Thorac Cardiovasc Surg 2001; 49(3): 191-193
DOI: 10.1055/s-2001-14298
Special Report
© Georg Thieme Verlag Stuttgart · New York

A Forgotten Gauze Swab - Clinical and Legal Considerations

C. Schmid1 , S. Krempel2 , H. H. Scheld1
  • 1Department of Cardiothoracic Surgery, University Hospital, Münster, Germany
  • 2Lawyer, Saarbrücken, Germany
Further Information

Publication History

Publication Date:
31 December 2001 (online)

In this report, we will present two cases of retained gauze swabs following open heart surgery. We will discuss diagnostic and treatment strategies as well as medicolegal implications with regard to individual liability and possible penalties according to the German law.

References

  • 1 Alotti N, Kecskés G, Simon J, Tomcsányi J, Papp L. Gauze swabs left intrapericardially following cardiac surgery.  J Cardiovasc Surg. 1999;  40 825-827
  • 2 Le Neel J C, De Cussac J B, Dupas B, et al. Textilomas. A propos de 25 cas et revue de la littérature. Chirurgie (mémoire de l'Académie). Paris; Masson 1995: 272-277
  • 3 Fernandez L R, Marin L FJ, Fradejas L JM, Diaz G LM, Camarero M E, Moreno A M. Postoperative textilomas: review of 14 cases.  Int Surg. 1998;  83 63-66
  • 4 Botet del Castillo F X, Lopez S, Reyes G, et al. Diagnosis of retained abdominal gauze swabs.  Br J Surg. 1995;  82 227-228
  • 5 de Lacey G. Retained surgical swabs: possible causes for errors in x-ray detection and an atlas to assist recognition.  Br J Radiol. 1978;  51 691-698
  • 6 Mc Killop G, Reid J H. Retained surgical swab misinterpreted as epicardial pacing wire on chest x-ray.  Heart. 1996;  75 342
  • 7 Patel A M, Trastek V F, Coles D T. Gossypibomas mimicking echinococcal cyst disease of the lung.  Chest. 1994;  105 284-292
  • 8 Sheehan R E, Sheppard M N, Hansell D M. Retained intrathoracic surgical swab: CT appearances.  J Thorac Imaging. 2000;  15 61-64
  • 9 Liessi G, Semisa M, Sandini F, Roma R, Spaliviero B, Marin G. Retained surgical gauzes: acute and chronic CT and US findings.  Eur J Radiol. 1989;  9 182-186
  • 10 Devgan M, Tucker E F. „Post-appendectomy cotton swabs” retained for 55 years. Case report.  Mo Med. 1977;  74 23-24
  • 11 Gonzalez-Ojeda A, Rodgriguez-Alcantar D A, Arenas-Marquez H, et al. Retained foreign bodies following intra-abdominal surgery.  Hepatogastroenterology. 1999;  46 808-812
  • 12 Rosner F, Berger J T, Kark P, Potash J, Bennett A J. Disclosure and prevention of medical errors.  Arch Intern med. 2000;  160 2089-2092

PD Dr. med. Christof Schmid

Department of Cardiothoracic Surgery
University Hospital

Albert-Schweitzer-Straße 33, 48419 Münster
Germany

Phone: + 49-251-8357412

Fax: + 49-251-8348316

Email: schmid@uni-muenster.de

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