A New Search Algorithm for Reducing the Incidence of Missing Cottonoids in the Operating Theater
Study Design Retrospective study. Purpose Missing cottonoids during and after spinal surgery is a persistent problem and account for the most commonly retained surgical instruments (RSIs) noticed during a final cottonoid count. The aim of this study was to enumerate risk factors and describe the seq...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Spine Society
2019-02-01
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| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-2018-0136.pdf |
| _version_ | 1831840776640790528 |
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| author | Abhinandan Reddy Rajat Mahajan Tarush Rustagi Shakti A. Goel Murari L. Bansal Harvinder Singh Chhabra |
| author_facet | Abhinandan Reddy Rajat Mahajan Tarush Rustagi Shakti A. Goel Murari L. Bansal Harvinder Singh Chhabra |
| author_sort | Abhinandan Reddy |
| collection | DOAJ |
| description | Study Design Retrospective study. Purpose Missing cottonoids during and after spinal surgery is a persistent problem and account for the most commonly retained surgical instruments (RSIs) noticed during a final cottonoid count. The aim of this study was to enumerate risk factors and describe the sequence to look out for misplaced cottonoids during spinal surgery and provide an algorithm for resolving the problem. Overview of Literature There are only a few case reports on RSIs among various surgical branches. The data is inconclusive and there is little evidence in the literature that relates to spinal surgery. Methods This retrospective study was conducted at Indian Spinal Injuries Centre. The data was collected from hospital records ranging from January 2013 to December 2017. The surgical cases in which cottonoid counts were inconsistent during or after the procedure were included in the study. The case files along with operating theater records were thoroughly screened for selecting those in which there was confirmed evidence of such an event. Results There were 7,059 spinal surgeries performed during the study period. Fifteen cases of miscounts were recorded with an incidence of one in every 471 cases. Cottonoids were most commonly lost under the shoes of the surgeon or assistants. In two instances, cottonoids were found in the surgical field and trapped in the interbody cage site. Based on these locations, a systematic search algorithm was created Conclusions This study enumerates RSI risk factors in spinal surgical procedures and describes steps that can be followed to account for any missing cottonoids. The incidence of missing cottonoids can be decreased using a goal-oriented approach and ensuring that surgical teams work in collaboration. |
| first_indexed | 2024-12-23T06:16:31Z |
| format | Article |
| id | doaj.art-ab1c6b5aea0640b98e605ba9f8d1b6c5 |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-23T06:16:31Z |
| publishDate | 2019-02-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-ab1c6b5aea0640b98e605ba9f8d1b6c52022-12-21T17:57:17ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462019-02-011311610.31616/asj.2018.0136979A New Search Algorithm for Reducing the Incidence of Missing Cottonoids in the Operating TheaterAbhinandan Reddy0Rajat Mahajan1Tarush RustagiShakti A. Goel2Murari L. Bansal3Harvinder Singh Chhabra4 Department of Spine Surgery, Indian Spinal Injuries Center, New Delhi, India Department of Spine Surgery, Indian Spinal Injuries Center, New Delhi, India Department of Spine Surgery, Indian Spinal Injuries Center, New Delhi, India Department of Spine Surgery, Indian Spinal Injuries Center, New Delhi, India Department of Spine Surgery, Indian Spinal Injuries Center, New Delhi, IndiaStudy Design Retrospective study. Purpose Missing cottonoids during and after spinal surgery is a persistent problem and account for the most commonly retained surgical instruments (RSIs) noticed during a final cottonoid count. The aim of this study was to enumerate risk factors and describe the sequence to look out for misplaced cottonoids during spinal surgery and provide an algorithm for resolving the problem. Overview of Literature There are only a few case reports on RSIs among various surgical branches. The data is inconclusive and there is little evidence in the literature that relates to spinal surgery. Methods This retrospective study was conducted at Indian Spinal Injuries Centre. The data was collected from hospital records ranging from January 2013 to December 2017. The surgical cases in which cottonoid counts were inconsistent during or after the procedure were included in the study. The case files along with operating theater records were thoroughly screened for selecting those in which there was confirmed evidence of such an event. Results There were 7,059 spinal surgeries performed during the study period. Fifteen cases of miscounts were recorded with an incidence of one in every 471 cases. Cottonoids were most commonly lost under the shoes of the surgeon or assistants. In two instances, cottonoids were found in the surgical field and trapped in the interbody cage site. Based on these locations, a systematic search algorithm was created Conclusions This study enumerates RSI risk factors in spinal surgical procedures and describes steps that can be followed to account for any missing cottonoids. The incidence of missing cottonoids can be decreased using a goal-oriented approach and ensuring that surgical teams work in collaboration.http://www.asianspinejournal.org/upload/pdf/asj-2018-0136.pdfCottonoidsSpineAlgorithmsRe-explorationRetained foreign bodySurgical sponges |
| spellingShingle | Abhinandan Reddy Rajat Mahajan Tarush Rustagi Shakti A. Goel Murari L. Bansal Harvinder Singh Chhabra A New Search Algorithm for Reducing the Incidence of Missing Cottonoids in the Operating Theater Asian Spine Journal Cottonoids Spine Algorithms Re-exploration Retained foreign body Surgical sponges |
| title | A New Search Algorithm for Reducing the Incidence of Missing Cottonoids in the Operating Theater |
| title_full | A New Search Algorithm for Reducing the Incidence of Missing Cottonoids in the Operating Theater |
| title_fullStr | A New Search Algorithm for Reducing the Incidence of Missing Cottonoids in the Operating Theater |
| title_full_unstemmed | A New Search Algorithm for Reducing the Incidence of Missing Cottonoids in the Operating Theater |
| title_short | A New Search Algorithm for Reducing the Incidence of Missing Cottonoids in the Operating Theater |
| title_sort | new search algorithm for reducing the incidence of missing cottonoids in the operating theater |
| topic | Cottonoids Spine Algorithms Re-exploration Retained foreign body Surgical sponges |
| url | http://www.asianspinejournal.org/upload/pdf/asj-2018-0136.pdf |
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