Retained Fragment of Surgical Gauze in Hip Arthroplasty – Case Report and Literature Review.

NG Bing Wui, Mohamed Ashraff Mohd Ariff, Rizal Abdul Rani, Nor Hamdan Mohd Yahaya.

Department of Orthopaedics and Traumatology, Hospital Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

ABSTRACT      

Cases of retained foreign body are rarely reported due to its medico-legal implications. We present a case of retained surgical gauze fragments after bipolar hemiarthroplasty of hip in a patient who sustained left neck of femur fracture. This complication occurred despite strict adherence to standard operating theater protocols which includes meticulous swab and instrument count. We proposed an additional operating room processes and surgical technique in preventing such complications in future hip arthroplasties in our centre.

Keyword: Foreign body, femur neck fracture, gossypiboma, hemiarthroplasty, medico-legal.

Correspondence author: Ng Bing Wui, Arthroplasty Unit, Department of Orthopaedics and Traumatology, Hospital Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Batu 9 Cheras, Wilayah Persekutuan Kuala Lumpur, Malaysia .

Telephone: +60122120970, Email: bingwuing@gmail.com

Brunei Int Med J. 2017; 13 (6):207-210