Yvette Zantvoord

Sint Franciscus Gasthuis Rotterdam, Rotterdam, South Holland, Netherlands

Are you Yvette Zantvoord?

Claim your profile

Publications (1)2.36 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: Retained surgical sponges have been reported to occur after a diversity of surgical procedures, but transmural migration is a very unusual sequela. This article reports a case in which a retained surgical sponge eroded from the intra-abdominal space into the intestinal lumen, migrated distally, and spontaneously passed with defecation 12 weeks after the cesarean section. We performed a systematic review of the literature in Pubmed and found 64 cases of transmural migration of retained surgical sponges. Sixty-four cases have been reported of transmural migration, mainly after intra-abdominal surgery. The most frequent site of impaction is the intestine (75%), but we also found 2 cases that describe migration into the stomach and 7 into the bladder. Five more cases have been published describing transdiaphragmic migration. Only 4 cases describe a sponge spontaneously expelled through the rectum, whereas more than 93% needed re-intervention. We strongly advise only the use sponges with radiopaque markers during surgery and additional methodical wound/body cavity examination.
    Obstetrical and Gynecological Survey 08/2008; 63(7):465-71. DOI:10.1097/OGX.0b013e318173538e · 2.36 Impact Factor

Publication Stats

28 Citations
2.36 Total Impact Points

Institutions

  • 2008
    • Sint Franciscus Gasthuis Rotterdam
      • Department of Gynaecology
      Rotterdam, South Holland, Netherlands