tabulated separately from those whose hospitalizations were complicated. Neurosurgeons performed 60% of the operations, and orthopedic surgeons performed 40%. The speciality of the surgeon was not a factor in determining the risk involved in surgery. Spinal anesthesia was used in 7% of the cases, and no pattern of complications emerged that was uniquely related to that technique.
AD  - Department of Neurosurgery, University of Wisconsin, Madison, WI 53792
AU  - Ramirez, L. F.
AU  - Thisted, R.
AU  - Sypert, G. W.
AU  - Horwitz, N.
DB  - Embase
Medline
DO  - 10.1227/00006123-198908000-00012
IS  - 2
KW  - adult
aged
congestive heart failure
education
heart infarction
human
discectomy
lung embolism
major clinical study
mortality
priority journal
septicemia
side effect
LA  - English
M3  - Article
N1  - L19192429
1989-08-28
PY  - 1989
SN  - 0148-396X
SP  - 226-231
ST  - Complications and demographic characteristics of patients undergoing lumbar discectomy in community hospitals
T2  - Neurosurgery
TI  - Complications and demographic characteristics of patients undergoing lumbar discectomy in community hospitals
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L19192429&from=export
http://dx.doi.org/10.1227/00006123-198908000-00012
VL  - 25
ID  - 672
ER  - 

TY  - JOUR
AB  - Background: Retained foreign bodies after surgery constitute an occasional misadventure in modern surgery and cause returns to the operating room. Approximately, two-thirds of retained objects are sponges. Methods: We report on a 10-year-old boy presenting with a retained surgical sponge that had migrated completely into the lumen of the ileum. Removal was performed by laparotomy and ileotomy. Radiological and intraoperative findings are discussed, and a review of the recent relevant literature is provided. Results: Laparotomy revealed an intraluminal 30 cm long lap sponge (25 cm in the ileum and 5 cm in the cecum) which had completely migrated into the interior of the intestine. Complications, i.e., adhesion bands and fistulae, were treated subsequently. Conclusions: The case highlights the importance of a careful count of sponges before and after surgery and thorough exploration of all quadrants of the abdomen at the termination of surgical cases. © Springer-Verlag 2005.
AD  - Surgery Department, Baqiyatallah Medical Sciences University, Tehran, Iran
No 9/a. Maasoomi st., Tehran, Iran
AU  - Moosavi Naeeni, S. M.
AU  - Panahi, F.
AU  - Assari, S.
DB  - Scopus
DO  - 10.1007/s10353-005-0177-9
IS  - 5
KW  - Foreign-body migration
Lap sponge
Retained surgical sponges
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2005
SP  - 321-324
ST  - Complete intraluminal migration of a retained surgical lap sponge 4 years after appendicectomy: A case report
T2  - European Surgery - Acta Chirurgica Austriaca
TI  - Complete intraluminal migration of a retained surgical lap sponge 4 years after appendicectomy: A case report
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-28244445886&doi=10.1007%2fs10353-005-0177-9&partnerID=40&md5=15f05d7295333d895623a72ab97dd0b6
VL  - 37
ID  - 1597
ER  - 

TY  - JOUR
AB  - Introduction: Clinically, vaginal packing provides the benefit of hemostasis and is designed to prevent the for-mation of postoperative hematomas. Despite the common use of vaginal packing in pelvic surgery, there is lim-ited data to indicate which material has the ideal characteristics for vaginal packing. Materials and Methods: Three packing materials were used: DeRoyal® Fluftex™ (DeRoyal Industries, Inc., Powell, Tennessee), NHP Surgi-Pak™ vaginal packing (NHP Industries, Inc., City of Industry, California), and Curad® Plain Packing Strips (Medline Industries, Inc., Northfield, Illinois). A fluid with similar viscosity to human blood, defibrinated sheep’s blood (Remel Laboratories, Nenexa Kansas) was used to saturate the materials. The primary outcome was the amount of fluid absorbance of each product in both the handpacked and unpacked state. The number of drops used to saturate each material were counted and converted to mL/g. Each product was tested three times and the results were measured by counting the number of drops needed to saturate the material in each experiment. Experiment: Three materials were obtained and conducted into two different experiments to test absorbance. The packed trial consisted of 0.1g of material and was compacted in a 146mm standard Pasteur pipette (Sigma-Aldrich Corp., St. Louis, Missouri). Droplets of sheep’s blood were dispensed until each material had reached its capacity, which was determined by counting the last sequential drop received onto the respective material before the first of the fluid fell from the material into the collecting container. Trials were conducted three times per material and an average of the three trials was calculated. The second experiment tested 1g of each material unpacked and folded into eight layers. Droplets of blood were placed onto the material until each material leaked, which was defined again as the first fluid to fall from the material into the collecting container that it was suspended above. The number of drops needed to produce this effect was recorded. All droplets were counted and converted to mL/g. Standard deviation was calculated for each material in both experiments and an analysis of variance (ANOVA) single factor test was done. Results: Three trials were conducted per material and there was a difference in absorbance between each packing material (p=0.02 packed, p=0.001 unpacked). Additionally, the plain packing strip absorbed the least amount of blood product in the packed and unpacked state compared to DeRoyal® Fluftex™ and NHP Surgi-Pak™ vaginal packing. The average absorbance of the packed materials was 7.7mL/g for DeRoyal® Fluftex™, 9.8mL/g for NHP Surgi-Pak™ vaginal packing, and 7.5mL/g for the Curad® Plain Packing Strips. There was a standard deviation of 2.08 drops for DeRoyal® Fluftex™, 3.51 drops for NHP Surgi-Pak™ vaginal packing, and 1.73 drops for Curad® Plain Packing Strips. Absorbance for DeRoyal® Fluftex™ unpacked was 8.2mL/g, NHP Surgi-Pak™ vaginal packing unpacked was 7.00mL/g, and Curad® Plain Packing Strips was 4.8mL/g. The standard deviation for the unpacked experiment was 29.02 drops for DeRoyal® Fluftex™, 13.61 drops for NHP Surgi-Pak™ vaginal packing, and 15.59 drops for Curad® Plain Packing Strips. A p-value of less than .05 in a confidence interval of 95% was determined. Conclusion: Even though there are studies showing the clinical benefits of vaginal packing after a variety of gynecological surgeries, there is less known about the characteristics of the ideal material. Minimal foreign body reaction, decreased adherence to surgical scars, X-ray visualization, low cost, and easy availability are among the ideal characteristics of the presumed ideal material used for vaginal packing. In this study, we compared the absorbance between three commonly used materials and did not find any statistical differences. Further studies are needed to show the clinical benefits and mechanical characteristics of material used for vaginal packing. Due to the lack of a statistically significant difference in absorbance between the materials, evaluation of mechanical characteristics may be beneficial in determining an ideal vaginal packing product. © 2020 Surgical Technology International™.
AD  - Arizona State University, Tempe, AZ, United States
Department of minimally invasive surgery the marchand Institute for Minimally Invasive Surgery, Mesa, AZ, United States
Department of obstetrics and gynecology ucla school of medicine, Los angeles, CA, United States
University Of Arizona, Phoenix, AZ, United States
Star Urogynecology, Peoria, AZ, United States
AU  - Azadi, A.
AU  - Pinhasov, K.
AU  - Ware, K.
AU  - Marchand, G. J.
AU  - Ostergard, D. R.
DB  - Scopus
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
SP  - 1-5
ST  - Comparison of mechanical characteristics of commonly used vaginal packing materials
T2  - Surgical Technology International
TI  - Comparison of mechanical characteristics of commonly used vaginal packing materials
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85087766928&partnerID=40&md5=76d1b2da640a5b5a73e356400d955979
VL  - 36
ID  - 968
ER  - 

TY  - JOUR
AB  - INTRODUCTION: Clinically, vaginal packing provides the benefit of hemostasis and is designed to prevent the formation of postoperative hematomas. Despite the common use of vaginal packing in pelvic surgery, there is limited data to indicate which material has the ideal characteristics for vaginal packing. MATERIALS AND METHODS: Three packing materials were used: DeRoyal® Fluftex™ (DeRoyal Industries, Inc., Powell, Tennessee), NHP Surgi-Pak™ vaginal packing (NHP Industries, Inc., City of Industry, California), and Curad® Plain Packing Strips (Medline Industries, Inc., Northfield, Illinois). A fluid with similar viscosity to human blood, defibrinated sheep's blood (Remel Laboratories, Nenexa Kansas) was used to saturate the materials. The primary outcome was the amount of fluid absorbance of each product in both the handpacked and unpacked state. The number of drops used to saturate each material were counted and converted to mL/g. Each product was tested three times and the results were measured by counting the number of drops needed to saturate the material in each experiment. Experiment: Three materials were obtained and conducted into two different experiments to test absorbance. The packed trial consisted of 0.1g of material and was compacted in a 146mm standard Pasteur pipette (Sigma-Aldrich Corp., St. Louis, Missouri). Droplets of sheep's blood were dispensed until each material had reached its capacity, which was determined by counting the last sequential drop received onto the respective material before the first of the fluid fell from the material into the collecting container. Trials were conducted three times per material and an average of the three trials was calculated. The second experiment tested 1g of each material unpacked and folded into eight layers. Droplets of blood were placed onto the material until each material leaked, which was defined again as the first fluid to fall from the material into the collecting container that it was suspended above. The number of drops needed to produce this effect was recorded. All droplets were counted and converted to mL/g. Standard deviation was calculated for each material in both experiments and an analysis of variance (ANOVA) single factor test was done. RESULTS: Three trials were conducted per material and there was a difference in absorbance between each packing material (p=0.02 packed, p=0.001 unpacked). Additionally, the plain packing strip absorbed the least amount of blood product in the packed and unpacked state compared to DeRoyal® Fluftex™ and NHP Surgi-Pak™ vaginal packing. The average absorbance of the packed materials was 7.7mL/g for DeRoyal® Fluftex™, 9.8mL/g for NHP Surgi-Pak™ vaginal packing, and 7.5mL/g for the Curad® Plain Packing Strips. There was a standard deviation of 2.08 drops for DeRoyal® Fluftex™, 3.51 drops for NHP Surgi-Pak™ vaginal packing, and 1.73 drops for Curad® Plain Packing Strips. Absorbance for DeRoyal® Fluftex™ unpacked was 8.2mL/g, NHP Surgi-Pak™ vaginal packing unpacked was 7.00mL/g, and Curad® Plain Packing Strips was 4.8mL/g. The standard deviation for the unpacked experiment was 29.02 drops for DeRoyal® Fluftex™, 13.61 drops for NHP Surgi-Pak™ vaginal packing, and 15.59 drops for Curad® Plain Packing Strips. A p-value of less than .05 in a confidence interval of 95% was determined. CONCLUSION: Even though there are studies showing the clinical benefits of vaginal packing after a variety of gynecological surgeries, there is less known about the characteristics of the ideal material. Minimal foreign body reaction, decreased adherence to surgical scars, X-ray visualization, low cost, and easy availability are among the ideal characteristics of the presumed ideal material used for vaginal packing. In this study, we compared the absorbance between three commonly used materials and did not find any statistical differences. Further studies are needed to show the clinical benefits and mechanical characteristics of material used for vaginal packing. Due to the lack of a statistically signi icant difference in absorbance between the materials, evaluation of mechanical characteristics may be beneficial in determining an ideal vaginal packing product.
AD  - University of Arizona, Phoenix, Arizona, Star Urogynecology, Peoria, Arizona
Arizona State University, Tempe, AZ, Italy
Department of Minimally Invasive Surgery, Marchand Institute for Minimally Invasive Surgery, Mesa, AZ, United States
Department of Obstetrics and Gynecology, UCLA School of Medicine, Los Angeles, CA, Mexico
AU  - Azadi, A.
AU  - Pinhasov, K.
AU  - Ware, K.
AU  - Marchand, G. J.
AU  - Ostergard, D. R.
DB  - Scopus
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
SP  - 186-190
ST  - Comparison of Mechanical Characteristics of Commonly Used Vaginal Packing Materials
T2  - Surgical technology international
TI  - Comparison of Mechanical Characteristics of Commonly Used Vaginal Packing Materials
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85085630343&partnerID=40&md5=bc1680a66edcd60ac6461e66d48822ec
VL  - 36
ID  - 966
ER  - 

TY  - JOUR
AB  - Introduction: Clinically, vaginal packing provides the benefit of hemostasis and is designed to prevent the for-mation of postoperative hematomas. Despite the common use of vaginal packing in pelvic surgery, there is lim-ited data to indicate which material has the ideal characteristics for vaginal packing. Materials and Methods: Three packing materials were used: DeRoyal® Fluftex™ (DeRoyal Industries, Inc., Powell, Tennessee), NHP Surgi-Pak™ vaginal packing (NHP Industries, Inc., City of Industry, California), and Curad® Plain Packing Strips (Medline Industries, Inc., Northfield, Illinois). A fluid with similar viscosity to human blood, defibrinated sheep’s blood (Remel Laboratories, Nenexa Kansas) was used to saturate the materials. The primary outcome was the amount of fluid absorbance of each product in both the handpacked and unpacked state. The number of drops used to saturate each material were counted and converted to mL/g. Each product was tested three times and the results were measured by counting the number of drops needed to saturate the material in each experiment. Experiment: Three materials were obtained and conducted into two different experiments to test absorbance. The packed trial consisted of 0.1g of material and was compacted in a 146mm standard Pasteur pipette (Sigma-Aldrich Corp., St. Louis, Missouri). Droplets of sheep’s blood were dispensed until each material had reached its capacity, which was determined by counting the last sequential drop received onto the respective material before the first of the fluid fell from the material into the collecting container. Trials were conducted three times per material and an average of the three trials was calculated. The second experiment tested 1g of each material unpacked and folded into eight layers. Droplets of blood were placed onto the material until each material leaked, which was defined again as the first fluid to fall from the material into the collecting container that it was suspended above. The number of drops needed to produce this effect was recorded. All droplets were counted and converted to mL/g. Standard deviation was calculated for each material in both experiments and an analysis of variance (ANOVA) single factor test was done. Results: Three trials were conducted per material and there was a difference in absorbance between each packing material (p=0.02 packed, p=0.001 unpacked). Additionally, the plain packing strip absorbed the least amount of blood product in the packed and unpacked state compared to DeRoyal® Fluftex™ and NHP Surgi-Pak™ vaginal packing. The average absorbance of the packed materials was 7.7mL/g for DeRoyal® Fluftex™, 9.8mL/g for NHP Surgi-Pak™ vaginal packing, and 7.5mL/g for the Curad® Plain Packing Strips. There was a standard deviation of 2.08 drops for DeRoyal® Fluftex™, 3.51 drops for NHP Surgi-Pak™ vaginal packing, and 1.73 drops for Curad® Plain Packing Strips. Absorbance for DeRoyal® Fluftex™ unpacked was 8.2mL/g, NHP Surgi-Pak™ vaginal packing unpacked was 7.00mL/g, and Curad® Plain Packing Strips was 4.8mL/g. The standard deviation for the unpacked experiment was 29.02 drops for DeRoyal® Fluftex™, 13.61 drops for NHP Surgi-Pak™ vaginal packing, and 15.59 drops for Curad® Plain Packing Strips. A p-value of less than .05 in a confidence interval of 95% was determined. Conclusion: Even though there are studies showing the clinical benefits of vaginal packing after a variety of gynecological surgeries, there is less known about the characteristics of the ideal material. Minimal foreign body reaction, decreased adherence to surgical scars, X-ray visualization, low cost, and easy availability are among the ideal characteristics of the presumed ideal material used for vaginal packing. In this study, we compared the absorbance between three commonly used materials and did not find any statistical differences. Further studies are needed to show the clinical benefits and mechanical characteristics of material used for vaginal packing. Due to the lack of a statistically significant difference in absorbance between the materials, evaluation of mechanical characteristics may be beneficial in determining an ideal vaginal packing product.
AU  - Azadi, A.
AU  - Pinhasov, K.
AU  - Ware, K.
AU  - Marchand, G. J.
AU  - Ostergard, D. R.
DB  - Embase
Medline
KW  - analysis of variance
article
California
container
controlled study
female
foreign body reaction
gynecologic surgery
human
Illinois
Kansas
Medline
Missouri
nonhuman
outcome assessment
pasteur pipette
scar
sheep
surgery
systematic review
Tennessee
vagina
viscosity
X ray
LA  - English
M3  - Article
N1  - L2004699617
2020-07-29
PY  - 2020
SN  - 1090-3941
SP  - 1-5
ST  - Comparison of mechanical characteristics of commonly used vaginal packing materials
T2  - Surgical Technology International
TI  - Comparison of mechanical characteristics of commonly used vaginal packing materials
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L2004699617&from=export
VL  - 36
ID  - 277
ER  - 

TY  - JOUR
AB  - Objective: To investigate and compare the attitudes of operating room nurses and doctors regarding patient safety, performance of surgical time-out and recognition of count error. Methods: This cross-sectional study recruited operating room nurses, surgeons and anaesthesiologists between 1 August 2015 and 5 February 2016. A Safety Attitude Questionnaire was used to analyse the three elements in both groups of operating room staff (nurses and doctors). Results: The study analysed the questionnaires from 171 participants; 95 nurses (55.6%) and 76 doctors (44.4%). Differences exist between doctors and nurses regarding teamwork climate, working conditions, perception of management and the recognition of stress. On the performance of surgical time-out, nurses showed higher scores on way of counting, while doctors showed higher scores on the time-out procedure itself. Also, doctors believed they actively cooperated with the nurses, while nurses believed they did not receive cooperation. Scores for the recognition of count error were higher in nurses than in doctors. More experienced operating room staff showed higher scores than younger less experienced staff. Conclusions: Perceptual differences among doctors and nurses need to be minimized for the safety of the patient in the operating room. © The Author(s) 2019.
AD  - Department of Nursing, Seoul National University Cancer Hospital, Seoul, South Korea
Korea University Graduate School of Public Health, Seoul, South Korea
Department of Process Innovation Team, Seoul National University Hospital, Seoul, South Korea
Department of Nursing, Operating Room of Seoul National University Hospital, Seoul, South Korea
Department of Nursing, Operating Room of Seoul National University Children’s Hospital, Seoul, South Korea
AU  - Kwon, E.
AU  - Kim, Y. W.
AU  - Kim, S. W.
AU  - Jeon, S.
AU  - Lee, E.
AU  - Kang, H. Y.
AU  - Nam, S.
AU  - Kim, M.
DB  - Scopus
DO  - 10.1177/0300060519884501
IS  - 4
KW  - nurse
operating rooms
retained surgical items
Surgical safety
surgical time-out
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2019
ST  - A comparative study on patient safety attitude between nurses and doctors in operating rooms
T2  - Journal of International Medical Research
TI  - A comparative study on patient safety attitude between nurses and doctors in operating rooms
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85094852253&doi=10.1177%2f0300060519884501&partnerID=40&md5=95ca7930c37c459d01cdcff0b056a8d5
VL  - 48
ID  - 1048
ER  - 

