Laparoscopic management of gossypiboma

Year 2015, Volume: 20 Issue: 2, 114 - 116, 10.07.2015

Orkun Çetin , Numan Çim , İsmet Alkış Ali Kolusarı Abdülaziz Gül

Abstract

Gossypiboma is a mass lesion due to a retained surgical sponge surrounded by foreign body reaction. We report the laparoscopic management of gossypiboma after cesarean section for placenta previa. A 29 year- old women presented with a history of emergency cesarean section for placenta previa, performed seven days ago. Abdominal computerized tomography scan showed a heterogeneous and low density mass, with peripheral calcifications. The patient was submitted to laparoscopic surgery. An aseptic plastic material was used to wrap for laparoscopic removal of gossypiboma. Minimal invasive surgery for removal of gossypiboma is successful within a few weeks after the original operation as demonstrated in our case. However, the dissection technic is difficult and depends on an experienced laparoscopic surgeon.  

Keywords

Gossypiboma, cesarean section, laparoscopic management

References

• Kaiser CW, Friedman S, Spurling KP, Slowick T, Kaiser HA. The retained surgical sponge. Ann Surg 1996; 224: 79-84.
• Hu SC, Pang HL, Hsieh HF. Gossypiboma (retained surgical sponge): Report of a case. Gastroenterol J Taiwan 2005; 22: 329-334.
• Malik A, Jagmohan P. Gossypiboma. US and CT appearance. Indian J Radiol Imaging 2002; 12: 503- 504.
• Manzella A, Filho PB, Albuquerque E, Farias F, Kaercher J. Imaging of gossypibomas: Pictorial review. AJR Am J Roentgenol 2009; 193: 94-101.
• Greenberg CC, Regenbogen SE, Lipsitz SR, Diaz- Flores R, Gawande AA. The frequency and significance of discrepancies in the surgical count. Ann Surg 2008; 248: 337-341.
• Wan W, Le T, Riskin L, Macario A. Improving safety in the operating room: A systematic literature review of retained surgical sponges. Anaesthesiol 2009; 22: 207-214. Curr Opin