<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2301-1254</journal-id>
<journal-title><![CDATA[Anales de la Facultad de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[Anfamed]]></abbrev-journal-title>
<issn>2301-1254</issn>
<publisher>
<publisher-name><![CDATA[Universidad de la República. Facultad de Medicina]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2301-12542017000200021</article-id>
<article-id pub-id-type="doi">10.25184/anfamed2017v4n2a3</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Oblitos en Cirugía. Análisis de casuística y estrategias para su prevención]]></article-title>
<article-title xml:lang="en"><![CDATA[Foreign body. Case analysis and prevention strategies]]></article-title>
<article-title xml:lang="pt"><![CDATA[Oblitos em Cirurgia. Análise de caso e estratégias de prevenção]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chinelli]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olivera]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[Gustavo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Maciel Clínica Quirúrgica 2 ]]></institution>
<addr-line><![CDATA[Montevideo Uruguay]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Maciel Clínica Quirúrgica 2 ]]></institution>
<addr-line><![CDATA[Montevideo Uruguay]]></addr-line>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Maciel  ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>4</volume>
<numero>2</numero>
<fpage>21</fpage>
<lpage>38</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S2301-12542017000200021&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S2301-12542017000200021&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S2301-12542017000200021&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El oblito es un evento de muy baja frecuencia pero que puede generar morbilidad grave. Si bien se han reconocido algunos factores de riesgo y desarrollado sistemas complementarios de detección, continua siendo un gran problema desde el punto de vista sanitario y médico legal.  Objetivos: Analizar una casuística del Hospital Maciel, su forma de presentación y complicaciones.  Pacientes y métodos: Se presentan 7 pacientes asistidos en los Servicios de Cirugía General y Urología del Hospital Maciel, en el período comprendido del 2013 - 2016. Las principales variables que se analizan son la forma de presentación y complicaciones, así como presencia de factores de riesgo.  Resultados: El hallazgo fue de compresas en todos los pacientes. En 2 casos el oblito fue asintomático y en otros 4 sintomático. En los últimos, 2 tuvieron una presentación temprana y 2 tardía. El recuento de material fue incorrecto solamente en un caso. Ningún paciente falleció por las complicaciones resultantes.  Discusión: El oblito en cirugía es un problema que seguirá existiendo en tanto existan los procedimientos quirúrgicos, por lo que es necesario hacer énfasis en el abordaje sistemático, existiendo también métodos auxiliares de diagnóstico que podrían comenzar a implementarse.  Conclusiones: Encontramos casi sin excepción la presencia de factores de riesgo conocidos en nuestra serie, si bien el número de casos es reducido. También la incidencia impresiona ser algo más elevada de la señalada en la literatura.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction: Retained foreign items are infrequent but can generate serious morbidity. Although some risk factors have been recognized and complementary detection systems developed, it continues to be a major problem from a health and medical legal point of view.  Objectives:  to examine a case study at Hospital Maciel, focusing on clinical presentation and complications.  Patients and methods: 7 patients treated at the General Surgery and Urology Departments in Hospital Maciel, between 2013-2016. The main results analized are clinical presentation and complications, as well as the presence of recongnized risk factors.  Results:  In all patients, the foreign bodies were compresses. In 2 cases the foreign body did not elicit symptoms whereas in 4 cases it did. In the latter, 2 had an early and a late presentation. The material count was incorrect in only one case. No patient died from the resulting complications  Discussion: Because retained surgical ítems will be a problem as long as surgical procedures are performed, it is necessary to emphasize on a systematic approach accompanied by complementary diagnostic tools that are also available in cases of item miscount.  Conclusions: Risk factors were present almost without exception in our casuistry. Also, the incidence seems to be higher than that reported in the literature.