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

Forgotten surgical items: lessons for all to learn

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access
This is an excerpt from the content


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