, Volume 10, Issue 4, pp 295-297
Date: 07 Mar 2013

Forgotten surgical items: lessons for all to learn

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Introduction

It is an unavoidable fact that errors occur in medicine and, in particular, the operating room [1, 2]. Fortunately, cases of retained items after surgery are rare events but the consequences: physical, emotional and financial can be severe for the patient, the surgeon and the hospital. Many attempts have been made to decrease the frequency in which surgical equipment is left inside a patient during an operation. Past studies have looked at risk factors that might be associated with retained surgical equipment [3]. However, despite extra vigilance in the operating room, retained surgical equipment continues to be a problem.

Case report

A 38-year-old woman with a fibroid uterus, causing unacceptable pressure symptoms, underwent a laparoscopic subtotal hysterectomy. The device used for uterine manipulation was the KOH Colpotomizer (CooperSurgical Trumbull, Connecticut) consisting of: RUMI® tip, handle and KOH cup. The hysterectomy was uncomplicated and the patient went home aft