TY  - JOUR
AB  - Background: The objective was to systematically review comparative economic analyses of patient safety improvements in the acute care setting. Methods: A systematic review of 15 patient safety target conditions and six improvement strategies was conducted. The authors searched the published literature through Medline (2000eNovember 2011) using the following search terms for costs: 'costs and cost analysis', 'cost-effectiveness', 'cost' and 'financial management, hospital'. The methodological quality of potentially relevant studies was appraised using Cochrane rules of evidence for clinical effectiveness in quality improvement, and standard economic methods. Results: The authors screened 2151 abstracts, reviewed 212 potentially eligible studies, and identified five comparative economic analyses that reported a total of seven comparisons based on at least one clinical effectiveness study of adequate methodological quality. Pharmacist-led medication reconciliation to prevent potential adverse drug events dominated (lower costs, better safety) a strategy of no reconciliation. Chlorhexidine for vascular catheter site care to prevent catheter-related bloodstream infections dominated a strategy of povidone-iodine for catheter site care. The Keystone ICU initiative to prevent central line-associated bloodstream infections was economically dominant over usual care. Detecting surgical foreign bodies using standard counting compared with a strategy of no counting had an incremental cost of US$1500 (CAN$1676) for each surgical foreign body detected. Several safety improvement strategies were less economically attractive, such as bar-coded sponges for reducing retained surgical sponges compared with standard surgical counting, and giving erythropoietin to reduce transfusion requirements in critically ill patients to avoid one transfusion-related adverse event. Conclusions: Five comparative economic analyses were found that reported a total of seven comparisons based on at least one effectiveness study of adequate methodological quality. On the basis of these limited studies, pharmacist-led medication reconciliation, the Keystone ICU intervention for central line-associated bloodstream infections, chlorhexidine for vascular catheter site care, and standard surgical sponge counts were economically attractive strategies for improving patient safety. More comparative economic analyses of such strategies are needed.
AD  - University of Toronto Centre for Patient Safety, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
Health Outcomes and Pharmacoeconomics (HOPE) Research Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
Sunnybrook Health Sciences Centre, Toronto, ON, Canada
University Health Network, Toronto, ON, Canada
Hospital for Sick Children, Toronto, ON, Canada
University of Toronto, Toronto, ON, Canada
AU  - Etchells, E.
AU  - Koo, M.
AU  - Daneman, N.
AU  - McDonald, A.
AU  - Baker, M.
AU  - Matlow, A.
AU  - Krahn, M.
AU  - Mittmann, N.
DB  - Scopus
DO  - 10.1136/bmjqs-2011-000585
IS  - 6
M3  - Review
N1  - Cited By :28
Export Date: 10 November 2020
PY  - 2012
SP  - 448-456
ST  - Comparative economic analyses of patient safety improvement strategies in acute care: A systematic review
T2  - BMJ Quality and Safety
TI  - Comparative economic analyses of patient safety improvement strategies in acute care: A systematic review
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84861826747&doi=10.1136%2fbmjqs-2011-000585&partnerID=40&md5=0d14e03f96b265cf218954eb55c5f6ee
VL  - 21
ID  - 1368
ER  - 

TY  - JOUR
AB  - BACKGROUND: The objective was to systematically review comparative economic analyses of patient safety improvements in the acute care setting. METHODS: A systematic review of 15 patient safety target conditions and six improvement strategies was conducted. The authors searched the published literature through Medline (2000-November 2011) using the following search terms for costs: 'costs and cost analysis', 'cost-effectiveness', 'cost' and 'financial management, hospital'. The methodological quality of potentially relevant studies was appraised using Cochrane rules of evidence for clinical effectiveness in quality improvement, and standard economic methods. RESULTS: The authors screened 2151 abstracts, reviewed 212 potentially eligible studies, and identified five comparative economic analyses that reported a total of seven comparisons based on at least one clinical effectiveness study of adequate methodological quality. Pharmacist-led medication reconciliation to prevent potential adverse drug events dominated (lower costs, better safety) a strategy of no reconciliation. Chlorhexidine for vascular catheter site care to prevent catheter-related bloodstream infections dominated a strategy of povidone-iodine for catheter site care. The Keystone ICU initiative to prevent central line-associated bloodstream infections was economically dominant over usual care. Detecting surgical foreign bodies using standard counting compared with a strategy of no counting had an incremental cost of US$1500 (CAN$1676) for each surgical foreign body detected. Several safety improvement strategies were less economically attractive, such as bar-coded sponges for reducing retained surgical sponges compared with standard surgical counting, and giving erythropoietin to reduce transfusion requirements in critically ill patients to avoid one transfusion-related adverse event. CONCLUSIONS: Five comparative economic analyses were found that reported a total of seven comparisons based on at least one effectiveness study of adequate methodological quality. On the basis of these limited studies, pharmacist-led medication reconciliation, the Keystone ICU intervention for central line-associated bloodstream infections, chlorhexidine for vascular catheter site care, and standard surgical sponge counts were economically attractive strategies for improving patient safety. More comparative economic analyses of such strategies are needed.
AD  - 2075 Bayview Avenue H469, Toronto M4N 3M5, Ontario, Canada; edward.etchells@sunnybrook.ca.
AN  - 104460083. Language: English. Entry Date: 20120720. Revision Date: 20150711. Publication Type: Journal Article
AU  - Etchells, Edward
AU  - Koo, Marika
AU  - Daneman, Nick
AU  - McDonald, Andrew
AU  - Baker, Michael
AU  - Matlow, Anne
AU  - Krahn, Murray
AU  - Mittmann, Nicole
DB  - ccm
DP  - EBSCOhost
IS  - 6
KW  - Acute Care
Cost Benefit Analysis
Patient Safety
Quality Improvement -- Methods
Catheter Care
Catheter-Related Infections -- Prevention and Control
Clinical Effectiveness
Comparative Studies
Funding Source
Human
Medication Reconciliation
Medline
Professional Practice, Evidence-Based
Research Methodology
Surgical Count Procedure
N1  - research; systematic review; tables/charts. Journal Subset: Blind Peer Reviewed; Europe; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; UK & Ireland. Special Interest: Evidence-Based Practice; Patient Safety; Quality Assurance. Grant Information: Canadian Patient Safety Institute.. NLM UID: 101546984.
PMID: NLM22523319.
PY  - 2012
SN  - 2044-5415
SP  - 448-456
ST  - Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review
T2  - BMJ Quality & Safety
TI  - Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104460083&site=ehost-live&scope=site
VL  - 21
ID  - 829
ER  - 

TY  - JOUR
AB  - Background: The objective was to systematically review comparative economic analyses of patient safety improvements in the acute care setting. Methods: A systematic review of 15 patient safety target conditions and six improvement strategies was conducted. The authors searched the published literature through Medline (2000eNovember 2011) using the following search terms for costs: 'costs and cost analysis', 'cost-effectiveness', 'cost' and 'financial management, hospital'. The methodological quality of potentially relevant studies was appraised using Cochrane rules of evidence for clinical effectiveness in quality improvement, and standard economic methods. Results: The authors screened 2151 abstracts, reviewed 212 potentially eligible studies, and identified five comparative economic analyses that reported a total of seven comparisons based on at least one clinical effectiveness study of adequate methodological quality. Pharmacist-led medication reconciliation to prevent potential adverse drug events dominated (lower costs, better safety) a strategy of no reconciliation. Chlorhexidine for vascular catheter site care to prevent catheter-related bloodstream infections dominated a strategy of povidone-iodine for catheter site care. The Keystone ICU initiative to prevent central line-associated bloodstream infections was economically dominant over usual care. Detecting surgical foreign bodies using standard counting compared with a strategy of no counting had an incremental cost of US$1500 (CAN$1676) for each surgical foreign body detected. Several safety improvement strategies were less economically attractive, such as bar-coded sponges for reducing retained surgical sponges compared with standard surgical counting, and giving erythropoietin to reduce transfusion requirements in critically ill patients to avoid one transfusion-related adverse event. Conclusions: Five comparative economic analyses were found that reported a total of seven comparisons based on at least one effectiveness study of adequate methodological quality. On the basis of these limited studies, pharmacist-led medication reconciliation, the Keystone ICU intervention for central line-associated bloodstream infections, chlorhexidine for vascular catheter site care, and standard surgical sponge counts were economically attractive strategies for improving patient safety. More comparative economic analyses of such strategies are needed.
AD  - E. Etchells, 2075 Bayview Avenue H469, Toronto, ON M4N 3M5, Canada
AU  - Etchells, E.
AU  - Koo, M.
AU  - Daneman, N.
AU  - McDonald, A.
AU  - Baker, M.
AU  - Matlow, A.
AU  - Krahn, M.
AU  - Mittmann, N.
DB  - Embase
Medline
DO  - 10.1136/bmjqs-2011-000585
IS  - 6
KW  - antibiotic agent
chlorhexidine
contrast medium
povidone iodine
recombinant erythropoietin
antibiotic resistance
blood transfusion
blood transfusion reaction
catheter infection
central venous catheter
clinical effectiveness
Cochrane Library
comparative study
contrast induced nephropathy
cost benefit analysis
cost effectiveness analysis
critically ill patient
disinfection
drug safety
economic evaluation
emergency care
evidence based medicine
financial management
health care cost
health care quality
hospital care
human
intensive care unit
intravascular catheter
medicine
Medline
meta analysis
patient safety
pharmacist
postoperative hemorrhage
retained instrument
review
risk reduction
surgical sponge
systematic review
total quality management
LA  - English
M3  - Review
N1  - L51977921
2012-06-15
2012-06-20
PY  - 2012
SN  - 2044-5415
SP  - 448-456
ST  - Comparative economic analyses of patient safety improvement strategies in acute care: A systematic review
T2  - BMJ Quality and Safety
TI  - Comparative economic analyses of patient safety improvement strategies in acute care: A systematic review
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L51977921&from=export
http://dx.doi.org/10.1136/bmjqs-2011-000585
http://qualitysafety.bmj.com/content/21/6/448.full.pdf+html
VL  - 21
ID  - 513
ER  - 

TY  - JOUR
AB  - Objectives: Implant-associated methicillin-resistant Staphylococcus aureus (MRSA) infections are challenging to treat. We compared antimicrobial activities in a rat model of chronic osteomyelitis in the context of retention of the foreign body without débridement. Methods: MRSA was inoculated into the proximal tibia and a wire implanted. Four weeks after infection, treatment with vancomycin 50mg/kg every 12h, tigecycline 14mg/kg every 12h, rifampin 25mg/kg every 12h, or the combination of vancomycin or tigecycline plus rifampin was administered intraperitoneally for 21 days. Results: MRSA was cultured from all tibias in the control group (median, 6.06 log 10 CFU/g bone). Median bacterial counts (log 10 CFU/g) at 48h post-treatment were 6.16 for vancomycin (p=0.753), 2.29 for vancomycin plus rifampin (p&lt;0.001), 5.90 for tigecycline (p=0.270), 0.10 for tigecycline plus rifampin (p&lt;0.001), and 0.91 for rifampin (p=0.044) treatment. Three deaths were observed in the tigecycline plus rifampin group. Median bacterial counts (log 10 CFU/g) at two weeks post-treatment were 5.65 for vancomycin (p = 0.6), 4.05 for vancomycin plus rifampin (p = 0.105), 5.68 for tigecycline (p = 0.401), 4.05 for tigecycline plus rifampin (p = 0.028), and 5.98 for rifampin (p = 0.297) treatment. Conclusions: Tigecycline plus rifampin resulted in a significant bacterial count decrease, an effect more prominent at 48 h than two weeks after treatment completion. Tigecycline was not well tolerated at the dose studied. © 2015 The British Infection Association.
AD  - Division of Clinical Microbiology, Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN 55905, United States
Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic, Rochester, MN 55905, United States
Division of Infectious Diseases, Department of Medicine, Mayo Clinic, Rochester, MN 55905, United States
AU  - Vergidis, P.
AU  - Schmidt-Malan, S. M.
AU  - Mandrekar, J. N.
AU  - Steckelberg, J. M.
AU  - Patel, R.
DB  - Scopus
DO  - 10.1016/j.jinf.2014.12.016
IS  - 6
KW  - Osteomyelitis
Rifampin
Staphylococcus aureus
Tigecycline
Vancomycin
M3  - Article
N1  - Cited By :19
Export Date: 10 November 2020
PY  - 2015
SP  - 609-615
ST  - Comparative activities of vancomycin, tigecycline and rifampin in a rat model of methicillin-resistant Staphylococcus aureus osteomyelitis
T2  - Journal of Infection
TI  - Comparative activities of vancomycin, tigecycline and rifampin in a rat model of methicillin-resistant Staphylococcus aureus osteomyelitis
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84929133574&doi=10.1016%2fj.jinf.2014.12.016&partnerID=40&md5=21c868a1e8bb19af0bfc17712bd117de
VL  - 70
ID  - 1226
ER  - 

TY  - JOUR
AB  - Purpose: To describe the clinical presentations and treatment modalities of a series of BB gun-related perforating ocular injuries. Methods: Clinical records of all consecutive cases of perforating BB gun injuries to the globe seen between September 2004 and September 2008 were reviewed retrospectively. At the time of the trauma and after final treatment, all patients underwent a complete ocular examination, including visual acuity, applanation tonometry for intraocular pressure, slit lamp biomicroscopy, indirect ophthalmoscopy and fundus photography, if possible. In all cases, primary globe repair was performed in the first session, and then appropriate surgery took place based on the individual situation. Results: In this study, 13 patients (11 males and 2 females) with a mean age of 20.8 years (range 9-50 years) were enrolled. The mean follow-up period was 7.2 ± 4.3 months (range 1-25 months). Initial visual acuity (VA) ranged from no-light perception (NLP) to finger counting (CF). Vitreous haemorrhage and retinal detachment were present in all involved eyes. Hyphema (30.76%), uveal and retinal prolapse (30.8%), retinal incarceration (30.8%) and retinal haemorrhage (53.8%) were other ocular findings. VA remained stable in 46.2% of the patients (6 cases). The best achieved final VA was CF at 2 m in one case after 6 months follow-up. After several surgical procedures, enucleation was necessary in only 2/13 (15.4%) cases. Conclusion: Despite several surgical procedures which decreased the number of enucleations, BB gun-perforating ocular injuries still lead to a grim visual outcome. This implies the importance of political strategies targeting on education of parents and restriction for children to access to these guns. © 2010 Elsevier Ltd. All rights reserved.
AD  - Eye Research Center, Farabi Eye Hospital, Tehran University of Medical Sciences (TUMS), Tehran, Iran
Department of Ophthalmology, Leiden University Medical Center, Leiden, Netherlands
AU  - Nili Ahmadabadi, M.
AU  - Karkhaneh, R.
AU  - Kord Valeshabad, A.
AU  - Tabatabai, A.
AU  - Jager, M. J.
AU  - Nili Ahmadabadi, E.
DB  - Scopus
DO  - 10.1016/j.injury.2010.11.006
IS  - 5
KW  - Airgun
BB
Perforating ocular injury
Visual outcome
M3  - Article
N1  - Cited By :12
Export Date: 10 November 2020
PY  - 2011
SP  - 492-495
ST  - Clinical presentation and outcome of perforating ocular injuries due to BB guns: A case series
T2  - Injury
TI  - Clinical presentation and outcome of perforating ocular injuries due to BB guns: A case series
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-79953649176&doi=10.1016%2fj.injury.2010.11.006&partnerID=40&md5=41873eac211a93f1b06f9d770facab4c
VL  - 42
ID  - 1424
ER  - 

TY  - JOUR
AB  - The objective of this study was to investigate the therapeutic effects of bronchoscopy alveolar lavage (BAL) combined with thoracoscopy in the treatment of empyema in children.Retrospectively analyzed 174 cases of pediatric empyema treated with thoracoscopy combined with BAL from January 2010 to December 2016 in our hospital. All the cases, according to admission order, were randomly divided into 2 groups, the control group (group A), which contained 89 cases, was treated with thoracoscopy; and the experimental group (group B), which contained 85 cases, was treated with BAL combined with thoracoscopy. The results of BAL treatment, the inflammatory indexes including body temperature, total leukocyte count in peripheral blood and CRP, and the therapeutic effect and prognosis including the days of antibiotic use, hospital stay, the incidence of thoracotomy and lobectomy were compared between the 2 groups.1.There was no significant difference in inflammatory indexes between the 2 groups: body temperature (oC), (39.06±0.047 and 39.08±0.050), P&gt;.855; routine leukocyte count (10^9/L), (25.93±1.035 and 24.76±1.019), P&gt;.425); C-reactive protein (mg/L), (128.7±6.653 and 138.6±7.53), P&gt;.328.2.The results of BAL: hyperemia and edema was detected in trachea intima of all cases, including 32 cases of purulent secretion and ulcer, 21 cases of lumen deformation and 5 cases of foreign body.3.There were statistical significances in the curative effects of the control group and the experimental group: the duration of antibiotic use (days), (21.07±0.342 and 17.07±0.288), P&lt;.0001); the average hospital stay (days), (22.91±0.347 and 18.79±0.287), P&lt;.0001; secondary surgery (thoracotomy), 15 cases in the control group, 5 cases in the experimental group, P&lt;.023; lung lobectomy (disability rate), 13 cases in the control group and 3 cases in the experimental group, P&lt;.011.There was statistical difference in all the therapeutic indexes (P&lt;.05).Bronchoscopy alveolar lavage combined with thoracoscopy has a higher success rate in the treatment of pediatric empyema, and is more comprehensive, safe and effective in controlling inflammation. Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc.
AD  - Pediatric Thoracic Surgery, Children Hospitial of Hebei Province, No.133, Jianhua Road, Yuhua District, Shijiazhuang, 050000, China
AU  - Yue, F.
AU  - Yang, Z.
AU  - Yang, F.
AU  - Liu, Y.
AU  - Zhao, L.
AU  - Chen, Z.
AU  - Gao, F.
C7  - e18528
DB  - Scopus
DO  - 10.1097/MD.0000000000018528
IS  - 52
KW  - bronchoscopy alveolar lavage
pediatric empyema
thoracoscopy
treatment
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2019
ST  - Clinical observation of bronchoscopy alveolar lavage combined with thoracoscopy in the treatment of empyema in children
T2  - Medicine (United States)
TI  - Clinical observation of bronchoscopy alveolar lavage combined with thoracoscopy in the treatment of empyema in children
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85077203597&doi=10.1097%2fMD.0000000000018528&partnerID=40&md5=cf177deaab2163267636c2ecf48cd0af
VL  - 98
ID  - 991
ER  - 

TY  - JOUR
AB  - Operation of fluoroscopy equipment Key words: fluoroscopy, mini C-arm, scope of practice, radiologic device. Patient education after radionuclide implantation Key words: radionuclides, brachytherapy, prostate cancer, radiation safety. Personal protective equipment Key words: clean, decontamination, instruments, PPE, tray assembly. Safe staffing patterns Key words: on-call staffing, schedules, safe staffing levels. Counting instruments when laparoscopy procedures convert to open procedures Key words: counts, instrument, laparoscopy, retained surgical items. © 2017 AORN, Inc
AU  - Ogg, M. J.
AU  - Johnstone, E. M.
DB  - Scopus
DO  - 10.1016/j.aorn.2017.05.006
IS  - 1
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2017
SP  - 69-76
ST  - Clinical Issues—July 2017
T2  - AORN Journal
TI  - Clinical Issues—July 2017
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021163302&doi=10.1016%2fj.aorn.2017.05.006&partnerID=40&md5=1b512a6f5d4affe1347fa10fc21b3003
VL  - 106
ID  - 1132
ER  - 

