Which type of reaction in retained surgical sponge is more dangerous?
BACKGROUND
Retained surgical sponge is a term to define forgotten surgical sponges during operation. RSS causes two kinds of reactions in the body. The first one is to develop an abscess through exudative inflammatory reaction in early phases and second one is to form a mass through aseptic inflammatory reaction which can stay asymptomatic for months, even for years. In this study we aimed to investigate the time of hospital admission, type of reaction and effect of need for bowel resection on prognosis in patients with retained surgical sponge.


METHODS
In the study, we scanned the files of 18 patients with retained surgical sponge who had been operated at Dicle University Medical Faculty General Surgery Clinic between January 1994 and July 2012, retrospectively.


RESULTS
Need for intestine resection was higher in patients who were operated in the early phase (p:0.034). Morbidity and duration of hospital stay were significantly higher (respectively P:0.02, P:0.007) in patients who had underwent intestine resection.


CONCLUSIONS
In patients with retained surgical sponge, need for intestine resection is increased due to exudative reaction in the early phase. This increase is giving rise to morbidity rates and prolonged hospital stay.


BACKGROUND
Morbidity, Retained surgical sponge.
Mesut
M
Gul
Ibrahim
I
Aliosmanoglu
Burak Veli
BV
Ulger
Abdullah
A
Oguz
Mehmet Güli
MG
Çetinçakmak
Ahmet
A
Türkoglu
D000038:Abscess / Q000503:physiopathology; D013505:Digestive System Surgical Procedures / Q000009:adverse effects; D005547:Foreign Bodies / Q000503:physiopathology*; D006801:Humans; D007249:Inflammation / Q000503:physiopathology; D007422:Intestines / Q000601:surgery; D007902:Length of Stay; D011183:Postoperative Complications / Q000209:etiology*; D015503:Surgical Sponges / Q000009:adverse effects*