Deviation in the Standard of Perioperative Care Resulting in Retention of Foreign Body

Evaluate breaches in the standard of care by asking and answering the questions below and analyzing carefully your fact pattern to determine if there has been a Deviation in the Standard of Perioperative Care Resulting in Retention of Foreign Body

Answer the following questions to find out if the standard of care was followed for your case.

  • Were symptoms elicited from the patient and documented?
    Yes
    No
    Incidental finding
    Answer unknown
    Why is this important?
    Symptoms of “Retention of Foreign Body” include:
    • Pain in the surgical area
    • Pus formation and drainage in the surgical area
    • Other signs such as bowel obstruction, malabsorption, blood in stool
    • Hard mass at the surgical site • Retained surgical foreign bodies are likely to produce the above symptoms in patients.

    (2007) 138 ESJSUR 2 170

  • Which of the following methods was used to confirm the presence of a retained foreign body? Why is this important?
    Answer this question
    
In asymptomatic patients, retained foreign bodies are discovered on routine imaging studies performed for other reasons. 

    (2007) 138 ESJSUR 2 170 



  • Did the clinician document a detailed medical and surgical history ? Why is this important?
    Answer this question
    
Obtaining a thorough medical history inclusive of any and all past surgical procedures is essential in the evaluation of a patient.

    (2007) 138 ESJSUR 2 170 



  • When was the patient informed of the possibility of a retained foreign body? Why is this important?
    Answer this question
    
There are intentionally retained surgical materials left by the surgeon for medical purposes. It is the accidentally retained foreign object that may cause harm.

    (2007) 44 ECURPS 5 281 



  • Which of the following was assessed by the clinician? Why is this important?
    Answer this question
    
The retained foreign body tends to cause local inflammation and postoperative complications in the patient.

    (2007) 138 ESJSUR 2 170 



  • Which of the following actions was taken? Why is this important?
    Answer this question
    
When a retained surgical item is identified as an acute clinical problem, it is usually necessary to remove it.

    (2007) 44 ECURPS 5 281 



  • Were regular follow-up visits recommended? Why is this important?
    Answer this question
    
Foreign bodies that are not removed must be closely monitored by follow-up evaluations.

    (2007) 44 ECURPS 5 281