TY  - JOUR
AB  - Wearing ring dosimeters Key words: dosimeter, ring dosimeters, finger dosimeters. Reporting a retained surgical item (RSI) Key words: reportable event, retained surgical item, RSI, retained foreign object, counts. Definition of an implant Key words: implant, implant documentation. Determining whether RN first assistants (RNFAs) must maintain CNOR certification to practice Key words: CNOR, CRNFA, RNFA, first assistant, RN first assistant. Definition of personal protective equipment (PPE) Key words: personal protective equipment, PPE, surgical attire, removing PPE. © 2016 AORN, Inc
AU  - Burlingame, B. L.
DB  - Scopus
DO  - 10.1016/j.aorn.2016.05.007
IS  - 1
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2016
SP  - 71-78
ST  - Clinical Issues—July 2016
T2  - AORN Journal
TI  - Clinical Issues—July 2016
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84976344712&doi=10.1016%2fj.aorn.2016.05.007&partnerID=40&md5=5c8912c7a1411ea5fb4d312599d8d9ee
VL  - 104
ID  - 1175
ER  - 

TY  - JOUR
AB  - Head coverings Key words: head cover, bouffant, skull cap, hair, scalp. Skin preps Key words: skin preps, antiseptics, cesarean delivery, surgical site infections, abdomen. Pediatric surgical counts Key words: pediatrics, counts, surgical, retained surgical items, policy. Sterile set up Key words: sterile table, sterile set up, covering, monitoring, contamination. Surgical hand antisepsis Key words: surgical hand rub, application, surgical scrub, scrubbed areas. © 2016 AORN, Inc
AU  - Spruce, L.
AU  - Wood, A.
DB  - Scopus
DO  - 10.1016/j.aorn.2016.10.008
IS  - 6
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2016
SP  - 593-600
ST  - Clinical Issues—December 2016
T2  - AORN Journal
TI  - Clinical Issues—December 2016
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84997712067&doi=10.1016%2fj.aorn.2016.10.008&partnerID=40&md5=7998c389c1263801233ae1e8d90f1011
VL  - 104
ID  - 1164
ER  - 

TY  - JOUR
AB  - THIS MONTH: Surgical counts during a partial cystectomy Key words: partial cystectomy, retained surgical item (RSI), counts, bladder, guidewire. Preparing the OR for patients who require both airborne and contact precautions Key words: airborne precautions, contact precautions, contamination, Coronavirus Disease 2019 (COVID-19), negative pressure. Preoperative transport of patients who require both airborne and contact precautions Key words: preoperative patient transport, hand hygiene, personal protective equipment (PPE), N95 respirator, Coronavirus Disease 2019 (COVID-19). Postoperative transport of patients who require both airborne and contact precautions Key words: postoperative patient transport, hand hygiene, personal protective equipment (PPE), N95 respirator, Coronavirus Disease 2019 (COVID-19). © AORN, Inc, 2020.
AU  - Jones, E.
AU  - Wood, A.
DB  - Scopus
DO  - 10.1002/aorn.13165
IS  - 3
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
SP  - 291-300
ST  - Clinical Issues-September 2020
T2  - AORN journal
TI  - Clinical Issues-September 2020
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85090172144&doi=10.1002%2faorn.13165&partnerID=40&md5=3d9a32cee63775cd378f8b7d015d4448
VL  - 112
ID  - 956
ER  - 

TY  - JOUR
AB  - THIS MONTH: Surgical counts during a partial cystectomy Key words: partial cystectomy, retained surgical item (RSI), counts, bladder, guidewire. Preparing the OR for patients who require both airborne and contact precautions Key words: airborne precautions, contact precautions, contamination, Coronavirus Disease 2019 (COVID-19), negative pressure. Preoperative transport of patients who require both airborne and contact precautions Key words: preoperative patient transport, hand hygiene, personal protective equipment (PPE), N95 respirator, Coronavirus Disease 2019 (COVID-19). Postoperative transport of patients who require both airborne and contact precautions Key words: postoperative patient transport, hand hygiene, personal protective equipment (PPE), N95 respirator, Coronavirus Disease 2019 (COVID-19).
AU  - Jones, E.
AU  - Wood, A.
DB  - Medline
DO  - 10.1002/aorn.13165
IS  - 3
KW  - adult
article
contamination
coronavirus disease 2019
cystectomy
guide wire
human
hygiene
patient transport
protective equipment
surgery
ventilator
LA  - English
M3  - Article
N1  - L632720929
2020-09-04
2020-09-09
PY  - 2020
SN  - 1878-0369
SP  - 291-300
ST  - Clinical Issues-September 2020
T2  - AORN journal
TI  - Clinical Issues-September 2020
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L632720929&from=export
http://dx.doi.org/10.1002/aorn.13165
VL  - 112
ID  - 271
ER  - 

TY  - JOUR
AB  - Using adhesive tape for patient positioning Key words: adhesive tape, surgical tape, patient positioning, pressure injury, contamination. Border sterility of open sterile wrappers Key words: wrapped sterile item, unsterile border, wrapper flap, contaminated, aseptic technique. Cost per minute of OR time Key words: cost comparison, direct costs, cost savings, perioperative efficiency, product evaluation. Packages containing an incorrect number of suture needles Key words: multipack, retained surgical item (RSI), counting, needle, package. © AORN, Inc, 2020.
AU  - Seeman, K.
DB  - Scopus
DO  - 10.1002/aorn.13238
IS  - 5
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
SP  - 568-574
ST  - Clinical Issues-November 2020
T2  - AORN journal
TI  - Clinical Issues-November 2020
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85094840646&doi=10.1002%2faorn.13238&partnerID=40&md5=88ab1def7d8e3a03b8c28839c892f8dd
VL  - 112
ID  - 951
ER  - 

TY  - JOUR
AB  - Using adhesive tape for patient positioning Key words: adhesive tape, surgical tape, patient positioning, pressure injury, contamination. Border sterility of open sterile wrappers Key words: wrapped sterile item, unsterile border, wrapper flap, contaminated, aseptic technique. Cost per minute of OR time Key words: cost comparison, direct costs, cost savings, perioperative efficiency, product evaluation. Packages containing an incorrect number of suture needles Key words: multipack, retained surgical item (RSI), counting, needle, package.
AU  - Seeman, K.
DB  - Medline
DO  - 10.1002/aorn.13238
IS  - 5
KW  - adult
article
contamination
cost control
human
injury
patient positioning
surgical tape
suture needle
LA  - English
M3  - Article
N1  - L633292573
2020-11-06
PY  - 2020
SN  - 1878-0369
SP  - 568-574
ST  - Clinical Issues-November 2020
T2  - AORN journal
TI  - Clinical Issues-November 2020
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L633292573&from=export
http://dx.doi.org/10.1002/aorn.13238
VL  - 112
ID  - 268
ER  - 

TY  - JOUR
AB  - Operation of fluoroscopy equipment Key words: fluoroscopy, mini C-arm, scope of practice, radiologic device. Patient education after radionuclide implantation Key words: radionuclides, brachytherapy, prostate cancer, radiation safety. Personal protective equipment Key words: clean, decontamination, instruments, PPE, tray assembly. Safe staffing patterns Key words: on-call staffing, schedules, safe staffing levels. Counting instruments when laparoscopy procedures convert to open procedures Key words: counts, instrument, laparoscopy, retained surgical items.
AU  - Ogg, M. J.
AU  - Johnstone, E. M.
DB  - Medline
DO  - 10.1016/j.aorn.2017.05.006
IS  - 1
KW  - adult
article
brachytherapy
cancer radiotherapy
cancer surgery
decontamination
drug safety
fluoroscopy
human
implantation
laparoscopy
male
patient education
pharmacokinetics
prostate cancer
protective equipment
scope of practice
surgery
radioisotope
LA  - English
M3  - Article
N1  - L625255935
2018-12-05
PY  - 2017
SN  - 1878-0369
SP  - 69-76
ST  - Clinical Issues-July 2017
T2  - AORN journal
TI  - Clinical Issues-July 2017
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L625255935&from=export
http://dx.doi.org/10.1016/j.aorn.2017.05.006
VL  - 106
ID  - 372
ER  - 

TY  - JOUR
AB  - Denture impacted in the esophagus of adults has been a complex foreign body for otolaryngologists. We reviewed clinical characteristics, diagnosis, and treatment of these patients and evaluated computed tomography (CT) scans to identify a better method of dealing with such tricky situations. Twenty-nine patients who underwent rigid esophagoscopy were included in this retrospective study conducted at the University hospital. The patients underwent preoperative tests and examinations, including complete blood count, blood type and coagulation, electrocardiogram, and CT. The commonest symptoms were retrosternal pain, dysphagia, and odynophagia. Duration of the foreign body impacted within 24 h was 65.5%. CT findings revealed that 4 of 24 cases had complications in the upper esophagus, with 3 of the 4 cases in the mid-esophagus and 1 in the lower esophagus. Complications were related to the duration and location of the obstruction (P < 0.05). The location and complications based on CT findings were coherent with rigid esophagoscopy findings. Denture impaction in the esophagus can be fatal. Early intervention is crucial for prognosis. CT is used for diagnosing and guiding doctors in managing. The commonest location of impacted dentures was the upper esophagus with a lower incidence of complications. The incidence of an impacted denture in the mid-esophagus was low but with a high risk of complications. The incidence of an impacted denture in the lower esophagus was rare. Surgery and proper treatment ensure a good prognosis. © 2019, Springer Science+Business Media, LLC, part of Springer Nature.
AD  - Department of Otorhinolaryngology, The First Hospital of China Medical University, 155, Nanjing North Street, Heping District, Shenyang, Liaoning Province, China
AU  - Wang, F.
AU  - Yang, N.
AU  - Wang, Z.
AU  - Guo, X.
AU  - Hui, L.
DB  - Scopus
DO  - 10.1007/s00455-019-10048-3
IS  - 3
KW  - Computed tomography (CT)
Deglutition
Deglutition disorders
Dentures
Foreign body
Rigid esophagoscopy
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
SP  - 455-459
ST  - Clinical Analysis of Denture Impaction in the Esophagus of Adults
T2  - Dysphagia
TI  - Clinical Analysis of Denture Impaction in the Esophagus of Adults
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85071389600&doi=10.1007%2fs00455-019-10048-3&partnerID=40&md5=374486390f203840c9b87fa102e4a954
VL  - 35
ID  - 965
ER  - 

TY  - JOUR
AB  - Denture impacted in the esophagus of adults has been a complex foreign body for otolaryngologists. We reviewed clinical characteristics, diagnosis, and treatment of these patients and evaluated computed tomography (CT) scans to identify a better method of dealing with such tricky situations. Twenty-nine patients who underwent rigid esophagoscopy were included in this retrospective study conducted at the University hospital. The patients underwent preoperative tests and examinations, including complete blood count, blood type and coagulation, electrocardiogram, and CT. The commonest symptoms were retrosternal pain, dysphagia, and odynophagia. Duration of the foreign body impacted within 24 h was 65.5%. CT findings revealed that 4 of 24 cases had complications in the upper esophagus, with 3 of the 4 cases in the mid-esophagus and 1 in the lower esophagus. Complications were related to the duration and location of the obstruction (P < 0.05). The location and complications based on CT findings were coherent with rigid esophagoscopy findings. Denture impaction in the esophagus can be fatal. Early intervention is crucial for prognosis. CT is used for diagnosing and guiding doctors in managing. The commonest location of impacted dentures was the upper esophagus with a lower incidence of complications. The incidence of an impacted denture in the mid-esophagus was low but with a high risk of complications. The incidence of an impacted denture in the lower esophagus was rare. Surgery and proper treatment ensure a good prognosis.
AD  - Department of Otorhinolaryngology, The First Hospital of China Medical University, 155, Nanjing North Street, Heping District, Shenyang, Liaoning Province, China
AN  - 143220712. Language: English. Entry Date: In Process. Revision Date: 20200927. Publication Type: journal article. Journal Subset: Biomedical
AU  - Wang, Fei
AU  - Yang, Ning
AU  - Wang, Zheng
AU  - Guo, Xing
AU  - Hui, Lian
DB  - ccm
DO  - 10.1007/s00455-019-10048-3
DP  - EBSCOhost
IS  - 3
N1  - Peer Reviewed; USA. NLM UID: 8610856.
PMID: NLM31463803.
PY  - 2020
SN  - 0179-051X
SP  - 455-459
ST  - Clinical Analysis of Denture Impaction in the Esophagus of Adults
T2  - Dysphagia (0179051X)
TI  - Clinical Analysis of Denture Impaction in the Esophagus of Adults
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143220712&site=ehost-live&scope=site
VL  - 35
ID  - 708
ER  - 

TY  - JOUR
AB  - Denture impacted in the esophagus of adults has been a complex foreign body for otolaryngologists. We reviewed clinical characteristics, diagnosis, and treatment of these patients and evaluated computed tomography (CT) scans to identify a better method of dealing with such tricky situations. Twenty-nine patients who underwent rigid esophagoscopy were included in this retrospective study conducted at the University hospital. The patients underwent preoperative tests and examinations, including complete blood count, blood type and coagulation, electrocardiogram, and CT. The commonest symptoms were retrosternal pain, dysphagia, and odynophagia. Duration of the foreign body impacted within 24 h was 65.5%. CT findings revealed that 4 of 24 cases had complications in the upper esophagus, with 3 of the 4 cases in the mid-esophagus and 1 in the lower esophagus. Complications were related to the duration and location of the obstruction (P < 0.05). The location and complications based on CT findings were coherent with rigid esophagoscopy findings. Denture impaction in the esophagus can be fatal. Early intervention is crucial for prognosis. CT is used for diagnosing and guiding doctors in managing. The commonest location of impacted dentures was the upper esophagus with a lower incidence of complications. The incidence of an impacted denture in the mid-esophagus was low but with a high risk of complications. The incidence of an impacted denture in the lower esophagus was rare. Surgery and proper treatment ensure a good prognosis.
AD  - L. Hui, Department of Otorhinolaryngology, The First Hospital of China Medical University, 155, Nanjing North Street, Heping District, Shenyang, Liaoning Province, China
AU  - Wang, F.
AU  - Yang, N.
AU  - Wang, Z.
AU  - Guo, X.
AU  - Hui, L.
DB  - Embase
Medline
DO  - 10.1007/s00455-019-10048-3
IS  - 3
KW  - computed tomography scanner
nasogastric tube
antibiotic agent
abdominal abscess
adult
aged
article
blood cell count
blood clotting test
blood group typing
clinical article
clinical assessment
clinical feature
computer assisted tomography
denture impaction
diagnostic procedure
disease association
disease duration
dysphagia
dyspnea
electrocardiography
erosion
esophagoscopy
esophagus disease
esophagus perforation
esophagus ulcer
female
foreign body
heart arrest
human
incidence
laceration
male
mediastinitis
odynophagia
patient care
pneumomediastinum
preoperative evaluation
priority journal
prognostic assessment
respiratory arrest
retrospective study
retrosternal pain
risk assessment
thorax surgery
tracheostomy
treatment planning
unconsciousness
LA  - English
M3  - Article
N1  - L2002617436
2019-09-03
2020-06-05
PY  - 2020
SN  - 1432-0460
0179-051X
SP  - 455-459
ST  - Clinical Analysis of Denture Impaction in the Esophagus of Adults
T2  - Dysphagia
TI  - Clinical Analysis of Denture Impaction in the Esophagus of Adults
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L2002617436&from=export
http://dx.doi.org/10.1007/s00455-019-10048-3
VL  - 35
ID  - 275
ER  - 

TY  - JOUR
AB  - The article reports on the study which shows that clinicians who used preoperative checklist-based system could reduce equipment-related errors by a mean of 48.6%
AN  - 90566461. Language: English. Entry Date: 20131008. Revision Date: 20131011. Publication Type: Article
DB  - ccm
DO  - 10.1097/01.NURSE.0000434318.83194.41
DP  - EBSCOhost
IS  - 10
KW  - Operating Rooms
Treatment Errors -- Prevention and Control
Risk Management
Checklists
Surgical Equipment and Supplies
Surgical Count Procedure
N1  - brief item; pictorial. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Patient Safety; Perioperative Care; Quality Assurance. NLM UID: 7600137.
PY  - 2013
SN  - 0360-4039
SP  - 17-17
ST  - Checklists reduce errors by nearly 50%
T2  - Nursing
TI  - Checklists reduce errors by nearly 50%
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=90566461&site=ehost-live&scope=site
VL  - 43
ID  - 901
ER  - 

TY  - JOUR
AB  - Purpose: To introduce cases of the use, as patch grafts, of stromal lenticules obtained by small incision lenticule extraction (SMILE) surgery. Observations: Case 1 was a 79-year-old man who presented with Ahmed-valve-tube exposure in his left eye. His uncorrected visual acuity (UCVA) was 20/40, best-corrected visual acuity (BCVA) 20/32, and intraocular pressure (IOP) 11 mmHg. He was treated with stromal lenticule patch that had been extracted by SMILE surgery. The patch was positioned underneath of the conjunctiva and sutured to it. At postoperative 8 months, the graft site was well maintained without Ahmed valve-tube exposure, the UCVA was 20/32, BCVA 20/20, and IOP 12 mmHg. Case 2 was a 60-year-old man who presented with Ahmed-valve-tube exposure in his right eye. His UCVA was finger-count (FC) 30 cm, his BCVA 20/125, and his IOP 14 mmHg. He was treated with stromal lenticule patch by the same method as employed in case 1. At postoperative 10 days, tube re-exposure and displacement of the Ahmed valve external plate toward the limbus area occurred due to loosening of the anchoring suture. So, we removed the Ahmed valve device, which had been implanted in the supero-temporal area, and performed new Ahmed valve implantation, with a stromal lenticule flap instead of a partial scleral flap, in the supero-nasal area. As of 6 months post-reoperation, the patient was stable, with UCVA 20/200, BCVA 20/40 and IOP 13 mmHg. Case 3 was a 74-year-old man who presented with bullous keratopathy in his right eye, which was blind. Due to severe adhesions, his conjunctiva could not cover the entire cornea. Therefore, we performed a stromal lenticule patch graft with conjunctival advance flap. At postoperative 3 months, the patient's right eye was stable, without displacement or melting of the lenticule graft. Conclusions & importance: It is suggested that the stromal lenticule, with its biocompatibility, sufficient strength, ease of handling and low cost, is a useful patch graft for various therapeutic purposes in the ophthalmic field. © 2018 The Authors
AD  - Department of Ophthalmology, Chosun University College of Medicine, Gwangju, South Korea
Department of Dentistry, Hallym University Gangnam Sacred Heart Hospital, Seoul, South Korea
Happy Eye21 Hospital, Gwangju, South Korea
AU  - Song, Y. J.
AU  - Kim, S.
AU  - Yoon, G. J.
DB  - Scopus
DO  - 10.1016/j.ajoc.2018.09.009
KW  - Ahmed valve tube exposure
Bullous keratopathy
Patch graft
Stromal lenticule
M3  - Article
N1  - Cited By :5
Export Date: 10 November 2020
PY  - 2018
SP  - 79-82
ST  - Case series: Use of stromal lenticule as patch graft
T2  - American Journal of Ophthalmology Case Reports
TI  - Case series: Use of stromal lenticule as patch graft
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85054170677&doi=10.1016%2fj.ajoc.2018.09.009&partnerID=40&md5=bf89a4fcea90d8349327865ef30cdb32
VL  - 12
ID  - 1052
ER  - 

