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FI 2016

1,276
© Thomson Reuters, Journal Citation Reports, 2016

Indexada en:

SCIE/JCR, Index Medicus/Medline, IBECS, IME

Métricas

  • Factor de Impacto: 1,276(2016)
  • 5-años Factor de Impacto: 0,956
  • SCImago Journal Rank (SJR):0,243
  • Source Normalized Impact per Paper (SNIP):0,438

© Thomson Reuters, Journal Citation Reports, 2016

Cir Esp 1999;65:143-9
Gasas y compresas retenidas
RETAINED SURGICAL SPONGES
RF. Baldonedo Cernuda, JA. Rodríguez Getino, JA. Álvarez Pérez, MP. Mosteiro Díaz, JI. Jorge Barreiro
Resumen
The failure to recover materials made of textiles from within the body of a patient during surgery constitutes a complication that, aside from the associated morbidity and mortality, involves a series of important medicolegal issues. The objective of the present report is to review and update the epidemiological, clinical, diagnostic, therapeutic and preventive aspects, as well as the legal and civil responsibility and its individualization.
A review of the literature is carried out, with special attention to Spanish publications dealing with this matter over the past 10 years.
The major risk factors are emergency surgery, aperture of the large cavities, staff fatigue and failure to comply with the norms for counting the materials used. The clinical signs vary depending on the localization, type of response, time elapsed or bacterial colonization. The diagnostic methods most frequently used are plain radiography, ultrasound and scanner. Treatment consists in removing the material. The morbidity and mortality rates should not be overlooked, although they have gradually diminished. Prevention is fundamental, but there are no measures to guarantee absolutely effective Results.
Aspects concerning both legal and civil responsibility (the latter being more common) are analyzed and the problems of individualization that can arise in the context of teamwork are addressed.
Palabras clave
Compresas retenidas, Aspectos clínicos, Prevención, Responsabilidad
Keywords
Retained surgical sponges, Clinical aspects, Prevention, Responsibility