Other than removing
the wrong kidney or something like that, the worst thing a surgeon could
possibly do is leave something inside of you that doesn’t belong there! While
this is rare, almost 800 patients have had surgical instruments left inside of
them, leading to readmission, additional surgeries, abscesses, intestinal
fistulas, obstructions, visceral perforations and even death.
Studies have estimated
that this happens once in every 5500 to 7000 surgeries, and a typical hospital
has about two of these incidents each year.
It is not surprising
that these mistakes are expensive ones. In 2007, the average price of removing
one of these items was $63 631 plus let’s not forget the lawsuits which can run
from about $2 million to $5 million.
The most common item
that is left behind is usually a surgical sponge, those small squares of gauze
that are used to mop up blood. Traditionally, nurses keep track of sponges by
counting them before and after surgeries. But sponges can be hard to find when
they are soaked in blood and tucked away out of sight; they are often left in
the abdomen, pelvis and thoracic cavity.
In the past, hospitals
used X-rays and bar codes to help detect lost material, but the best detection
system is radiofrequency! Each piece of gauze has a tiny chip sewn into a
pocket and operating room personnel can use a wand to detect whether a sponge
has been left inside.
A recent study found
that this technology helped locate 23 sponges left behind in nearly 3000
patients over 11 months.
However, sponges are
not the only items being left inside patients. Equipment like sponges, towels,
needles, instruments, retractors and other small items and fragments of tools
have been found in patients.
In one of the most shocking
cases, 16 objects were left in the body of a German patient named Dirk Schroeder. After a routine prostate cancer surgery, Schroeder experienced poor
recovery and intense pain. It took several weeks for doctors to discover that
objects had been left inside his body. These included a needle, a six-inch roll
of bandage, a compress, swabs and even part of a surgical mask.
It seems like it is time for stricter, more
standardised counting systems that involve all member of the hospital team, including
surgeons, nurses, techs, anaesthesiologists, and radiologists.
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