TY  - JOUR
AB  - A 30years of old hypothyroid lady, presented with foul smelling excessive whitish per vaginal discharge, associated with itching in vulva & pain in the lower abdomen following caesarean section 3 months back. Her uterus was palpably enlarged and firm. USG revealed bulky uterus with wall echo shadow sign. A CT scan of whole abdomen was done that revealed intra-uterine textiloma. During laparotomy huge amount of pus came out through wound and a mob was found within uterine cavity. Textiloma is a rare problem of surgery arising from retained gauze during operation. Careful counting of surgical gauze before closure and identification by newer techniques is required to prevent this iatrogenic complication.
AD  - Department of Obstetrics and Gynecology, BIRDEM, Bangladesh
AU  - Begum, R.
AU  - Khanum, S.
DB  - Scopus
DO  - 10.3329/bjog.v26i2.13791
IS  - 2
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2011
SP  - 100-102
ST  - Case report on textiloma of uterus
T2  - Bangladesh Journal of Obstetrics and Gynecology
TI  - Case report on textiloma of uterus
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84867686581&doi=10.3329%2fbjog.v26i2.13791&partnerID=40&md5=402518ccfc86c29b98bb049699d26e4f
VL  - 26
ID  - 1436
ER  - 

TY  - JOUR
AB  - Introduction The gossypibomas is an inflammatory granuloma centered by textile fibers forgotten during surgery. Renal gossypibomas is a rare post-operative complication. The authors report a case of gossypibomas simulating kidney tumor pathological discovery. Observation The patient A. G. 53 years old, with a history of left nephrolithotomy by lumbotomy 5 years earlier was admitted for left lumbar pain lasting for 4 months. The uro-scan was consistent with an upper polar cyst Bosniack III. Macroscopic examination of the nephrectomy piece noted, a cystic cavity 7x6 cm containing gauze surrounded by a gelatinous substance. The histological sections showed a thickened wall, including calcification foci and granulomatous reaction to foreign bodies. The diagnosis of a pseudo-tumor gossypibomas left kidney was retained. Conclusion The textile fibers may trigger an acute inflammatory reaction with formation of a perirenal abcess if aseptic resulting in the formation of fibrotic foci, encystment and calcification. Renal gossypibomas pose diagnostic difficulties in the absence of pathognomonic clinical and radiological signs. The presence of a renal mass associated with a history of kidney surgery on the same side should suggest first a gossypibomas. The treatment is surgical. Partial nephrectomy is the treatment of choice. The best treatment remains prevention by careful gauze counts, and surgical drapes in the beginning and end of intervention. © 2017 Pan African Urological Surgeons’ Association
AD  - Laboratoire d'anatomie et cytologie pathologiques de l'Hôpital Aristide le Dantec (Dakar/Sénégal), France
Service d'urologie et d'andrologie de de l'Hôpital Aristide le Dantec (Dakar/Sénégal), France
AU  - Doh, K.
AU  - Thiam, I.
AU  - Takin, R. C. A.
AU  - Bissirou, I.
AU  - Gaye, G. W.
DB  - Scopus
DO  - 10.1016/j.afju.2016.12.002
IS  - 4
KW  - gauze
Gossypibomas
kidney
pseudo-tumor
Senegal.
Thies
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2017
SP  - 364-367
ST  - Un cas de textilome renal simulant une tumeur de découverte anatomopathologique
T2  - African Journal of Urology
TI  - A case of renal gossypibomas mimicking tumor pathological discovery
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85011600835&doi=10.1016%2fj.afju.2016.12.002&partnerID=40&md5=84da0322f744e81584cd7a2bcaf1e3b3
VL  - 23
ID  - 1107
ER  - 

TY  - JOUR
AB  - Context: We describe a case of acute retinal toxicity caused by an intraocular foreign body composed of a cobalt alloy. Case presentation: A 36-year-old man presented to an outside clinic with a traumatic cataract and corneal laceration of his left eye, which had occurred while grinding a shelf. The lacerated cornea was closed primarily and the traumatic cataract was phacoemulsified. He was transferred to our hospital due to identification of a metallic intraocular foreign body in the vitreous. On arrival at our institution, the intraocular foreign body was removed as soon as possible after vitrectomy. On the first postoperative day, vasculitis and serous retinal detachment were observed on the retina at the previous site of the foreign body. Two months after surgery, atrophy of nearly half of the inferior retina was noted on funduscopy, and visual acuity was such that the patient could only count fingers at 30cm. Analysis of the foreign body revealed that it was composed of 84.99% tungsten carbide, 15% cobalt and had traces of titanium and alumina. Discussion: Cobalt containing metallic foreign bodies should be immediately removed, as they have the potential to cause permanent visual disturbance. © 2014 Informa Healthcare USA, Inc.
AD  - S.J. Lee, Department of Ophthalmology and Visual Science, Kentucky Lion Eye Center, University of Louisville, 301 E Muhamad Ali Blvd, Louisville, KY, United States
AU  - Kang, J. Y.
AU  - Lee, S. U.
AU  - Nam, K. Y.
AU  - Kim, T. W.
AU  - Lee, S. J.
DB  - Embase
Medline
DO  - 10.3109/15569527.2013.808655
IS  - 2
KW  - aluminum oxide
cobalt
prednisolone
quinolone derivative
silicone oil
titanium
tungsten
acute retinal toxicity
adult
article
atrophy
best corrected visual acuity
case report
cataract extraction
chorioretinal atrophy
cornea injury
cornea laceration
eye toxicity
fluorescence angiography
human
intraocular foreign body
laceration
male
ophthalmoscopy
phacoemulsification
postoperative period
retina detachment
retina disease
traumatic cataract
vasculitis
visual acuity
vitrectomy
vitreous body
LA  - English
M3  - Article
N1  - L373151764
2014-06-03
2014-06-11
PY  - 2014
SN  - 1556-9535
1556-9527
SP  - 91-93
ST  - A case of acute retinal toxicity caused by an intraocular foreign body composed of cobalt alloy
T2  - Cutaneous and Ocular Toxicology
TI  - A case of acute retinal toxicity caused by an intraocular foreign body composed of cobalt alloy
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L373151764&from=export
http://dx.doi.org/10.3109/15569527.2013.808655
VL  - 33
ID  - 457
ER  - 

TY  - JOUR
AB  - Purpose To evaluate the efficacy and ocular safety of bromfenac ophthalmic solution 0.07% (Prolensa) dosed once daily for the treatment of ocular inflammation and pain in subjects who underwent cataract surgery with posterior chamber intraocular lens implantation. Design Two phase 3, randomized, double-masked, placebo-controlled, multicenter clinical trials. Participants Four hundred forty subjects (440 study eyes: 222 in the bromfenac group and 218 in the placebo group). Methods Two phase 3, prospective, randomized, double-masked, placebo-controlled clinical trials were conducted at 39 ophthalmology clinics in the United States. Subjects 18 years of age or older were randomized to receive either bromfenac 0.07% or placebo dosed once daily beginning 1 day before cataract surgery, on the day of surgery, and continuing for 14 days after surgery (for a total of 16 days). Subjects were evaluated on days 1, 3, 8, 15, and 22 after surgery. The primary efficacy end point was cleared ocular inflammation, as measured by the summed ocular inflammation score of zero (anterior chamber cell count = 0 and absence of flare) by day 15. Secondary end points included cleared ocular inflammation at day 15 and the number of subjects who were pain free at day 1. The data from the 2 clinical trials were integrated for analyses. Main Outcome Measures Summed ocular inflammation score and ocular pain. Results A significantly higher proportion of subjects treated with bromfenac 0.07% achieved complete clearance of ocular inflammation by day 15 and at day 15 compared with placebo (P < 0.0001). A statistically significantly higher proportion of subjects in the bromfenac 0.07% group were pain free at all study visits compared with those in the placebo group (P < 0.0001). Fewer subjects in the bromfenac group (3.2%) discontinued investigational product early because of a lack of efficacy than in the placebo group (23.9%; P < 0.0001). The incidence of adverse events was significantly lower in the bromfenac 0.07% group compared with the placebo group (P = 0.0041). Conclusions Bromfenac ophthalmic solution 0.07% dosed once daily was clinically safe and effective compared with placebo for the treatment of ocular inflammation and pain in subjects who had undergone cataract surgery and may be a beneficial addition to the current standard of care, which commonly includes ophthalmic antibiotics and corticosteroids. © 2014 by the American Academy of Ophthalmology.
AD  - Texan Eye, Austin, TX, United States
Wolstan Eye Associates, Torrance, CA, United States
United Medical Research Institute, Inglewood, CA, United States
Bausch and Lomb, Inc, 50 Technology Drive, Irvine, CA 92618-2301, United States
AU  - Walters, T. R.
AU  - Goldberg, D. F.
AU  - Peace, J. H.
AU  - Gow, J. A.
DB  - Scopus
DO  - 10.1016/j.ophtha.2013.07.006
IS  - 1
M3  - Article
N1  - Cited By :22
Export Date: 10 November 2020
PY  - 2014
SP  - 25-33
ST  - Bromfenac ophthalmic solution 0.07% dosed once daily for cataract surgery: Results of 2 randomized controlled trials
T2  - Ophthalmology
TI  - Bromfenac ophthalmic solution 0.07% dosed once daily for cataract surgery: Results of 2 randomized controlled trials
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84891625460&doi=10.1016%2fj.ophtha.2013.07.006&partnerID=40&md5=41f3794f865d0eed9b0c44f4c58b1eb4
VL  - 121
ID  - 1299
ER  - 

TY  - JOUR
AB  - Background: Capsular contracture is one of the most common complications associated with breast implants. While the cause of this process has not yet been elucidated, subclinical infection is a likely culprit.Objectives: The authors assess the hypothesis that a probable source of contamination is endogenous breast bacteria, likely originating in the ducts themselves and most concentrated near the nipple.Methods: Twenty-five healthy patients presenting for routine reduction mammaplasty were recruited as study participants. Tissue samples were taken intraoperatively from the periareolar, inframammary, and axillary regions of each sampled breast. Specimens were then processed in the microbiology laboratory, and quantitative bacterial counts were obtained.Results: Of the 50 breasts sampled, 19 yielded positive culture results, for a rate of 38%. There was a significant difference in the positive culture rate among all three sites, with increasing quantitative bacterial counts in the axillary, inframammary, and periareolar regions, respectively. The most commonly-identified organisms in this study included various species of Staphylococcus and Propionibacterium acnes, with S. epidermidis being the most common.Conclusions: The breast harbors significant endogenous bacteria that can become the source of spontaneous or postoperative infection. Positive intraoperative cultures with high quantitative counts suggest that breast tissue harbors more bacteria than normal skin flora. Routine perioperative antibiotic prophylaxis may be suboptimal for the prevention of foreign body seeding in this setting. Furthermore, bacterial concentrations are highest in areas with the most ductal tissue, namely the periareolar region. These findings may be helpful when considering which incision site to select for augmentation mammaplasty.
AD  - Division of Plastic Surgery, New York Presbyterian Hospital, Columbia University Medical Center, 161 Fort Washington Avenue, New York, NY 10032, USA
AN  - 104581332. Language: English. Entry Date: 20120323. Revision Date: 20161117. Publication Type: journal article
AU  - Bartsich, S.
AU  - Ascherman, J. A.
AU  - Whittier, S.
AU  - Yao, C. A.
AU  - Rohde, C.
AU  - Bartsich, Sophie
AU  - Ascherman, Jeffrey A.
AU  - Whittier, Susan
AU  - Yao, Caroline A.
AU  - Rohde, Christine
DB  - ccm
DO  - 10.1177/1090820X11417428
DP  - EBSCOhost
KW  - Breast -- Microbiology
Breast Reconstruction -- Methods
Nipples -- Microbiology
Female
Foreign-Body Reaction -- Etiology
Breast Reconstruction -- Adverse Effects
Gram-Positive Bacteria
Staphylococcus
N1  - research. Supplement Title: 2011 Supplement 1. Journal Subset: Biomedical; Mexico & Central/South America; Peer Reviewed. Special Interest: Perioperative Care. NLM UID: 9707469.
PMID: NLM21908811.
PY  - 2011
SN  - 1090-820X
SP  - 802-806
ST  - The breast: a clean-contaminated surgical site
T2  - Aesthetic Surgery Journal
TI  - The breast: a clean-contaminated surgical site
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104581332&site=ehost-live&scope=site
VL  - 31
ID  - 839
ER  - 

TY  - JOUR
AB  - Background: Capsular contracture is one of the most common complications associated with breast implants. While the cause of this process has not yet been elucidated, subclinical infection is a likely culprit. Objectives: The authors assess the hypothesis that a probable source of contamination is endogenous breast bacteria, likely originating in the ducts themselves and most concentrated near the nipple. Methods: Twenty-five healthy patients presenting for routine reduction mammaplasty were recruited as study participants. Tissue samples were taken intraoperatively from the periareolar, inframammary, and axillary regions of each sampled breast. Specimens were then processed in the microbiology laboratory, and quantitative bacterial counts were obtained. Results: Of the 50 breasts sampled, 19 yielded positive culture results, for a rate of 38%. There was a significant difference in the positive culture rate among all three sites, with increasing quantitative bacterial counts in the axillary, inframammary, and periareolar regions, respectively. The most commonly-identified organisms in this study included various species of Staphylococcus and Propionibacterium acnes, with S. epidermidis being the most common. Conclusions: The breast harbors significant endogenous bacteria that can become the source of spontaneous or postoperative infection. Positive intraoperative cultures with high quantitative counts suggest that breast tissue harbors more bacteria than normal skin flora. Routine perioperative antibiotic prophylaxis may be suboptimal for the prevention of foreign body seeding in this setting. Furthermore, bacterial concentrations are highest in areas with the most ductal tissue, namely the periareolar region. These findings may be helpful when considering which incision site to select for augmentation mammaplasty. © 2011 The American Society for Aesthetic Plastic Surgery, Inc.
AD  - Division of Plastic Surgery, New York Presbyterian Hospital, Columbia University, 161 Fort Washington Avenue, New York, NY 10032, United States
Department of Microbiology, New York Presbyterian Hospital, Columbia University Medical Center, New York, NY, United States
Division of Plastic Surgery, University of Southern California Keck, School of Medicine, Los Angeles, CA, United States
AU  - Bartsich, S.
AU  - Ascherman, J. A.
AU  - Whittier, S.
AU  - Yao, C. A.
AU  - Rohde, C.
DB  - Scopus
DO  - 10.1177/1090820X11417428
IS  - 7
KW  - Antibiotic irrigation
Breast enhancement
Breast enlargement
Capsular contracture
Infection
Periareolar
Primary or secondary or revision breast augmentation
Risks with implants
M3  - Article
N1  - Cited By :66
Export Date: 10 November 2020
PY  - 2011
SP  - 802-806
ST  - The breast: A clean-contaminated surgical site
T2  - Aesthetic Surgery Journal
TI  - The breast: A clean-contaminated surgical site
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84855734314&doi=10.1177%2f1090820X11417428&partnerID=40&md5=22204378201979cb38b48006a922b413
VL  - 31
ID  - 1408
ER  - 

TY  - JOUR
AB  - Background: Capsular contracture is one of the most common complications associated with breast implants. While the cause of this process has not yet been elucidated, subclinical infection is a likely culprit. Objectives: The authors assess the hypothesis that a probable source of contamination is endogenous breast bacteria, likely originating in the ducts themselves and most concentrated near the nipple. Methods: Twenty-five healthy patients presenting for routine reduction mammaplasty were recruited as study participants. Tissue samples were taken intraoperatively from the periareolar, inframammary, and axillary regions of each sampled breast. Specimens were then processed in the microbiology laboratory, and quantitative bacterial counts were obtained. Results: Of the 50 breasts sampled, 19 yielded positive culture results, for a rate of 38%. There was a significant difference in the positive culture rate among all three sites, with increasing quantitative bacterial counts in the axillary, inframammary, and periareolar regions, respectively. The most commonly-identified organisms in this study included various species of Staphylococcus and Propionibacterium acnes, with S. epidermidis being the most common. Conclusions: The breast harbors significant endogenous bacteria that can become the source of spontaneous or postoperative infection. Positive intraoperative cultures with high quantitative counts suggest that breast tissue harbors more bacteria than normal skin flora. Routine perioperative antibiotic prophylaxis may be suboptimal for the prevention of foreign body seeding in this setting. Furthermore, bacterial concentrations are highest in areas with the most ductal tissue, namely the periareolar region. These findings may be helpful when considering which incision site to select for augmentation mammaplasty. © 2011 The American Society for Aesthetic Plastic Surgery, Inc.
AD  - C. Rohde, Division of Plastic Surgery, New York Presbyterian Hospital, Columbia University, 161 Fort Washington Avenue, New York, NY 10032, United States
AU  - Bartsich, S.
AU  - Ascherman, J. A.
AU  - Whittier, S.
AU  - Yao, C. A.
AU  - Rohde, C.
DB  - Embase
Medline
DO  - 10.1177/1090820X11417428
IS  - 7
KW  - article
bacterial count
bacterium culture
bacterium identification
breast reconstruction
clinical article
female
human
human tissue
implant capsular contracture
intraoperative period
priority journal
Propionibacterium acnes
skin flora
Staphylococcus
Staphylococcus epidermidis
surgical infection
tissue section
LA  - English
M3  - Article
N1  - L364424893
2012-03-21
2012-03-23
PY  - 2011
SN  - 1090-820X
1527-330X
SP  - 802-806
ST  - The breast: A clean-contaminated surgical site
T2  - Aesthetic Surgery Journal
TI  - The breast: A clean-contaminated surgical site
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L364424893&from=export
http://dx.doi.org/10.1177/1090820X11417428
VL  - 31
ID  - 535
ER  - 

TY  - JOUR
AB  - In spite of careful intraoperative precautions and gauze counts, mistakes can still occur during surgery. In the case reported, a retained gauze leaved during a surgical approach for removing a solid-cystic papillary tumor localized in the pancreatic tail, caused both persistent abdominal discomfort and the presence of an abdominal cystic lesion at imaging techniques. When a previous operative history is present, a foreign body should be taken into account in the differential diagnosis of a patient with an intraabdominal cystic mass. Finally, radio-opaque marker should be routinely used by surgeons in order to reach a correct diagnosis in operated patients having retained gauze.
AD  - Department of Digestive Diseases and Internal Medicine, Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
Department of Surgery, Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
Department of Pathology, Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
Department of Radiology, Sant'Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
AU  - Zucchini, G.
AU  - Pezzilli, R.
AU  - Ricci, C.
AU  - Casadei, R.
AU  - Santini, D.
AU  - Calculli, L.
AU  - Corinaldesi, R.
DB  - Scopus
IS  - 5
KW  - Abdominal abscess
Abdominal pain
Spiral computed
Surgical sponges
Tomography
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2010
SP  - 480-481
ST  - A bizarre abdominal cystic lesion
T2  - Journal of the Pancreas
TI  - A bizarre abdominal cystic lesion
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-77958006567&partnerID=40&md5=308a296e68f9c78cc297f60b218a451e
VL  - 11
ID  - 1449
ER  - 

