http://repository.usmf.md:80/handle/20.500.12710/620 Tue, 07 Apr 2026 16:07:31 GMT 2026-04-07T16:07:31Z http://repository.usmf.md:80/handle/20.500.12710/25339 Title: Evoluția istorică și starea actuală a cunoștințelor despre corpii străini textili intra-abdominali Authors: Guțu, Serghei; Rojnoveanu, Gheorghe Abstract: Introducere. Termenii „gossipibom” sau „textilom” se referă la un material textil care este lăsat neintenționat în abdomenul pacientului. Meșele și pansamentele chirurgicale sunt cele mai frecvent reținute obiecte după laparotomie, cunoscute de la începutul chirurgiei moderne până în zilele noastre. Scop. Evaluarea problemei gossipibomului abdominal din punct de vedere istoric. Material și metodã. Am revizuit publicațiile din Medline/Pubmed și alte surse disponibile în englezã și românã, selectând cuvintele cheie: gossipibom, textilom, corp strãin reținut și chirurgie abdominalã. Rezultate. Primul caz din era modernă a unui corp străin reținut după operație a avut loc în 1859, când un „burete de mare”, folosit pentru a absorbi sângele, a fost lăsat în plagă. Prima serie mare de 21 de pacienți care au avut obiecte chirurgicale reținute a fost descrisã de către Henry Wilson în 1884. Cel mai extins tratat pe această temă a fost publicat în 1940 de cãtre frații Crossen în cartea „Corpi străini lăsați în abdomen”, care au colectat 307 cazuri de meșe reținute, raportate din 1859 pânã în 1940. În prezent, studiile științifice privind textiloamele provin preponderent din SUA, Turcia, Brazilia și India, cu doar câteva prezentări de caz din România și Moldova. Concluzii. Gossipibomul este o problemă medico-legală de lungă durată, a cărei incidențã aparent este în creștere. Cu toate acestea, existã doar câteva rapoarte de caz în literatura medicală în limba română, fără serii mari și cercetãri serioase a acestei probleme.; Introduction. The terms “gossipiboma” or “textiloma” refer to a textile material that is unintentionally left in the patient's abdomen. Gauze and surgical dressings are the most commonly retained items after laparotomy, known from the beginning of modern surgery to the present day. Aim. To assess the problem of abdominal gossypiboma from a historical point of view. Material and method. We reviewed publications in Medline / Pubmed and other available sources in English and Romanian, selecting the keywords: gossypiboma, textiloma, retained foreign body, and abdominal surgery. Results. The earliest case in the modern era of a retained foreign body in an operation took place in 1859, when a “sea sponge”, used to absorb blood, was lost in a wound. The first large series of 21 patients who had a retained surgical items was written by Henry Wilson in 1884. The most extensive treatise on this subject was published in 1940 by Crossen brothers in their book “Foreign Bodies Left in the Abdomen”, which collected 307 cases of retained sponges, reported from 1859 to 1940. Currently, scientific studies regarding textilomas comes mainly from USA, Turkey, Brazil and India, with only a few case reports from Romania and Moldova. Conclusions. Gossypiboma is a long-standing medico-legal problem, whose incidence is apparently increasing. However, there are only a few case reports in the Romanian language medical literature, with no large series and serious research into this issue. Wed, 01 Jan 2020 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/25339 2020-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/25338 Title: Медико-правовые и этические последствия осложнений в хирургии применительно к эндоскопической ретроградной холангиопанкреатографии Authors: Пител, Е.В.; Гуцу, С.Е.; Гуцу, Е.В. Abstract: К сожалению, хирургическая деятельность неизбежно связана с развитием определенно- го числа послеоперационных осложнений. Эндоскопическая ретроградная холангиопанкреатография (ЭРХПГ) и эндоскопическая сфинктеротомия (ЭСТ) являются минимально инвазивными, но техни- чески сложными процедурами, сопровождающимися относительно высокой частотой осложнений и множественными рисками. В последнее время внимание общества к результатам медицинской дея- тельности и число судебных исков, подаваемых против врачей, неуклонно растут во всех странах. В та- ких условиях развитие осложнения ЭРХПГ/ЭСТ, имеющего все внешние признаки ятрогенного, может служить основанием для заявления о врачебной халатности. Хотя административные и судебные иски об обвинении врачей в малпраксисе, как правило, основаны на неблагоприятном исходе лечения, ре- шение больного или родственников об их подаче часто продиктовано другими, не медицинскими, фак- торами. В работе анализируются основные этические и медико-правовые последствия осложнений, а также надлежащих действий хирурга или интервенционного эндоскописта при их развитии.; Unfortunately, surgical activity is inevitably associated with the development of a certain number of postoperative complications. Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy (EST) are minimally invasive but technically demanding procedures with a relatively high complication rate and multiple risks. In recent years, public attention to the results of medical activities and the number of lawsuits filed against doctors has been steadily growing in all countries. In such conditions, the development of a complication after ERCP/EST, which has all the external signs of iatrogenic, may serve as a basis for complaints for medical negligence. Although administrative and legal claims to charge doctors with malpractice are usually based on poor treatment outcomes, the decision of the patient or relatives to file them is often dictated by factors other than medical ones. The paper analyzes the main ethical and medico-le- gal consequences of complications, as well as the proper actions of a surgeon or interventional endoscopist after their appearance. Wed, 01 Jan 2020 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/25338 2020-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/25337 Title: New face and…tail of gossypiboma Authors: Guțu, Eugen; Targon, Roman; Moldovan, Ina; Guțu, Serghei; Vrabie, Artur Abstract: BACKGROUND: Gossypiboma (retained surgical sponge) is a rare but a severe surgical case. It can cause variable and often serious complications requiring repeated and risky surgical interventions in order to remove them, and may lead to high morbidity and mortality. CASE PRESENTATION: We present a case of a gauze pad unintentionally left in the abdominal cavity of a 61-year-old patient after a sigmoidectomy with a Hartmann’s procedure. Although the textile sponge was recognized and removed during the same hospitalization, the patient was subsequently diagnosed with a large abdominal fat-containing mass, requiring repeated surgery. Microscopic examination revealed fibrous-adipose and granulation tissue, and thread granulomas of a foreign body type. CONCLUSIONS: Even relatively short-term retention of a gauze object in the abdominal cavity associated by unusual host response may result in the growth of a large abdominal granuloma, which has all radiological signs of a tumor. To prevent the incidence of gossypiboma, it is necessary to strictly follow the rules of the operating room and apply all the available measures. Sun, 01 Jan 2023 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/25337 2023-01-01T00:00:00Z http://repository.usmf.md:80/handle/20.500.12710/25336 Title: Gossypiboma as a rare cause of small bowel obstruction: a case report Authors: Guțu, Serghei; Țugui, Iurie; Guzun, Vasile; Cerbadji, Ala; Guțu, Eugen; Rojnoveanu, Gheorghe Abstract: Omiterea accidentală a corpilor străini de natură textilă în cavitatea abdominală după laparotomie reprezintă o eroare medicală gravă, care are o incidenţă reală necunoscută şi poate duce la complicaţii severe. Prezentăm cazul unei femei de 24 de ani la care meşa chirurgicală a migrat în lumenul jejunului şi a provocat ocluzie intestinală. Înlăturarea corpului străin a necesitat laparotomie repetată şi rezecţie segmentară a ansei intestinale afectate. Lucrarea prezintă şi analiza rezultatelor investigaţiilor imagistice, precum şi examinarea posibilelor motive care au dus la lăsarea neintenţionată a corpului străin. Reducerea fiabilă a incidenţei şi a severităţii consecinţelor după reţinerea obiectelor chirurgicale textile în abdomen poate fi realizată numai prin îmbunătăţirea standardelor de siguranţă a pacientului, inclusiv numărarea minuţioasă a meşelor şi utilizarea de rutină a materialelor cu markeri radiopaci.; Unintentionally retained textile foreign bodies in the abdomen after laparotomy is a serious medical error, with unknown incidence which can lead to severe complications. We present the case of a 24-year-old woman with a retained surgical sponge migrated into the jejunal lumen and causing an intestinal obstruction. Removal of the foreign body required repeated laparotomy and segmental resection of the affected intestinal loop. The article provides the analysis of the imaging diagnostic results, as well as possible reasons that led to the foreign body being left unintentionally. Reliable reduction of incidence and severity of consequences after retention of textile surgical objects in the abdomen can only be achieved through improved standards of patient safety, including careful sponge counting and the routine use of materials with radiopaque markers. Sat, 01 Jan 2022 00:00:00 GMT http://repository.usmf.md:80/handle/20.500.12710/25336 2022-01-01T00:00:00Z