ABSTRACT
The terms gossypiboma, textiloma or retained foreign objects are medical terms used to describe textile elements that are left intentionally or accidentally in the operative site and generate a reaction to foreign objects. It can be avoided when preventive measures are taken during surgery. Gossypibomas are rare in surgery of the central nervous system. They are more frequent in thoracic and abdominal surgeries. Depending on their location they can present with complications and symptoms or they may remain undetected for many years. In this article we want to present a case of a spinal asymptomatic gossypiboma in a patient who was operated on 15 years ago for a lumbar disectomy. We will review the literature on the implications of these lesions on the neurosurgical field.
Subject(s)
Granuloma, Foreign-Body , Neurosurgical Procedures/adverse effects , Spinal Cord , Surgical Sponges/adverse effects , Adult , Diskectomy , Female , Granuloma, Foreign-Body/diagnosis , Granuloma, Foreign-Body/etiology , Granuloma, Foreign-Body/pathology , Humans , Lumbar Vertebrae/pathology , Lumbar Vertebrae/surgery , Magnetic Resonance Imaging , Spinal Cord/pathology , Spinal Cord/surgeryABSTRACT
Los términos gossypiboma, textiloma o cuerpo extrañotextil retenido son términos médicos usados paradescribir elementos quirúrgicos textiles que intencionalo accidentalmente son dejados sobre el lecho quirúrgico,generando una reacción a cuerpo extraño. Es unapatología prevenible siempre y cuando se tomen algunasmedidas durante la cirugía. Los gossypiboma sonpoco frecuentes a nivel del sistema nervioso central. Sonmás frecuentes en las cirugías torácicas o abdominales.Dependiendo de su localización y su comportamiento,éstos pueden presentar complicaciones y sintomatologíao pueden permanecer silentes por muchos años.En este trabajo se presenta un caso de un gossypibomaparaespinal asintomático en una pacienteoperada 15 años antes para una discectomía lumbar.Se hace además una revisión de la literatura y secomenta acerca de la implicación de estas lesiones enneurocirugía (AU)
The terms gossypiboma, textiloma or retainedforeign objects are medical terms used to describe textileelements that are left intentionally or accidentallyin the operative site and generate a reaction to foreignobjects. It can be avoided when preventive measuresare taken during surgery. Gossypibomas are rare insurgery of the central nervous system. They are morefrequent in thoracic and abdominal surgeries. Dependingon their location they can present with complications and symptoms or they may remain undetected formany years.In this article we want to present a case of a spinalasymptomatic gossypiboma in a patient who was operatedon 15 years ago for a lumbar disectomy. We willreview the literature on the implications of these lesionson the neurosurgical field (AU)