TY  - JOUR
AB  - In spite of careful intraoperative precautions and gauze counts, mistakes can still occur during surgery. In the case reported, a retained gauze leaved during a surgical approach for removing a solid-cystic papillary tumor localized in the pancreatic tail, caused both persistent abdominal discomfort and the presence of an abdominal cystic lesion at imaging techniques. When a previous operative history is present, a foreign body should be taken into account in the differential diagnosis of a patient with an intraabdominal cystic mass. Finally, radio-opaque marker should be routinely used by surgeons in order to reach a correct diagnosis in operated patients having retained gauze.
AD  - R. Pezzilli, Department of Digestive Diseases and Internal Medicine, Sant'Orsola-Malpighi Hospital, Via Massarenti 9, 40138 Bologna, Italy
AU  - Zucchini, G.
AU  - Pezzilli, R.
AU  - Ricci, C.
AU  - Casadei, R.
AU  - Santini, D.
AU  - Calculli, L.
AU  - Corinaldesi, R.
DB  - Embase
Medline
IS  - 5
KW  - abdominal discomfort
adult
anamnesis
article
case report
computer assisted tomography
contrast enhancement
dyspepsia
female
foreign body
gauze dressing
human
incidental finding
laparotomy
pancreas cyst
pancreatectomy
pancreas solid cystic papillary tumor
papilloma
retained instrument
tumor volume
upper abdominal pain
LA  - English
M3  - Article
N1  - L359780019
2010-10-26
2010-10-29
PY  - 2010
SN  - 1590-8577
SP  - 480-481
ST  - A bizarre abdominal cystic lesion
T2  - Journal of the Pancreas
TI  - A bizarre abdominal cystic lesion
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L359780019&from=export
http://www.joplink.net/prev/201009/201009_11.pdf
VL  - 11
ID  - 558
ER  - 

TY  - JOUR
AB  - Introduction:Basicervical femoral neck fractures are challenging fractures in geriatric populations. The goal of this study was to determine whether compression hip screw (CHS) constructs are superior to cephalomedullary constructs for the treatment of basicervical femoral neck fractures.Methods:Thirty cadaver femurs were osteotomized and received a CHS with derotation screw, a long cephalomedullary nail (long Gamma nail), or a short cephalomedullary nail (short Gamma nail). All constructs were loaded dynamically in compression until dynamic failure.Results:All failed CHS constructs demonstrated superior femoral head cutout. In the long Gamma nail and short Gamma nail groups, constructs failed by nail cutout through the medial wall of the trochanter or rotationally. Normalized fluoroscopic distance was found to increase markedly with an increasing cycle count when considering all treatment groups.Conclusions:Given our results and those of previous studies, we could not determine superiority of one implant and recommend that surgeons select fixation constructs based on the individual patient's anatomy and the surgeon's comfort with the implant. © American Academy of Orthopaedic Surgeons.
AD  - Department of Orthopaedic Surgery, Loma Linda University, Loma Linda, CA, United States
Department of Orthopedic Surgery, Brown University, Providence, RI, United States
Colorado Springs Orthopedic Group, Colorado Springs, CO, United States
AU  - Johnson, J.
AU  - Deren, M.
AU  - Chambers, A.
AU  - Cassidy, D.
AU  - Koruprolu, S.
AU  - Born, C.
DB  - Scopus
DO  - 10.5435/JAAOS-D-17-00155
IS  - 1
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2019
SP  - E41-E48
ST  - Biomechanical Analysis of Fixation Devices for Basicervical Femoral Neck Fractures
T2  - Journal of the American Academy of Orthopaedic Surgeons
TI  - Biomechanical Analysis of Fixation Devices for Basicervical Femoral Neck Fractures
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058907029&doi=10.5435%2fJAAOS-D-17-00155&partnerID=40&md5=c521af67e8bb4ca6401319c27d7956dd
VL  - 27
ID  - 1040
ER  - 

TY  - JOUR
AB  - Purpose: To determine the foreign-body response to three intraocular lens (IOL) biomaterials (poly[methyl methacrylate] [PMMA], silicone, and AcrySof) and use this as an indicator of their comparative biocompatibility postoperatively within the eye. Setting: A British teaching hospital eye department. Methods: Ninety eyes were prospectively randomized to receive a PMMA, silicone, or AcrySof IOL. All lenses had 6.0 mm optics with PMMA haptics. A standardized surgical protocol was performed by a single surgeon using an extracapsular technique with capsulorhexis; eyes that experienced a surgical complications were excluded. All patients had standardized postoperative medication and follow-up. Specular microscopy of the anterior IOL surface was carried small cell and giant cell reactions. Results: All three IOL types produced a mild degree of nonspecific foreign-body response, which resolved over the study period without detrimental effect. The silicone group had significantly higher small cell counts than the PMMA and AcrySof groups (P = .02); the AcrySof group had significantly lower giant cell counts than the other two groups (P = .003). Conclusion: The three IOL types were sufficiently biocompatible to function in normal eyes with age- related cataracts. However, AcrySof of IOLs were associated with lower giant cell counts than PMMA and silicone IOLs and might produce better results in eyes with pre-existing blood-aqueous barrier damage.
AU  - Hollick, E. J.
AU  - Spalton, D. J.
AU  - Ursell, P. G.
AU  - Pande, M. V.
DB  - Scopus
DO  - 10.1016/S0886-3350(98)80324-6
IS  - 3
M3  - Article
N1  - Cited By :136
Export Date: 10 November 2020
PY  - 1998
SP  - 361-366
ST  - Biocompatibility of poly(methylmethacrylate), silicone, and AcrySof intraocular lenses: Randomized comparison of the cellular reaction on the anterior lens surface
T2  - Journal of Cataract and Refractive Surgery
TI  - Biocompatibility of poly(methylmethacrylate), silicone, and AcrySof intraocular lenses: Randomized comparison of the cellular reaction on the anterior lens surface
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0031596652&doi=10.1016%2fS0886-3350%2898%2980324-6&partnerID=40&md5=c0f853fb291e26b978185f1351bb4432
VL  - 24
ID  - 1699
ER  - 

TY  - JOUR
AB  - Purpose: To determine the foreign-body response to three intraocular lens (IOL) biomaterials (poly[methyl methacrylate] [PMMA], silicone, and AcrySof) and use this as an indicator of their comparative biocompatibility postoperatively within the eye. Setting: A British teaching hospital eye department. Methods: Ninety eyes were prospectively randomized to receive a PMMA, silicone, or AcrySof IOL. All lenses had 6.0 mm optics with PMMA haptics. A standardized surgical protocol was performed by a single surgeon using an extracapsular technique with capsulorhexis; eyes that experienced a surgical complications were excluded. All patients had standardized postoperative medication and follow-up. Specular microscopy of the anterior IOL surface was carried small cell and giant cell reactions. Results: All three IOL types produced a mild degree of nonspecific foreign-body response, which resolved over the study period without detrimental effect. The silicone group had significantly higher small cell counts than the PMMA and AcrySof groups (P = .02); the AcrySof group had significantly lower giant cell counts than the other two groups (P = .003). Conclusion: The three IOL types were sufficiently biocompatible to function in normal eyes with age- related cataracts. However, AcrySof of IOLs were associated with lower giant cell counts than PMMA and silicone IOLs and might produce better results in eyes with pre-existing blood-aqueous barrier damage.
AU  - Hollick, E. J.
AU  - Spalton, D. J.
AU  - Ursell, P. G.
AU  - Pande, M. V.
DB  - Embase
Medline
DO  - 10.1016/S0886-3350(98)80324-6
IS  - 3
KW  - lens implant
biomaterial
poly(methyl methacrylate)
silicone
unclassified drug
adult
aged
aging
article
biocompatibility
blood eye barrier
capsulorhexis
cataract
clinical trial
controlled clinical trial
controlled study
foreign body reaction
giant cell
human
lens capsule
major clinical study
postoperative complication
priority journal
randomized controlled trial
AcrySof Alcon MA60BM
Alcon MC60BM IOL
Iolab l141U IOL
LA  - English
M3  - Article
N1  - L28185612
1998-05-24
PY  - 1998
SN  - 0886-3350
SP  - 361-366
ST  - Biocompatibility of poly(methylmethacrylate), silicone, and AcrySof intraocular lenses: Randomized comparison of the cellular reaction on the anterior lens surface
T2  - Journal of Cataract and Refractive Surgery
TI  - Biocompatibility of poly(methylmethacrylate), silicone, and AcrySof intraocular lenses: Randomized comparison of the cellular reaction on the anterior lens surface
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L28185612&from=export
http://dx.doi.org/10.1016/S0886-3350(98)80324-6
VL  - 24
ID  - 659
ER  - 

TY  - JOUR
AB  - Purpose: We investigated the biocompatibility of n-butyl-2-cyanoacrylate (NBCA) in the cervical deep tissues of rats to assess its biocompatibility. Methods: A total of 30 Sprague-Dawley rats were injected with NBCA. After 30, 90, 180, and 360 days, cubes of tissue (1 cm × 1 cm × 1 cm) surrounding the NBCA and normal tissue from the other side of the neck were excised from each rat. The adhesion of NBCA to adjacent structures was examined histologically. Cells were counted per high-power field (HPF), and fibrosis was graded with the measurement of fibrotic thickening. Results: All animals displayed normal behavior without any symptoms of distress throughout the study. There was no recognizable inflammatory reaction, foreign body reaction, or fibrosis in the 30 control samples. The analyses of experimental samples showed significantly decreased inflammatory cell counts over time (lymphoplasma cell count decreased from 100 (range, 70–100) to 30 (range, 30–50) per HPF, P = 0.010; neutrophil count decreased from 2 (range, 2–30) to 0 (range, 0–2) per HPF, P = 0.017). However, there was no significant difference in the number of multinuclear giant cells throughout the study period (a decrease from 22 [range, 16–34] to 16 [range, 12–22] per HPF, P = 0.287). The level of fibrosis was Common Toxicity Criteria ver. 4.0 Grade 1 without further thickening (P = 0.600). However, maturation of fibrosis progressed gradually. Conclusion: NBCA was biologically tolerable in the cervical deep tissues of rats. However, precautions are needed with respect to preventing a sustained foreign body reaction and fibrosis. Copyright 2019, the Korean Surgical Society
AD  - Department of Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, South Korea
Department of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea
Department of Pathology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, South Korea
Department of Pathology, Seoul National University Bundang Hospital, Seongnam, South Korea
Department of Surgery, Seoul National University Bundang Hospital, 82 Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam, 13620, South Korea
AU  - Suh, Y. J.
AU  - Yu, H. W.
AU  - Kim, S. J.
AU  - Choe, J. Y.
AU  - Park, H. J.
AU  - Choi, J. Y.
AU  - Lee, K. E.
DB  - Scopus
DO  - 10.4174/astr.2019.96.4.162
IS  - 4
KW  - Biocompatible materials
Chyle
Cyanoacrylate
Neck dissection
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2019
SP  - 162-168
ST  - Biocompatibility of n-butyl-2-cyanoacrylate (Histoacryl) in cervical structures of rats: Prospective in vivo study
T2  - Annals of Surgical Treatment and Research
TI  - Biocompatibility of n-butyl-2-cyanoacrylate (Histoacryl) in cervical structures of rats: Prospective in vivo study
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85063867479&doi=10.4174%2fastr.2019.96.4.162&partnerID=40&md5=546cb39a14280ac8e36a4936f19f6fa0
VL  - 96
ID  - 1020
ER  - 

TY  - JOUR
AB  - Chest-wall invading malignancies usually necessitate the resection of the respective part of the thoracic wall. Gore-Tex® is the material of choice that is traditionally used to repair thoracic defects. This material is well accepted by the recipient; however, though not rejected, it is an inert material and behaves like a 'foreign body' within the thoracic wall. By contrast, there are materials that have the potential to physiologically integrate into the host, and these materials are currently under in vitro and also in vivo investigation. These materials offer a gradual but complete biodegradation over time, and severe adverse inflammatory responses can be avoided. Here, we present a novel material that is a biodegradable nanocomposite based on poly-lactic-co-glycolic acid and amorphous calcium phosphate nanoparticles in comparison to the traditionally employed Gore-Tex® being the standard for chest-wall replacement. On a mouse model of thoracic wall resection, that resembles the technique and localization applied in humans, poly-lactic-co- glycolic acid and amorphous calcium phosphate nanoparticles and Gore-Tex® were implanted subcutaneously and additionally tested in a separate series as a chest-wall graft. After 1, 2, 4 and 8 weeks cell infiltration into the respective materials, inflammatory reactions as well as neo-vascularization (endothelial cells) were determined in six different zones. While Gore-Tex® allowed for cell infiltration only at the outer surface, electrospun poly-lactic-co-glycolic acid and amorphous calcium phosphate nanoparticles were completely penetrated by infiltrating cells. These cells were composed mainly by macrophages, with only 4% of giant cells and lymphocytes. Total macrophage count increased by time while the number of IL1-β-expressing macrophages decreased, indicating a protective state towards the graft. As such, poly-lactic-co-glycolic acid and amorphous calcium phosphate nanoparticles seem to develop ideal characteristics as a material for chest-wall replacement by (a) having the advantage of full biodegradation, (b) displaying stable chest-wall structures and (c) adapting a physiological and integrating graft compared to Gore-Tex®. © The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.
AD  - Division of Thoracic Surgery, University Hospital Zurich, Switzerland
Department of Chemistry and Applied Biosciences, Institute for Chemical and Bioengineering, ETH Zurich, Zurich, Switzerland
Division of Clinical Pathology, University Hospital Zurich, Switzerland
Division of Plastic and Hand Surgery, University Hospital Zurich, Sternwartstrasse 14, CH-8091 Zürich, Switzerland
AU  - Jungraithmayr, W.
AU  - Laube, I.
AU  - Hild, N.
AU  - Stark, W. J.
AU  - Mihic-Probst, D.
AU  - Weder, W.
AU  - Buschmann, J.
DB  - Scopus
DO  - 10.1177/0885328213513621
IS  - 1
KW  - amorphous calcium phosphate nanoparticle
Chest-wall replacement
degradation kinetics
electrospinning
Gore-Tex®
PLGA/a-CaP
M3  - Article
N1  - Cited By :8
Export Date: 10 November 2020
PY  - 2014
SP  - 36-45
ST  - Bioactive nanocomposite for chest-wall replacement: Cellular response in a murine model
T2  - Journal of Biomaterials Applications
TI  - Bioactive nanocomposite for chest-wall replacement: Cellular response in a murine model
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84902377858&doi=10.1177%2f0885328213513621&partnerID=40&md5=31d4670372e9afc9219e24bc1ada4651
VL  - 29
ID  - 1302
ER  - 

TY  - JOUR
AD  - A.A. Gawande, Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, United States
AU  - Greenberg, C. C.
AU  - Gawande, A. A.
DB  - Embase
Medline
DO  - 10.1097/SLA.0b013e318160c194
IS  - 1
KW  - cost benefit analysis
editorial
evidence based medicine
foreign body
human
incidence
malpractice
manual counting
needle
operating room
postoperative complication
primary prevention
priority journal
radiodiagnosis
sensitivity and specificity
surgical equipment
surgical sponge
procedures
LA  - English
M3  - Editorial
N1  - L351011962
2008-01-31
PY  - 2008
SN  - 0003-4932
SP  - 19-20
ST  - Beyond counting: Current evidence on the problem of retaining foreign bodies in surgery?
T2  - Annals of Surgery
TI  - Beyond counting: Current evidence on the problem of retaining foreign bodies in surgery?
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L351011962&from=export
http://dx.doi.org/10.1097/SLA.0b013e318160c194
VL  - 247
ID  - 607
ER  - 

TY  - JOUR
AB  - The main aim of this work was to study the usefulness of human β-defensins 2 (BD-2) and 3 (BD-3), which are part of the innate immune system, in the treatment of infected ischemic skin flaps. We investigated the effect of transducing rat ischemic skin flaps with lentiviral vectors encoding human BD-2, BD-3, or both BD-2 and BD-3, to increase flap survival in the context of a P. aeruginosa infection associated with a foreign body. The secondary endpoints assessed were: bacterial counts, and biofilm formation on the surface of the foreign body. A local ischemic environment was created by producing arterialized venous flaps in the left epigastric region of rats. Flaps were intentionally infected by placing underneath them two catheters with 105 CFU of P. aeruginosa before the surgical wounds were hermetically closed. Flap biopsies were performed 3 and 7 days post-operatively, and the specimens submitted to immunohistochemical analysis for BD-2 and BD-3, as well as to bacterial quantification. Subsequently, the catheter segments were analyzed with scanning electron microscopy (SEM). Flaps transduced with BD-2 and BD-3 showed expression of these defensins and presented increased flap survival. Rats transduced with BD-3 presented a net reduction in the number of P. aeruginosa on the surface of the foreign body and lesser biofilm formation. © 2019, The Author(s).
AD  - Anatomy Department, NOVA Medical School, Universidade NOVA de Lisboa, Lisbon, Portugal
Plastic and Reconstructive Surgery Department and Burn Unit, Centro Hospitalar de Lisboa Central – Hospital de São José, Lisbon, Portugal
UCIBIO, Departamento de Ciências da Vida, Faculdade de Ciências e Tecnologia, Universidade NOVA de Lisboa, Lisbon, Caparica, Portugal
CEDOC, NOVA Medical School, Faculdade de Ciências Médicas, Universidade NOVA de Lisboa, Lisbon, Portugal
Pathology Department, Centro Hospitalar de Lisboa Central – Hospital de São José, Lisbon, Portugal
LIBPhys, Physics Department, Faculdade de Ciências e Tecnologias, Universidade NOVA de Lisboa, Lisbon, Caparica, Portugal
CDG & Allies- Professional and Patient Association International Network (PPAIN), Lisbon, Caparica, Portugal
Molecular Microbiology and Biotechnology Unit, iMed, ULisboa, Faculty of Pharmacy, Universidade de Lisboa, Lisbon, Portugal
INESC MN – Microsystems and Nanotechnologies, Instituto Superior Técnico, Universidade de Lisboa, Lisbon, Portugal
AU  - Casal, D.
AU  - Iria, I.
AU  - Ramalho, J. S.
AU  - Alves, S.
AU  - Mota-Silva, E.
AU  - Mascarenhas-Lemos, L.
AU  - Pontinha, C.
AU  - Guadalupe-Cabral, M.
AU  - Ferreira-Silva, J.
AU  - Ferraz-Oliveira, M.
AU  - Vassilenko, V.
AU  - Goyri-O’Neill, J.
AU  - Pais, D.
AU  - Videira, P. A.
C7  - 7854
DB  - Scopus
DO  - 10.1038/s41598-019-44153-y
IS  - 1
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2019
ST  - BD-2 and BD-3 increase skin flap survival in a model of ischemia and Pseudomonas aeruginosa infection
T2  - Scientific Reports
TI  - BD-2 and BD-3 increase skin flap survival in a model of ischemia and Pseudomonas aeruginosa infection
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85066259628&doi=10.1038%2fs41598-019-44153-y&partnerID=40&md5=0204ae80c0fd55fe7cd6d2137fabe37f
VL  - 9
ID  - 990
ER  - 

