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Foreign bodies after intra-abdominal surgeries: pathophysiology and medicolegal implications

Author: 
Irami Araújo-Filho, Amália Cínthia Meneses Rêgo, Dinalva Brito de Queiroz and Marco Antônio Botelho Soares
Subject Area: 
Health Sciences
Abstract: 

There is no large series about retained foreign bodies in abdominal cavity. In fact, data are underestimated because of the lack of reports considering its serious medicolegal implications. An inflammatory fibrotic process inside the peritoneal cavity, a virtual discharge of inorganic material through the surgical incision and also a slow process of transmural migration into the intestinal lumen are the most frequent pathophysiologic situations. It is not uncommon the incidental diagnosis of foreign body and radiographic studies may be particularly helpful to elucidate the etiology. An early recognition minimizes the surgical risks and contributes to avoid severe complications. The best approach is to adopt preventive measures. Careful perioperative materials vigilance and instrumentation and also a meticulous check at the end of operations are essential to avoid such legal responsibility.

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