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Fulltext Asymptomatic chronically retained gauze in the pelvic cavity

Imran Y, Azman MZN

Med J Malaysia, 2005 Aug;60(3):358-9.

Cases of retained surgical guaze are rarely reported because of medico-legal and professional implications. Retained gauze for a period of more than 10 years is even rarer. A case of retained surgical gauze for 11 years, an accidental finding from a plain radiograph of a patient who had sustained proximal femoral fracture, is reported. A review of other reported cases is presented.

Matched MeSH terms: Surgical Sponges*

White gauze test: a novel technique in preventing post-hepatectomy bile leak

Yugasaravanan K, Affirul CA, Zamri Z, Azlanudin A, Bong JJ

Clin Ter, 2015;166(2):e102-4.

PMID: 25945439 DOI: 10.7417/CT.2015.1828

BACKGROUND: Post-hepatectomy bile leak may lead to undesired morbidity. Multiple methods have been employed to identify this leak but can be inconclusive and taxing. This novel white gauze test is a simple and reliable method.

MATERIALS AND METHODS: This is a prospective study performed from January 2010 until March 2011. All open hepatic resection were included. Dry white gauze is compressed onto the transected surface and observed for bile staining. The leaking duct is repaired immediately upon detection. The process is repeated until negative. Drain was removed on postoperative day-5. Post-operative bile leak is defined as: 1. Bilirubin concentration of the drain fluid is 3 times or higher than serum; 2. Presence of intra-abdominal bile collection on imaging and upon drainage; 3. Bile leak demonstrated on postoperative cholangiography.

RESULTS: 42 patients were recruited. Seven (16.7%) patients were cirrhotic with Child-Pugh A. White gauze test were positive for intra-operative bile leaks in 29 patients (70%), which were primarily repaired. As a result, there was no postoperative bile leak in this series. One mortality was detected in this series due to postoperative pancreatic fistula and multi organ failure.

CONCLUSIONS: The White Gauze Test is a useful method for the prevention of bile leakage after hepatic resection. It is safe, quick and cheap.

Matched MeSH terms: Surgical Sponges*

Counter response to Response from Dr Yagnik and Dr Yagnik to Gangrenous giant Meckel's diverticulitis masquerading acute appendicitis: a surgical conundrum

Hayati F, Yeap BT, Azizan N

ANZ J Surg, 2020 01;90(1-2):190.

PMID: 32067319 DOI: 10.1111/ans.15571

Matched MeSH terms: Surgical Sponges

Counter response to Response from Dr Wadhwani and Dr Rajesh to Gangrenous giant Meckel's diverticulitis masquerading acute appendicitis: a surgical conundrum

Hayati F, Azizan N, Yeap BT, Zainal Abidin ZA, Zakaria AD

ANZ J Surg, 2020 01;90(1-2):188-189.

PMID: 32067312 DOI: 10.1111/ans.15577

Matched MeSH terms: Surgical Sponges

Locally produced bovine bone sponge as a haemostatic agent

Ang CY, Samsudin AR, Karima AM, Nizam A

Med J Malaysia, 2004 May;59 Suppl B:149-50.

PMID: 15468862

The aim of this study was to evaluate the morphological and biological properties of a locally produced "Bovine Bone Sponge" for use in dentistry. Bovine bone sponge was prepared from local calf bone. Endotoxin level and surface properties were investigated. The pore size and water uptake ability were measured and results were compared with the commercial haemostatic agent. The material was tested for its haemostatic property and its inhibition of alveolar bone resorption in a sheep model following dental extraction. Results revealed a significant difference in haemostatic effect, and a shorter bleeding time and a lower rate of alveolar bone resorption in bovine bone sponge compare to a commercial haemostatic agent.

Matched MeSH terms: Surgical Sponges*

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