TY  - JOUR
AB  - The main aim of this work was to study the usefulness of human β-defensins 2 (BD-2) and 3 (BD-3), which are part of the innate immune system, in the treatment of infected ischemic skin flaps. We investigated the effect of transducing rat ischemic skin flaps with lentiviral vectors encoding human BD-2, BD-3, or both BD-2 and BD-3, to increase flap survival in the context of a P. aeruginosa infection associated with a foreign body. The secondary endpoints assessed were: bacterial counts, and biofilm formation on the surface of the foreign body. A local ischemic environment was created by producing arterialized venous flaps in the left epigastric region of rats. Flaps were intentionally infected by placing underneath them two catheters with 105 CFU of P. aeruginosa before the surgical wounds were hermetically closed. Flap biopsies were performed 3 and 7 days post-operatively, and the specimens submitted to immunohistochemical analysis for BD-2 and BD-3, as well as to bacterial quantification. Subsequently, the catheter segments were analyzed with scanning electron microscopy (SEM). Flaps transduced with BD-2 and BD-3 showed expression of these defensins and presented increased flap survival. Rats transduced with BD-3 presented a net reduction in the number of P. aeruginosa on the surface of the foreign body and lesser biofilm formation.
AU  - Casal, D.
AU  - Iria, I.
AU  - Ramalho, J. S.
AU  - Alves, S.
AU  - Mota-Silva, E.
AU  - Mascarenhas-Lemos, L.
AU  - Pontinha, C.
AU  - Guadalupe-Cabral, M.
AU  - Ferreira-Silva, J.
AU  - Ferraz-Oliveira, M.
AU  - Vassilenko, V.
AU  - Goyri-O'Neill, J.
AU  - Pais, D.
AU  - Videira, P. A.
DB  - Medline
DO  - 10.1038/s41598-019-44153-y
IS  - 1
KW  - antiinfective agent
beta defensin
DEFB103A protein, human
DEFB4A protein, human
adverse event
animal
complication
disease model
drug effect
drug therapy
gene therapy
gene vector
genetic transduction
genetics
graft survival
human
ischemia
male
metabolism
microbiology
Pseudomonas aeruginosa
Pseudomonas infection
rat
skin transplantation
surgical flaps
Wistar rat
LA  - English
M3  - Article
N1  - L628054389
2020-10-29
PY  - 2019
SN  - 2045-2322
SP  - 7854
ST  - BD-2 and BD-3 increase skin flap survival in a model of ischemia and Pseudomonas aeruginosa infection
T2  - Scientific reports
TI  - BD-2 and BD-3 increase skin flap survival in a model of ischemia and Pseudomonas aeruginosa infection
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L628054389&from=export
http://dx.doi.org/10.1038/s41598-019-44153-y
VL  - 9
ID  - 314
ER  - 

TY  - JOUR
AB  - OBJECTIVE: A randomized, controlled trial was performed to evaluate a computer-assisted method for counting sponges using a bar-code system. BACKGROUND: Retained sponges are a rare and preventable problem but persist in surgery despite standardized protocols for counting. Technology that improves detection of counting errors could reduce risk to surgical patients. METHODS: We performed a randomized controlled trial comparing a bar-coded sponge system with a traditional counting protocol in 300 general surgery operations. Observers monitored sponge and instrument counts and recorded all incidents of miscounted or misplaced sponges. Surgeons and operating room staff completed postoperative and end-of-study surveys evaluating the bar-code system. RESULTS: The bar-code system detected significantly more counting discrepancies than the traditional protocol (32 vs.13 discrepancies, P = 0.007). These discrepancies involved both misplaced sponges (21 vs. 12 sponges, P = 0.17) and miscounted sponges (11 vs. 1 sponge, P = 0.007). The system introduced new technical difficulties (2.04 per 1000 sponges) and increased the time spent counting sponges (5.3 vs. 2.4 minutes, P < 0.0001). In postoperative surveys, there was no difference in surgical teams' confidence that all sponges were accounted for, but they rated the counting process and team performance lower in operations randomized to the bar-code arm. By the end of the study, however, most providers found the system easy to use, felt confident in its ability to track sponges, and reported a positive effect on the counting process. CONCLUSIONS: Use of automated counting using bar-coded surgical sponges improved detection of miscounted and misplaced sponges and was well tolerated by surgical staff members. © 2008 Lippincott Williams & Wilkins, Inc.
AD  - Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, United States
Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, United States
Department of Surgery, Massachusetts General Hospital, Boston, MA, United States
Department of Nursing, Brigham and Women's Hospital, Boston, MA, United States
Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, United States
AU  - Greenberg, C. C.
AU  - Diaz-Flores, R.
AU  - Lipsitz, S. R.
AU  - Regenbogen, S. E.
AU  - Mulholland, L.
AU  - Mearn, F.
AU  - Rao, S.
AU  - Toidze, T.
AU  - Gawande, A. A.
DB  - Scopus
DO  - 10.1097/SLA.0b013e3181656cd5
IS  - 4
M3  - Article
N1  - Cited By :88
Export Date: 10 November 2020
PY  - 2008
SP  - 612-616
ST  - Bar-coding surgical sponges to improve safety: A randomized controlled trial
T2  - Annals of Surgery
TI  - Bar-coding surgical sponges to improve safety: A randomized controlled trial
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-41149165107&doi=10.1097%2fSLA.0b013e3181656cd5&partnerID=40&md5=2da82916374de6992baadd9aec454a1f
VL  - 247
ID  - 1531
ER  - 

TY  - JOUR
AB  - OBJECTIVE: A randomized, controlled trial was performed to evaluate a computer-assisted method for counting sponges using a bar-code system. BACKGROUND: Retained sponges are a rare and preventable problem but persist in surgery despite standardized protocols for counting. Technology that improves detection of counting errors could reduce risk to surgical patients. METHODS: We performed a randomized controlled trial comparing a bar-coded sponge system with a traditional counting protocol in 300 general surgery operations. Observers monitored sponge and instrument counts and recorded all incidents of miscounted or misplaced sponges. Surgeons and operating room staff completed postoperative and end-of-study surveys evaluating the bar-code system. RESULTS: The bar-code system detected significantly more counting discrepancies than the traditional protocol (32 vs.13 discrepancies, P = 0.007). These discrepancies involved both misplaced sponges (21 vs. 12 sponges, P = 0.17) and miscounted sponges (11 vs. 1 sponge, P = 0.007). The system introduced new technical difficulties (2.04 per 1000 sponges) and increased the time spent counting sponges (5.3 vs. 2.4 minutes, P < 0.0001). In postoperative surveys, there was no difference in surgical teams' confidence that all sponges were accounted for, but they rated the counting process and team performance lower in operations randomized to the bar-code arm. By the end of the study, however, most providers found the system easy to use, felt confident in its ability to track sponges, and reported a positive effect on the counting process. CONCLUSIONS: Use of automated counting using bar-coded surgical sponges improved detection of miscounted and misplaced sponges and was well tolerated by surgical staff members. © 2008 Lippincott Williams & Wilkins, Inc.
AD  - A. A. Gawande, Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, United States
AU  - Greenberg, C. C.
AU  - Diaz-Flores, R.
AU  - Lipsitz, S. R.
AU  - Regenbogen, S. E.
AU  - Mulholland, L.
AU  - Mearn, F.
AU  - Rao, S.
AU  - Toidze, T.
AU  - Gawande, A. A.
DB  - Embase
Medline
DO  - 10.1097/SLA.0b013e3181656cd5
IS  - 4
KW  - NCT00282750
adult
analytical error
article
automation
bar code system
clinical protocol
clinical trial
coding
comparative study
computer system
controlled clinical trial
controlled study
female
general surgery
health survey
human
incidence
male
measurement
operating room personnel
patient safety
postoperative care
postoperative period
priority journal
randomization
randomized controlled trial
risk reduction
standard
surgical patient
surgical sponge
surgical technology
technical aid
LA  - English
M3  - Article
N1  - L351440611
2008-04-18
PY  - 2008
SN  - 0003-4932
SP  - 612-616
ST  - Bar-coding surgical sponges to improve safety: A randomized controlled trial
T2  - Annals of Surgery
TI  - Bar-coding surgical sponges to improve safety: A randomized controlled trial
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L351440611&from=export
http://dx.doi.org/10.1097/SLA.0b013e3181656cd5
VL  - 247
ID  - 600
ER  - 

TY  - JOUR
AB  - Purpose: To report a case of bacterial endophthalmitis associated with a retained smallgauge vitrectomy trocar. Methods: Retrospective case report of a 66-year-old woman who underwent 25-gauge vitrectomy surgery for an epiretinal membrane who presented with postoperative bacterial endophthalmitis and hand motions vision 3 weeks later. Results: Aqueous and vitreous biopsy revealed Corynebacterium species sensitive to vancomycin. The patient was initially treated with intravitreal and subconjunctival injections of vancomycin, ceftazidime, and dexamethasone. Surgical exploration during a subsequent vitrectomy surgery revealed a retained, transscleral 25-gauge cannula beneath a subconjunctival abscess. The cannula was removed, and the patient was treated with vitrectomy, debridement and closure of the transscleral wound, and injection of intravitreal antibiotics. Fifteen months of follow-up revealed no recurrence of infection and improvement of vision to 20/150. Conclusion: Although rare, retained small-gauge vitrectomy cannulas may lead to vision threatening ocular infection. Care should be taken to inspect both the wound and the removed trocar system to ensure complete removal of this surgical device. Detailed counts of all surgical equipment should be routinely performed at the conclusion of vitrectomy surgery. &copy; 2015 by Ophthalmic Communications Society, Inc.
AD  - Austin Retina Assoc., 801 West 38th Street, Austin, TX 78705, United States
Department of Surgery, Texas A and M Health Science Center, Bryan, TX, United States
AU  - Wong, R. W.
DB  - Scopus
DO  - 10.1097/ICB.0000000000000153
IS  - 3
KW  - 25-gauge
Corynebacterium
postvitrectomy complications
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2015
SP  - 256-258
ST  - Bacterial endophthalmitis associated with a broken and retained small-gauge vitrectomy cannula
T2  - Retinal Cases and Brief Reports
TI  - Bacterial endophthalmitis associated with a broken and retained small-gauge vitrectomy cannula
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84930465595&doi=10.1097%2fICB.0000000000000153&partnerID=40&md5=0fb696e751a790fa54079d46f09301e0
VL  - 9
ID  - 1225
ER  - 

TY  - JOUR
AB  - BACKGROUND: Electrophysiological cardiac devices are increasingly used. The frequency of subclinical infection is unknown. We investigated all explanted devices using sonication, a method for detection of microbial biofilms on foreign bodies. METHODS AND RESULTS: Consecutive patients in whom cardiac pacemakers and implantable cardioverter/defibrillators were removed at our institution between October 2007 and December 2008 were prospectively included. Devices (generator and/or leads) were aseptically removed and sonicated, and the resulting sonication fluid was cultured. In parallel, conventional swabs of the generator pouch were performed. A total of 121 removed devices (68 pacemakers, 53 implantable cardioverter/defibrillators) were included. The reasons for removal were insufficient battery charge (n=102), device upgrading (n=9), device dysfunction (n=4), or infection (n=6). In 115 episodes (95%) without clinical evidence of infection, 44 (38%) grew bacteria in sonication fluid, including Propionibacterium acnes (n=27), coagulase-negative staphylococci (n=11), Gram-positive anaerobe cocci (n=3), Gram-positive anaerobe rods (n=1), Gram-negative rods (n=1), and mixed bacteria (n=1). In 21 of 44 sonication-positive episodes, bacterial counts were significant (>or=10 colony-forming units/mL of sonication fluid). In 26 sterilized controls, sonication cultures remained negative in 25 cases (96%). In 112 cases without clinical infection, conventional swab cultures were performed: 30 cultures (27%) were positive, and 18 (60%) were concordant with sonication fluid cultures. Six devices and leads were removed because of infection, growing Staphylococcus aureus, Streptococcus mitis, and coagulase-negative staphylococci in 6 sonication fluid cultures and 4 conventional swab cultures. CONCLUSIONS: Bacteria can colonize cardiac electrophysiological devices without clinical signs of infection.
AD  - Department of Internal Medicine, Luzerner Kantonsspital, Luzern. martin.rohacek@gmail.com
AN  - 105178771. Language: English. Entry Date: 20100528. Revision Date: 20200708. Publication Type: Journal Article
AU  - Rohacek, M.
AU  - Weisser, M.
AU  - Kobza, R.
AU  - Schoenenberger, A. W.
AU  - Pfyffer, G. E.
AU  - Frei, R.
AU  - Erne, P.
AU  - Trampuz, A.
DB  - ccm
DO  - 10.1161/CIRCULATIONAHA.109.906461
DP  - EBSCOhost
IS  - 15
KW  - Biofilms
Defibrillators, Implantable
Pacemaker, Artificial
Prosthesis-Related Infections -- Diagnosis
Prosthesis-Related Infections -- Microbiology
Adult
Aged
Aged, 80 and Over
Defibrillators, Implantable -- Adverse Effects
Female
Prospective Studies
Gram-Negative Bacteria
Gram-Negative Bacterial Infections -- Diagnosis
Gram-Negative Bacterial Infections -- Microbiology
Gram-Positive Bacteria
Gram-Positive Bacterial Infections -- Diagnosis
Gram-Positive Bacterial Infections -- Microbiology
Human
Male
Microbiological Techniques
Middle Age
Pacemaker, Artificial -- Adverse Effects
Ultrasonics
N1  - research. Journal Subset: Biomedical; Peer Reviewed; USA. NLM UID: 0147763.
PMID: NLM20368521.
PY  - 2010
SN  - 0009-7322
SP  - 1691-1697
ST  - Bacterial colonization and infection of electrophysiological cardiac devices detected with sonication and swab culture
T2  - Circulation
TI  - Bacterial colonization and infection of electrophysiological cardiac devices detected with sonication and swab culture
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105178771&site=ehost-live&scope=site
VL  - 121
ID  - 845
ER  - 

TY  - JOUR
AB  - BACKGROUND-: Electrophysiological cardiac devices are increasingly used. The frequency of subclinical infection is unknown. We investigated all explanted devices using sonication, a method for detection of microbial biofilms on foreign bodies. METHODS AND RESULTS-: Consecutive patients in whom cardiac pacemakers and implantable cardioverter/defibrillators were removed at our institution between October 2007 and December 2008 were prospectively included. Devices (generator and/or leads) were aseptically removed and sonicated, and the resulting sonication fluid was cultured. In parallel, conventional swabs of the generator pouch were performed. A total of 121 removed devices (68 pacemakers, 53 implantable cardioverter/defibrillators) were included. The reasons for removal were insufficient battery charge (n=102), device upgrading (n=9), device dysfunction (n=4), or infection (n=6). In 115 episodes (95%) without clinical evidence of infection, 44 (38%) grew bacteria in sonication fluid, including Propionibacterium acnes (n=27), coagulase-negative staphylococci (n=11), Gram-positive anaerobe cocci (n=3), Gram-positive anaerobe rods (n=1), Gram-negative rods (n=1), and mixed bacteria (n=1). In 21 of 44 sonication-positive episodes, bacterial counts were significant (≥ 10 colony-forming units/mL of sonication fluid). In 26 sterilized controls, sonication cultures remained negative in 25 cases (96%). In 112 cases without clinical infection, conventional swab cultures were performed: 30 cultures (27%) were positive, and 18 (60%) were concordant with sonication fluid cultures. Six devices and leads were removed because of infection, growing Staphylococcus aureus, Streptococcus mitis, and coagulase-negative staphylococci in 6 sonication fluid cultures and 4 conventional swab cultures. CONCLUSIONS-: Bacteria can colonize cardiac electrophysiological devices without clinical signs of infection. © 2010 American Heart Association, Inc.
AD  - M. Rohacek, Department of Emergency Medicine, Inselspital, University Hospital Bern, Freiburgstrasse, CH-3010 Bern, Switzerland
AU  - Rohacek, M.
AU  - Weisser, M.
AU  - Kobza, R.
AU  - Schoenenberger, A. W.
AU  - Pfyffer, G. E.
AU  - Frei, R.
AU  - Erne, P.
AU  - Trampuz, A.
DB  - Embase
Medline
DO  - 10.1161/CIRCULATIONAHA.109.906461
IS  - 15
KW  - adult
aged
anaerobic bacterium
article
artificial heart pacemaker
bacterial colonization
bacterial growth
bacterial infection
bacterium culture
biofilm
cardiovascular equipment
clinical observation
coagulase negative Staphylococcus
defibrillator
device infection
device removal
female
foreign body
Gram negative bacterium
Gram positive bacterium
Gram positive cocci
heart electrophysiology
human
major clinical study
male
priority journal
Propionibacterium acnes
Staphylococcus aureus
Streptococcus mitis
ultrasound
LA  - English
M3  - Article
N1  - L358700958
2010-05-04
2010-05-17
PY  - 2010
SN  - 0009-7322
1524-4539
SP  - 1691-1697
ST  - Bacterial colonization and infection of electrophysiological cardiac devices detected with sonication and swab culture
T2  - Circulation
TI  - Bacterial colonization and infection of electrophysiological cardiac devices detected with sonication and swab culture
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L358700958&from=export
http://dx.doi.org/10.1161/CIRCULATIONAHA.109.906461
VL  - 121
ID  - 568
ER  - 

TY  - JOUR
AB  - Retained surgical items (RSIs) pose serious consequences for patients and are a significant threat to patient safety. Perioperative team members are morally and ethically responsible for the prevention of RSIs and should understand how to reduce the risk of occurrence. The prevention of RSIs does not rest in the hands of one individual. It is a multidisciplinary endeavor that aims to reduce the risk of RSIs, and team members should hold each other accountable. This Back to Basics article focuses on the process of counting soft surgical goods, which are the most common RSIs. © 2016 AORN, Inc.
AD  - AORN, Inc, Denver, CO, United States
AU  - Spruce, L.
DB  - Scopus
DO  - 10.1016/j.aorn.2015.12.021
IS  - 3
KW  - Counting
Patient safety
Retained surgical items
Surgical sponge
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2016
SP  - 297-303
ST  - Back to Basics: Counting Soft Surgical Goods
T2  - AORN Journal
TI  - Back to Basics: Counting Soft Surgical Goods
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84959178752&doi=10.1016%2fj.aorn.2015.12.021&partnerID=40&md5=5c5a62f8a3c051e77a7c855f50e29eef
VL  - 103
ID  - 1189
ER  - 

TY  - JOUR
AB  - Retained surgical items (RSIs) pose serious consequences for patients and are a significant threat to patient safety. Perioperative team members are morally and ethically responsible for the prevention of RSIs and should understand how to reduce the risk of occurrence. The prevention of RSIs does not rest in the hands of one individual. It is a multidisciplinary endeavor that aims to reduce the risk of RSIs, and team members should hold each other accountable. This Back to Basics article focuses on the process of counting soft surgical goods, which are the most common RSIs.
AN  - 113427384. Language: English. Entry Date: 20160304. Revision Date: 20160304. Publication Type: Article
AU  - Spruce, Lisa
DB  - ccm
DO  - 10.1016/j.aorn.2015.12.021
DP  - EBSCOhost
IS  - 3
KW  - Retained Instruments -- Prevention and Control
Surgical Count Procedure
Education, Continuing (Credit)
Perioperative Nursing
N1  - CEU. Note: For CE see website. Journal Subset: Core Nursing; Double Blind Peer Reviewed; Expert Peer Reviewed; Nursing; Peer Reviewed; USA. NLM UID: 0372403.
PY  - 2016
SN  - 0001-2092
SP  - 297-303
ST  - Back to Basics: Counting Soft Surgical Goods
T2  - AORN Journal
TI  - Back to Basics: Counting Soft Surgical Goods
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=113427384&site=ehost-live&scope=site
VL  - 103
ID  - 764
ER  - 

