NATURAL-HISTORY OF THE RETAINED SURGICAL SPONGE
NATURAL-HISTORY OF THE RETAINED SURGICAL SPONGE
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DOI：
10.1097/00007611-198206000-00006
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发表时间：
1982-01-01
影响因子：
1.1
通讯作者：
MAULL, KI
中科院分区：
文献类型：
--
作者：
HYSLOP, JW;MAULL, KI
手术海绵残留是一种罕见的情况，可能会在术后早期偶然发现，产生严重的并发症，或保持休眠多年。手术海绵残留的临床表现是细菌污染和海绵在体腔内的位置的函数。肠外挤压后很少有后遗症，但肠内侵蚀可导致脓肿、瘘管和肠梗阻。预防需要外科医生对这种对手术安全实践的潜在威胁保持敏感。外科医生必须通过充分检查术野和X线检查（当问题仍然存在疑问时）来解释海绵计数不正确的原因。然而，正确的海绵计数并不能完全排除海绵残留，对所有有风险的患者，应常规检查手术区域。
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.