TY  - JOUR
AB  - Retained surgical items (RSIs) pose serious consequences for patients and are a significant threat to patient safety. Perioperative team members are morally and ethically responsible for the prevention of RSIs and should understand how to reduce the risk of occurrence. The prevention of RSIs does not rest in the hands of one individual. It is a multidisciplinary endeavor that aims to reduce the risk of RSIs, and team members should hold each other accountable. This Back to Basics article focuses on the process of counting soft surgical goods, which are the most common RSIs.
AU  - Spruce, L.
DB  - Medline
DO  - 10.1016/j.aorn.2015.12.021
IS  - 3
KW  - continuing education
foreign body
human
workforce
medical error
nursing organization
operating room
patient safety
prevention and control
surgical sponge
LA  - English
M3  - Article
N1  - L616324307
2017-05-25
PY  - 2016
SN  - 1878-0369
SP  - 298-301; quiz 302-3
ST  - Back to Basics: Counting Soft Surgical Goods
T2  - AORN journal
TI  - Back to Basics: Counting Soft Surgical Goods
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L616324307&from=export
http://dx.doi.org/10.1016/j.aorn.2015.12.021
VL  - 103
ID  - 411
ER  - 

TY  - JOUR
AB  - Background and Objective: Inadvertent retained surgical gauzes are an infrequent medical error but can have devastating consequences in the patient health and in the surgeon professional reputation. This problem seems easily preventable implementing standardized protocols for counting but due to human errors it still persists in surgery. The omnipresence of gauzes, their small size, and their similar appearance with tissues when they are soaked in blood make this error eradication really complex. In order to reduce the risk of accidental retention of surgical sponges in laparoscopy operations, in this paper we present an image processing system that tracks the gauzes on the video captured by the endoscope. Methods: The proposed image processing application detects the presence of gauzes in the video images using texture analysis techniques. The process starts dividing the video frames into square blocks and each of these blocks is analyzed to determine whether it is similar to the gauze pattern. The video processing algorithm has been tested in a laparoscopic simulator under different conditions: with clean, slightly stained and soaked in blood gauzes as well as against different biological background tissues. Several methods, including different Local Binary Patterns (LBP) techniques and a convolutional neural network (CNN), have been analyzed in order to achieve a reliable detection in real time. Results: The proposed LBP algorithm classifies the individual blocks in the image with 98% precision and 94% sensitivity which is sufficient to make a robust detection of any gauze that appears in the endoscopic video even if it is stained or soaked in blood. The results provided by the CNN are superior with 100% precision and 97% sensitivity, but due to the high computational demand, real-time video processing is not attainable in this case with standard hardware. Conclusions: The algorithm presented in this paper is a valuable tool to avoid the retention of surgical gauzes not only because of its reliability but also because it processes the video transparently and unattended, without the need for additional manipulation of special equipment in the operating room. © 2020
AD  - ITAP (Instituto de Tecnologías Avanzadas de la Producción), University of Valladolid, University of Valladolid, School of Industrial Engineering, Paseo del Cauce, 59, 47011 Valladolid, Spain
AU  - de la Fuente López, E.
AU  - Muñoz García, Á
AU  - Santos del Blanco, L.
AU  - Fraile Marinero, J. C.
AU  - Pérez Turiel, J.
C7  - 105378
DB  - Scopus
DO  - 10.1016/j.cmpb.2020.105378
KW  - Computer-aided-surgery
Convolutional Neural Networks
Gossypiboma
Image Texture Analysis
Local Binary Patterns (LBP)
Minimally Invasive Surgery
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
ST  - Automatic gauze tracking in laparoscopic surgery using image texture analysis
T2  - Computer Methods and Programs in Biomedicine
TI  - Automatic gauze tracking in laparoscopic surgery using image texture analysis
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85078984111&doi=10.1016%2fj.cmpb.2020.105378&partnerID=40&md5=dd62efc14da1559b8323b0c98ec19b54
VL  - 190
ID  - 962
ER  - 

TY  - JOUR
AB  - Hypothesis: Retained surgical sponges are serious medical errors that result in negative patient outcomes.Aradiofrequency( RF)matfor the operatingroombedhas recently been introduced to detect the presence of a retained surgical sponge. The study objectives were to evaluate the sensitivity and specificity of the RF mat for the detection of surgical sponges through the torso of individuals with varying body habitus and to compare the sensitivity of the RF mat with that of the RF wand. We hypothesized that the sensitivity and specificity of the RF technology would be comparable to published findings of themanual sponge count by operating room personnel. Design: Aprospective, crossover, double-blinded study design was used. Participants served as theirowncontrols. Setting: Large Midwestern academic medical center. Participants: In total, the first phase of the study enrolled 203 participants, including 129 (63.5%)with morbid obesity. One hundred seventeen of 203 participants were also enrolled in the second phase of the study. Main Outcome Measures: The study participants reclined in a supine position on top of an RF mat. Four surgical sponges were sequentially placed on top of the torso in locations approximating the abdominal quadrants. The torso was scanned for sponges. In a subset of participants, 4 surgical sponges were sequentially placed underneath the torso, and an RF wand was passed over the abdomen. Results: Overall, 812 readings were obtained with the RF mat, and 468 readings were obtained with the RF wand. Twelve false-negative readings were obtained with the RF mat, exclusively in participants with super morbid obesity (body mass index [calculated as weight in kilograms divided by height in meters squared] >50.0). Overall, the sensitivity of the RF mat was 98.1%, and the specificity of the RF mat was 100.0%. In the subset of 117 participants in whom the RF wand was also used, the sensitivity and specificity of the wand were each 100.0%. Conclusions: The sensitivity and specificity of RF device technology are much higher than those of surgical sponge counts or published findings on the use of intraoperative radiographs to identify retained surgical sponges. The RF wand is more sensitive than the RF mat in individuals with morbid obesity. ©2012 American Medical Association. All rights reserved.
AD  - College of Nursing, University of Iowa, 50 Newton Rd, Iowa City, IA 52242, United States
AU  - Steelman, V. M.
AU  - Alasagheirin, M. H.
DB  - Scopus
DO  - 10.1001/archsurg.2012.1556
IS  - 10
M3  - Article
N1  - Cited By :16
Export Date: 10 November 2020
PY  - 2012
SP  - 955-960
ST  - Assessment of radiofrequency device sensitivity for the detection of retained surgical sponges in patients with morbid obesity
T2  - Archives of Surgery
TI  - Assessment of radiofrequency device sensitivity for the detection of retained surgical sponges in patients with morbid obesity
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84867632567&doi=10.1001%2farchsurg.2012.1556&partnerID=40&md5=174fc89ec2e5a1d1795149605d108156
VL  - 147
ID  - 1357
ER  - 

TY  - JOUR
AB  - Hypothesis: Retained surgical sponges are serious medical errors that result in negative patient outcomes.Aradiofrequency( RF)matfor the operatingroombedhas recently been introduced to detect the presence of a retained surgical sponge. The study objectives were to evaluate the sensitivity and specificity of the RF mat for the detection of surgical sponges through the torso of individuals with varying body habitus and to compare the sensitivity of the RF mat with that of the RF wand. We hypothesized that the sensitivity and specificity of the RF technology would be comparable to published findings of themanual sponge count by operating room personnel. Design: Aprospective, crossover, double-blinded study design was used. Participants served as theirowncontrols. Setting: Large Midwestern academic medical center. Participants: In total, the first phase of the study enrolled 203 participants, including 129 (63.5%)with morbid obesity. One hundred seventeen of 203 participants were also enrolled in the second phase of the study. Main Outcome Measures: The study participants reclined in a supine position on top of an RF mat. Four surgical sponges were sequentially placed on top of the torso in locations approximating the abdominal quadrants. The torso was scanned for sponges. In a subset of participants, 4 surgical sponges were sequentially placed underneath the torso, and an RF wand was passed over the abdomen. Results: Overall, 812 readings were obtained with the RF mat, and 468 readings were obtained with the RF wand. Twelve false-negative readings were obtained with the RF mat, exclusively in participants with super morbid obesity (body mass index [calculated as weight in kilograms divided by height in meters squared] >50.0). Overall, the sensitivity of the RF mat was 98.1%, and the specificity of the RF mat was 100.0%. In the subset of 117 participants in whom the RF wand was also used, the sensitivity and specificity of the wand were each 100.0%. Conclusions: The sensitivity and specificity of RF device technology are much higher than those of surgical sponge counts or published findings on the use of intraoperative radiographs to identify retained surgical sponges. The RF wand is more sensitive than the RF mat in individuals with morbid obesity. ©2012 American Medical Association. All rights reserved.
AD  - V.M. Steelman, College of Nursing, University of Iowa, 50 Newton Rd, Iowa City, IA 52242, United States
AU  - Steelman, V. M.
AU  - Alasagheirin, M. H.
DB  - Embase
Medline
DO  - 10.1001/archsurg.2012.1556
IS  - 10
KW  - abdomen
adult
aged
article
body mass
Caucasian
controlled clinical trial
controlled study
crossover procedure
double blind procedure
false negative result
female
human
intraoperative period
major clinical study
male
morbid obesity
operation duration
patient safety
peritoneal cavity
predictive value
priority journal
prospective study
radiation equipment
radiofrequency
radiofrequency identification
radiofrequency mat
retained instrument
sensitivity and specificity
supine position
surgical sponge
trunk
Blair-Port Wand model 0020
RF Assure Detection System
L1  - internal-pdf://2044897763/soa120036_955_960.pdf
LA  - English
M3  - Article
N1  - L365879717
2012-10-28
2012-10-31
PY  - 2012
SN  - 0004-0010
1538-3644
SP  - 955-960
ST  - Assessment of radiofrequency device sensitivity for the detection of retained surgical sponges in patients with morbid obesity
T2  - Archives of Surgery
TI  - Assessment of radiofrequency device sensitivity for the detection of retained surgical sponges in patients with morbid obesity
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L365879717&from=export
http://dx.doi.org/10.1001/archsurg.2012.1556
VL  - 147
ID  - 501
ER  - 

TY  - JOUR
AB  - Despite innumerable attempts to eliminate the postoperative retention of surgical sponges, the medical error persists in operating rooms worldwide and places significant burden on patient safety, quality of care, financial resources, and hospital/physician reputation. The failure of countless solutions, from new sponge counting methods to radio labeled sponges, to truly eliminate the event in the operating room requires that the emerging field of health-care delivery science find innovative ways to approach the problem. Accordingly, the VA National Center for Patient Safety formed a unique collaboration with a team at the Thayer School of Engineering at Dartmouth College to evaluate the retention of surgical sponges after surgery and find a solution. The team used an engineering problem solving methodology to develop the best solution. To make the operating room a safe environment for patients, the team identified a need to make the sponge itself safe for use as opposed to resolving the relatively innocuous counting methods. In evaluation of this case study, the need for systematic engineering evaluation to resolve problems in health-care delivery becomes clear. © 2013 by Lippincott Williams and Wilkins.
AD  - VA National Center for Patient Safety, White River Junction, Vermont, United States
Thayer School of Engineering at Dartmouth College, United States
Dartmouth Medical School, Department of Psychiatry, Hanover, NH, United States
AU  - Anderson, D. E.
AU  - Watts, B. V.
DB  - Scopus
DO  - 10.1097/PTS.0b013e3182831d9a
IS  - 3
KW  - health-care engineering
patient safety
retained surgical items
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2013
SP  - 134-139
ST  - Application of an engineering problem-solving methodology to address persistent problems in patient safety: A case study on retained surgical sponges after surgery
T2  - Journal of Patient Safety
TI  - Application of an engineering problem-solving methodology to address persistent problems in patient safety: A case study on retained surgical sponges after surgery
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-84883638742&doi=10.1097%2fPTS.0b013e3182831d9a&partnerID=40&md5=f60608220205e174fedab332bca0e057
VL  - 9
ID  - 1310
ER  - 

TY  - JOUR
AB  - Despite innumerable attempts to eliminate the postoperative retention of surgical sponges, the medical error persists in operating rooms worldwide and places significant burden on patient safety, quality of care, financial resources, and hospital/physician reputation. The failure of countless solutions, from new sponge counting methods to radio labeled sponges, to truly eliminate the event in the operating room requires that the emerging field of health-care delivery science find innovative ways to approach the problem. Accordingly, the VA National Center for Patient Safety formed a unique collaboration with a team at the Thayer School of Engineering at Dartmouth College to evaluate the retention of surgical sponges after surgery and find a solution. The team used an engineering problem solving methodology to develop the best solution. To make the operating room a safe environment for patients, the team identified a need to make the sponge itself safe for use as opposed to resolving the relatively innocuous counting methods. In evaluation of this case study, the need for systematic engineering evaluation to resolve problems in health-care delivery becomes clear.
AD  - D.E. Anderson
AU  - Anderson, D. E.
AU  - Watts, B. V.
DB  - Medline
IS  - 3
KW  - article
biomedical engineering
foreign body
human
medical error
methodology
patient safety
postoperative complication
standard
surgical sponge
LA  - English
M3  - Article
N1  - L563067136
2015-02-20
PY  - 2013
SN  - 1549-8425
SP  - 134-139
ST  - Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery
T2  - Journal of patient safety
TI  - Application of an engineering problem-solving methodology to address persistent problems in patient safety: a case study on retained surgical sponges after surgery
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L563067136&from=export
VL  - 9
ID  - 495
ER  - 

TY  - JOUR
AN  - 105009335. Language: English. Entry Date: 20101103. Revision Date: 20150711. Publication Type: Journal Article
DB  - ccm
DP  - EBSCOhost
KW  - Retained Instruments -- Prevention and Control
Surgical Count Procedure
AORN -- Standards
Practice Guidelines
N1  - brief item; practice guidelines. Supplement Title: Nov2010 Supplement. Journal Subset: Biomedical; Expert Peer Reviewed; Peer Reviewed; USA. NLM UID: 7810150.
PY  - 2010
SN  - 0190-5066
SP  - 2-2
ST  - AORN: Entire team needs to be involved
T2  - Same-Day Surgery
TI  - AORN: Entire team needs to be involved
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105009335&site=ehost-live&scope=site
ID  - 921
ER  - 

TY  - JOUR
AB  - An underlying tenet of design in the biologic realm is that the optimal design of the prosthetic device reproduces exactly the healthy, intact biologic situation in every case (geometric, kinetic). Because the optimal solution is unobtainable, however, because of the limited resources available, compromises must be made. Every compromise inevitably produces complications because of the interdependent nature of biologic systems. The goal then becomes to minimize the detrimental effects of the implant system through the best possible use of the technologies available. It is the author's experience that whenever this fundamental tenet is forgotten in the design of an implant, either the system is affected adversely, or unforeseen complications arise in an associated system. An example can be seen in the evolution of solutions to the problem of loosening of the femoral component of hip prostheses. This loosening is caused, in part, by improper load transmission to the femur. Until recently, most hip implants transferred stress to the femur distally through the stem of the implant. Because of the lack of physiologic stress levels in the proximal femur bone, resorption was common, which often led to loosening of the implant. Many current designs are able to provide proximal loading of the femur through well-designed, proximal press fits. Although this seems to be a better solution, these prostheses fall short of the biologic situation in that they impose hoop stress to bone cells that naturally experience primarily axial stresses. The subsequent remodeling of bone because of the change in the load direction may not provide adequate stability for the implant in the long-term. In the same way, a best effort must be made in the present design to maintain near-physiologic load transfer and motion. Therefore, considerable effort was invested in the design stage of this project to consider the solutions available today to duplicate the stiffness (flexibility) of the lumbar disc in its principal plane of motion. This philosophy of restoration of function was also applied in specifying the geometry and the constraints to motion imposed by the prosthesis. The long life span required of an artificial spinal disc poses a significant challenge to the design effort. Plastics available today cannot be counted on to last for 40 years and 100 million cycles. The proposition of 40 years of metal-on-metal, however, was somewhat alarming. Therefore, quantitative wear-simulation testing has accompanied this development project since the second year of the project. Likewise, other factors, such as fatigue stress and corrosion resistance, become increasingly important because of the extended life span of the device. Therefore, as part of this project, standard material fatigue experiments (such as rotating bend tests) have been performed on the hot isostatatically pressed cobalt-chromium and titanium couples. The loads in the quadruped lumbar spine are largely in shear, which is in contrast to the more upright human lumbar spine, in which the loads are mainly in compression. The fact that bone ingrowth occurred in these animals under the worst-case scenario (shear loads) is most encouraging. There was no foreign body reaction in regional tissues and lymph nodes other than a mild fibrous tissue later over the implant. No soft tissue ingrowth was seen histologically in the springs. Although small numbers of animals were analyzed, the results were encouraging and would suggest that human implementation is feasible with little or no likelihood of mechanical failure, loosening, or disaster. A categoric list of design criteria relevant to the development of an articulating spinal disc implant has been presented. Each of these criteria and many of the questions posed are relevant in the synthesis of any new implant system. Constraints imposed by an implant have been discussed at length. A method of constraint analysis that simplifies specification of motion constraints has been described. Specifications of the preclinical trial design of an interver ebral disc prosthesis have been listed and evaluated on the basis of some of the pretrial experimental data. This design is the product of the detailed prospective design technique that has been the focus of this article. It is a design that will undergo future revisions based on clinical trial data, yet the implant's limitations and its in vitro performance has been assessed thoroughly during the past years to minimize the number of revisions necessary because of unsatisfactory results in clinical trials.
AD  - Department of Orthopaedic Surgery, Johns Hopkins University, 601 North Caroline Street, Baltimore, MD 21287-0882, United States
AU  - Kostuik, J. P.
DB  - Scopus
DO  - 10.1016/S0030-5898(05)70042-0
IS  - 4
M3  - Article
N1  - Cited By :7
Export Date: 10 November 2020
PY  - 1998
SP  - 701-715
ST  - Alternatives to spinal fusion
T2  - Orthopedic Clinics of North America
TI  - Alternatives to spinal fusion
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-0031756390&doi=10.1016%2fS0030-5898%2805%2970042-0&partnerID=40&md5=3f6bfbc41755b687f4d1abd617b7058d
VL  - 29
ID  - 1702
ER  - 

TY  - JOUR
AB  - Peritonitis is inflammation of the peritoneum and represents an important cause of surgical morbidity and mortality. It may be localized or generalized, and is thought to pass through three phases: firstly, a phase of rapid removal of contaminants from the peritoneal cavity into the systemic circulation; secondly, a phase of synergistic interactions between aerobes and anaerobes; and thirdly, an attempt by host defences to localize infection. Peritonitis is commonly caused by bacteria, but can be chemical (aseptic), biliary, tuberculous, chlamydial, drug-induced or induced by other, rarer causes. Bacterial peritonitis is subclassified into primary or secondary on the basis of whether or not the integrity of the gastrointestinal tract has been compromised. Typically, the patient with peritonitis complains of severe abdominal pain and may exhibit the characteristic Hippocratic facies. Abdominal palpation demonstrates tenderness, guarding and rebound tenderness. Initial laboratory investigations should include urea and electrolytes, full blood count and blood gases. An erect radiograph of the chest demonstrates pneumoperitoneum in about 70-80% of visceral perforations. CT often plays a role in confirming specific diagnoses (e.g. subphrenic abscess). Immediate management should include fluid resuscitation, high-flow oxygen, appropriate antibiotics (i.v.) and analgesia. Definitive management is surgical except for a small group of patients in whom conservative management with fluids (i.v.) and antibiotics (i.v.) is indicated. Surgical management can be via a laparotomy or, in some conditions, laparoscopy. Control of the primary site of sepsis is the main determinant of outcome. Most patients recover quickly. However, major generalized peritonitis is associated with organ dysfunction/failure, and mortality can up to 20-40% in the UK. © 2008 Elsevier Ltd. All rights reserved.
AD  - Edinburgh Royal Infirmary, Edinburgh, United Kingdom
Western General Hospital, Edinburgh, United Kingdom
AU  - Skipworth, R. J. E.
AU  - Fearon, K. C. H.
DB  - Scopus
DO  - 10.1016/j.mpsur.2008.01.004
IS  - 3
KW  - antibiotics
bacterial
conservative therapy
emergency surgery
guarding
inflammation
laparotomy
mesothelium
peritonitis
rebound tenderness
relaparotomy
sepsis
M3  - Review
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2008
SP  - 98-101
ST  - Acute abdomen: peritonitis
T2  - Surgery
TI  - Acute abdomen: peritonitis
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-41549138365&doi=10.1016%2fj.mpsur.2008.01.004&partnerID=40&md5=fc1306a01ab4d63d62c87048614c7608
VL  - 26
ID  - 1536
ER  - 

TY  - JOUR
AB  - Background: Acupuncture and dry needling are increasingly popular treatment modalities used to treat pain around the world. This case report documents the clinical history of a patient who presented to an outpatient physical therapy clinic following surgical removal of two single-use filament needles that fractured in the patient’s neck during acupuncture treatment. Case Description: The purpose of this case report was to highlight a rare adverse event following acupuncture treatment. The patient received the acupuncture treatment from a practitioner licensed in acupuncture, while on an international business trip. Following the acupuncture treatment, the practitioner realized that a needle had fractured and remained in the patient’s neck. After failing to retrieve the needle, the patient was sent for imaging. Radiograph revealed that the patient had two needle fragments located in his cervical tissue. After determining that the needles did not pose an immediate threat, the patient boarded a flight home to the United States. Following his flight, the patient presented to an American hospital where it was discovered that the needle fragments had migrated during the flight, with one needle now located 2 mm from the patient’s vertebral artery. Surgical intervention was required to retrieve the needles, resulting in the patient needing physical therapy to increase cervical range of motion and mediate pain relief. Outcomes: The patient suffered a setback in his treatment of chronic neck pain that resulted in decreased cervical range of motion and increased pain. Discussion: Clinicians utilizing single-use filiform needles in their practice, whether for acupuncture or dry needling, should be aware of the potential for this type of adverse event. Further, to minimize the risk of similar adverse events occurring in the future, clinicians should make sure that they are using high quality needles and make a habit of counting in and counting out the needles that they use to verify that all needles are accounted for. © 2019, © 2019 Informa UK Limited, trading as Taylor & Francis Group.
AD  - Youngstown State University, Youngstown, OH, United States
AU  - Snyder, D. D.
DB  - Scopus
DO  - 10.1080/10669817.2019.1608010
IS  - 3
KW  - Acupuncture
acupuncturist
adverse events
chronic neck pain
complications
dry needling
filiform needles
physical therapy
M3  - Article
N1  - Cited By :2
Export Date: 10 November 2020
PY  - 2019
SP  - 180-184
ST  - Acupuncture gone awry: a case report of a patient who required surgical removal of two single-use filament needles following acupuncture treatment
T2  - Journal of Manual and Manipulative Therapy
TI  - Acupuncture gone awry: a case report of a patient who required surgical removal of two single-use filament needles following acupuncture treatment
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85065071909&doi=10.1080%2f10669817.2019.1608010&partnerID=40&md5=c9c7c1c9e2dcf52d0c4968ef2d899e71
VL  - 27
ID  - 1011
ER  - 

TY  - JOUR
AB  - The article reports on the move of nonprofit organization Joint Commission which issued a Sentinel Event Alert on retained surgical items (RSI) as it has received numerous RSI reports that led to additional care, death, or extended hospital stay.
AN  - 93571131. Language: English. Entry Date: 20140110. Revision Date: 20190620. Publication Type: Article
DB  - ccm
DP  - EBSCOhost
IS  - 1
KW  - Surgical Count Procedure -- Standards
Joint Commission -- Standards
Sentinel Event -- Prevention and Control
Retained Instruments -- Risk Factors
Retained Instruments -- Prevention and Control
Surgical Instruments
Surgical Patients
N1  - brief item. Journal Subset: Core Nursing; Nursing; Peer Reviewed; USA. Special Interest: Patient Safety; Perioperative Care. NLM UID: 7600137.
PY  - 2014
SN  - 0360-4039
SP  - 24-24
ST  - Accounting for surgical items left behind
T2  - Nursing
TI  - Accounting for surgical items left behind
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=93571131&site=ehost-live&scope=site
VL  - 44
ID  - 893
ER  - 

TY  - JOUR
AB  - RATIONALE: Foreign bodies are frequently ingested, but only approximately 1% of them cause perforation. Perforations in the lesser curvature of the stomach are exceedingly rare. Here, we report a case of gastric perforation in the lesser curvature caused by a foreign body. The patient presented to the clinic complaining of abdominal skin swelling and reddening with upper abdominal discomfort as the initial symptoms. PATIENT CONCERNS: An 83-year-old female presented with a mass in the middle of the epigastrium for 10 days. Physical examination found an apparent local tenderness and inflammatory mass in the upper abdominal wall. Her body temperature was normal (37.5°C) and the white blood cell count was elevated (8.12 × 10/L [reference value 3.5-9.5 × 10/L]). DIAGNOSES: The ultrasound examination of the abdomen revealed a 4 cm strip-like hyperechoic object entangled in the muscles of the abdominal wall. The computed tomography scan revealed a thin strip of bone-like hyperdense shadow. Intraoperative findings showed a sharp fishbone protruding from the lesser curvature of the stomach into the abdominal cavity, part of which remained in the gastric cavity. The postoperative pathological report revealed chronic suppurative inflammation with abscess and sinus canal formation. INTERVENTIONS & OUTCOMES: The patient underwent a gastric foreign body removal with partial gastrectomy. Anti-inflammatory treatment post-surgery rapidly relieved the patient's symptoms of discomfort in the upper abdomen. At the 1-month follow-up, the patient showed no discomfort in the upper abdomen and the inflammatory mass was no longer present. LESSONS: A foreign body had penetrated through the lesser curvature of the stomach, an area with a flat gastric wall, which occurs infrequently. In such cases, computed tomography is the gold standard for diagnosis of foreign bodies in the digestive tract. Ultrasound can also be used as a supplemental diagnostic technique. It is recommended that people who wear dentures should exercise caution while eating, especially when the food contains bones.
AD  - Department of Ultrasound Diagnosis, First Hospital of Jilin University, China
AU  - Zhang, L.
AU  - Liu, L.
AU  - Shao, J.
AU  - Sun, F.
AU  - Zhao, L.
DB  - Scopus
DO  - 10.1097/MD.0000000000022534
IS  - 40
M3  - Article
N1  - Export Date: 10 November 2020
PY  - 2020
SP  - e22534
ST  - Abdominal skin inflammation as an initial symptom of a perforating gastric foreign body: A case report
T2  - Medicine
TI  - Abdominal skin inflammation as an initial symptom of a perforating gastric foreign body: A case report
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85092631409&doi=10.1097%2fMD.0000000000022534&partnerID=40&md5=8a8a27559591c070d55d564e5998c6b0
VL  - 99
ID  - 952
ER  - 

TY  - JOUR
AB  - RATIONALE: Foreign bodies are frequently ingested, but only approximately 1% of them cause perforation. Perforations in the lesser curvature of the stomach are exceedingly rare. Here, we report a case of gastric perforation in the lesser curvature caused by a foreign body. The patient presented to the clinic complaining of abdominal skin swelling and reddening with upper abdominal discomfort as the initial symptoms. PATIENT CONCERNS: An 83-year-old female presented with a mass in the middle of the epigastrium for 10 days. Physical examination found an apparent local tenderness and inflammatory mass in the upper abdominal wall. Her body temperature was normal (37.5°C) and the white blood cell count was elevated (8.12 × 10/L [reference value 3.5-9.5 × 10/L]). DIAGNOSES: The ultrasound examination of the abdomen revealed a 4 cm strip-like hyperechoic object entangled in the muscles of the abdominal wall. The computed tomography scan revealed a thin strip of bone-like hyperdense shadow. Intraoperative findings showed a sharp fishbone protruding from the lesser curvature of the stomach into the abdominal cavity, part of which remained in the gastric cavity. The postoperative pathological report revealed chronic suppurative inflammation with abscess and sinus canal formation. INTERVENTIONS & OUTCOMES: The patient underwent a gastric foreign body removal with partial gastrectomy. Anti-inflammatory treatment post-surgery rapidly relieved the patient's symptoms of discomfort in the upper abdomen. At the 1-month follow-up, the patient showed no discomfort in the upper abdomen and the inflammatory mass was no longer present. LESSONS: A foreign body had penetrated through the lesser curvature of the stomach, an area with a flat gastric wall, which occurs infrequently. In such cases, computed tomography is the gold standard for diagnosis of foreign bodies in the digestive tract. Ultrasound can also be used as a supplemental diagnostic technique. It is recommended that people who wear dentures should exercise caution while eating, especially when the food contains bones.
AU  - Zhang, L.
AU  - Liu, L.
AU  - Shao, J.
AU  - Sun, F.
AU  - Zhao, L.
DB  - Medline
DO  - 10.1097/MD.0000000000022534
IS  - 40
KW  - abdominal wall
aftercare
bone
case report
diagnostic imaging
eating
echography
female
foreign body
human
inflammation
microbiology
pathology
procedures
sea food
skin
spontaneous perforation
stomach
treatment outcome
very elderly
x-ray computed tomography
LA  - English
M3  - Article
N1  - L633116668
2020-10-21
2020-10-29
PY  - 2020
SN  - 1536-5964
SP  - e22534
ST  - Abdominal skin inflammation as an initial symptom of a perforating gastric foreign body: A case report
T2  - Medicine
TI  - Abdominal skin inflammation as an initial symptom of a perforating gastric foreign body: A case report
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L633116668&from=export
http://dx.doi.org/10.1097/MD.0000000000022534
VL  - 99
ID  - 269
ER  - 

TY  - JOUR
AB  - Background: A retained foreign object (RFO) is a devastating surgical complication that typically results in additional surgeries, increased length of stay, and risk of infections and is potentially fatal. Memorial Sloan Kettering Cancer Center (MSKCC) convened a multidisciplinary task force to undertake an improvement initiative to reduce the frequency of RFO incidents. Methods: A needs assessment was undertaken using focus group interviews, review of past RFOs, and operating room (OR) observations, and a comprehensive intervention plan was initiated. Items at risk of retention were reclassified and new tracking sheets were developed. A probabilistic risk model was developed based on aviation industry methodology, an RFO risk projection, and the retention risk classification of surgical items. Training initiatives were launched to shift organizational culture and staff behaviors toward greater awareness of RFO risk and proactive prevention. Results: Since the implementation of our task force's recommendations on March 24, 2014, there have been no RFO incidents at our institution to this day. The last RFO occurred in August 2013—more than 1,300 days ago (as of March 28, 2017). The RFO incident frequency was reduced from 1.69 per year to a risk model estimate of 1 in 22 years. Ongoing training maintains the staff's behavioral changes as well as the improved OR and organizational culture. Conclusion: Implementation of a multidisciplinary approach to preventing RFOs was successful at MSKCC. The use of an RFO risk model enabled the creation of a robust system for RFO prevention. Support from leadership, participation by all stakeholders, education, training, and cooperation from frontline staff are all important contributors to RFO prevention success. © 2018 The Joint Commission
AU  - Duggan, E. G.
AU  - Fernandez, J.
AU  - Saulan, M. M.
AU  - Mayers, D. L.
AU  - Nikolaj, M.
AU  - Strah, T. M.
AU  - Swift, L. M.
AU  - Temple, L.
DB  - Scopus
DO  - 10.1016/j.jcjq.2017.11.006
IS  - 5
M3  - Article
N1  - Cited By :1
Export Date: 10 November 2020
PY  - 2018
SP  - 260-269
ST  - 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs)
T2  - Joint Commission Journal on Quality and Patient Safety
TI  - 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs)
UR  - https://www.scopus.com/inward/record.uri?eid=2-s2.0-85046879290&doi=10.1016%2fj.jcjq.2017.11.006&partnerID=40&md5=4102a95cf12df0df47231f39e3edbdb2
VL  - 44
ID  - 1077
ER  - 

TY  - JOUR
AB  - Background A retained foreign object (RFO) is a devastating surgical complication that typically results in additional surgeries, increased length of stay, and risk of infections and is potentially fatal. Memorial Sloan Kettering Cancer Center (MSKCC) convened a multidisciplinary task force to undertake an improvement initiative to reduce the frequency of RFO incidents. Methods A needs assessment was undertaken using focus group interviews, review of past RFOs, and operating room (OR) observations, and a comprehensive intervention plan was initiated. Items at risk of retention were reclassified and new tracking sheets were developed. A probabilistic risk model was developed based on aviation industry methodology, an RFO risk projection, and the retention risk classification of surgical items. Training initiatives were launched to shift organizational culture and staff behaviors toward greater awareness of RFO risk and proactive prevention. Results Since the implementation of our task force's recommendations on March 24, 2014, there have been no RFO incidents at our institution to this day. The last RFO occurred in August 2013--more than 1,300 days ago (as of March 28, 2017). The RFO incident frequency was reduced from 1.69 per year to a risk model estimate of 1 in 22 years. Ongoing training maintains the staff's behavioral changes as well as the improved OR and organizational culture. Conclusion Implementation of a multidisciplinary approach to preventing RFOs was successful at MSKCC. The use of an RFO risk model enabled the creation of a robust system for RFO prevention. Support from leadership, participation by all stakeholders, education, training, and cooperation from frontline staff are all important contributors to RFO prevention success.
AD  - Process Improvement Engineer, Operational Excellence, Hospital Administration and Clinical Operations Memorial Sloan Kettering Cancer Center, New York City
Manager, Quality and Safety, Division of Quality and Safety, Memorial Sloan Kettering Cancer Center
Clinical Nurse Specialist, Department of Nursing, Memorial Sloan Kettering Cancer Center
Surgical Technologist III, Department of Nursing, Memorial Sloan Kettering Cancer Center
Clinical Nurse II, Department of Nursing, Memorial Sloan Kettering Cancer Center
Clinical Nurse IV, Department of Nursing, Memorial Sloan Kettering Cancer Center
Director, Perioperative Nursing, University of Texas MD Anderson Cancer Center, Houston
Chief Attending, Division of Colorectal Surgery, University of Rochester Medical Center, Rochester, New York
AN  - 129581940. Language: English. Entry Date: 20180517. Revision Date: 20190212. Publication Type: Article
AU  - Duggan, Erika G.
AU  - Fernandez, Jimmy
AU  - Saulan, Mary May
AU  - Mayers, Dave L.
AU  - Nikolaj, Mira
AU  - Strah, Tamara M.
AU  - Swift, Lystra M.
AU  - Temple, Larissa
DB  - ccm
DO  - 10.1016/j.jcjq.2017.11.006
DP  - EBSCOhost
IS  - 5
KW  - Foreign Bodies -- Classification
Postoperative Complications -- Prevention and Control
Incident Reports
Retained Instruments -- Risk Factors
Patient Safety
Human
Multidisciplinary Care Team
Interviews
Focus Groups
Descriptive Statistics
Data Analysis Software
Needs Assessment
Organizational Culture
New York
Professional Development
Outcomes of Education
N1  - research. Journal Subset: Editorial Board Reviewed; Expert Peer Reviewed; Health Services Administration; Peer Reviewed; USA. Special Interest: Patient Safety; Perioperative Care. NLM UID: 101238023.
PY  - 2018
SN  - 1553-7250
SP  - 260-269
ST  - 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs)
T2  - Joint Commission Journal on Quality & Patient Safety
TI  - 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs)
UR  - http://proxy.lib.umich.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=129581940&site=ehost-live&scope=site
VL  - 44
ID  - 724
ER  - 

TY  - JOUR
AB  - Background: A retained foreign object (RFO) is a devastating surgical complication that typically results in additional surgeries, increased length of stay, and risk of infections and is potentially fatal. Memorial Sloan Kettering Cancer Center (MSKCC) convened a multidisciplinary task force to undertake an improvement initiative to reduce the frequency of RFO incidents. Methods: A needs assessment was undertaken using focus group interviews, review of past RFOs, and operating room (OR) observations, and a comprehensive intervention plan was initiated. Items at risk of retention were reclassified and new tracking sheets were developed. A probabilistic risk model was developed based on aviation industry methodology, an RFO risk projection, and the retention risk classification of surgical items. Training initiatives were launched to shift organizational culture and staff behaviors toward greater awareness of RFO risk and proactive prevention. Results: Since the implementation of our task force's recommendations on March 24, 2014, there have been no RFO incidents at our institution to this day. The last RFO occurred in August 2013—more than 1,300 days ago (as of March 28, 2017). The RFO incident frequency was reduced from 1.69 per year to a risk model estimate of 1 in 22 years. Ongoing training maintains the staff's behavioral changes as well as the improved OR and organizational culture. Conclusion: Implementation of a multidisciplinary approach to preventing RFOs was successful at MSKCC. The use of an RFO risk model enabled the creation of a robust system for RFO prevention. Support from leadership, participation by all stakeholders, education, training, and cooperation from frontline staff are all important contributors to RFO prevention success.
AU  - Duggan, E. G.
AU  - Fernandez, J.
AU  - Saulan, M. M.
AU  - Mayers, D. L.
AU  - Nikolaj, M.
AU  - Strah, T. M.
AU  - Swift, L. M.
AU  - Temple, L.
DB  - Embase
Medline
DO  - 10.1016/j.jcjq.2017.11.006
IS  - 5
KW  - operating room
surgical equipment
article
evidence based medicine
foreign body
human
interview
medical education
needs assessment
probabilistic risk model
retained foreign object
risk assessment
statistical model
treatment planning
LA  - English
M3  - Article
N1  - L2000747078
2018-05-21
2018-05-29
PY  - 2018
SN  - 1553-7250
SP  - 260-269
ST  - 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs)
T2  - Joint Commission Journal on Quality and Patient Safety
TI  - 1,300 Days and Counting: A Risk Model Approach to Preventing Retained Foreign Objects (RFOs)
UR  - https://www.embase.com/search/results?subaction=viewrecord&id=L2000747078&from=export
http://dx.doi.org/10.1016/j.jcjq.2017.11.006
VL  - 44
ID  - 346
ER  -