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  Oblito é um evento de baixa freqüência, mas que pode gerar uma grave morbidade. Embora alguns fatores de risco tenham sido reconhecidos e desenvolvidos sistemas de detecção complementares, continua a ser um grande problema do ponto de vista da saúde e do direito médico legal. Objetivos: Analisar uma casuística do Hospital Maciel, sua apresentação e complicações.  Pacientes e métodos: sete pacientes foram atendidos nos Serviços de Cirurgia Geral e Urologia do Hospital Maciel, no período entre 2013 e 2016. As principais variáveis analisadas são a apresentação e complicações, bem como a presença de fatores risco.  Resultados:  a descoberta foi de compressas em todos os pacientes. Em 2 casos, o oblito foi assintomático e em 4 casos foi sintomático. No segundo, em 2 a apresentação foi temprana e em 2 foi tardia. A contagem de materiais estava incorreta em apenas um caso. Nenhum paciente morreu pelas complicações resultantes.  Discussão:  o oblito em cirurgia é um problema que continuará a existir enquanto houver procedimentos cirúrgicos, por isso é necessário enfatizar a abordagem sistemática, e também há métodos de diagnóstico que podem ser implementados.  Conclusões:  encontramos quase sem exceção a presença de fatores de risco conhecidos em nossa série, embora o número de casos seja pequeno. A incidência também parece ser um pouco maior do que a relatada na literatura.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[oblito]]></kwd>
<kwd lng="es"><![CDATA[oblitoma]]></kwd>
<kwd lng="es"><![CDATA[textiloma]]></kwd>
<kwd lng="es"><![CDATA[gossypiboma]]></kwd>
<kwd lng="en"><![CDATA[oblitoma]]></kwd>
<kwd lng="en"><![CDATA[textiloma]]></kwd>
<kwd lng="en"><![CDATA[gossypiboma]]></kwd>
<kwd lng="pt"><![CDATA[oblito]]></kwd>
<kwd lng="pt"><![CDATA[oblitoma]]></kwd>
<kwd lng="pt"><![CDATA[textiloma]]></kwd>
<kwd lng="pt"><![CDATA[gossipiboma]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Risk factors for retained instruments and sponges after surgery]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gawande]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[Studdert]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
<name>
<surname><![CDATA[Orav]]></surname>
<given-names><![CDATA[EJ]]></given-names>
</name>
<name>
<surname><![CDATA[Brennan]]></surname>
<given-names><![CDATA[TA]]></given-names>
</name>
<name>
<surname><![CDATA[Zinner]]></surname>
<given-names><![CDATA[MJ.]]></given-names>
</name>
</person-group>
<source><![CDATA[N Engl J Med]]></source>
<year>2003</year>
<volume>348</volume>
<page-range>229-35</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Risk factors for retained surgical items: A meta-analysis and proposed risk stratification system.]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moffatt-Bruce]]></surname>
<given-names><![CDATA[SD]]></given-names>
</name>
<name>
<surname><![CDATA[Cook]]></surname>
<given-names><![CDATA[CH]]></given-names>
</name>
<name>
<surname><![CDATA[Steinberg]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Stawicki]]></surname>
<given-names><![CDATA[SP]]></given-names>
</name>
</person-group>
<source><![CDATA[J Surg Res]]></source>
<year>2014</year>
<volume>190</volume>
<page-range>429e436</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Electronic tagging of surgical sponges to prevent their accidental retention]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fabian]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
</person-group>
<source><![CDATA[Surgery]]></source>
<year>2005</year>
<volume>137</volume>
<page-range>298-301</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Classification of surgical complications. A new proposal with evaluation in a cohor of 6336 patients and results of a survey]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dindo Demartines]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Clavien]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
</person-group>
<source><![CDATA[Ann Surg]]></source>
<year>2004</year>
<volume>240</volume>
<numero>^s2</numero>
<issue>^s2</issue>
<supplement>2</supplement>
<page-range>205-13</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Serious reportable events in Healthcared2011 update]]></article-title>
<collab>National Quality Forum (NQF)</collab>
<source><![CDATA[A consensus report]]></source>
<year>2011</year>
</nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Crossen]]></surname>
<given-names><![CDATA[HS]]></given-names>
</name>
<name>
<surname><![CDATA[Crossen]]></surname>
<given-names><![CDATA[DF]]></given-names>
</name>
</person-group>
<source><![CDATA[Foreign Bodies Left in the Abdomen]]></source>
<year>1940</year>
<publisher-loc><![CDATA[CV Mosby ]]></publisher-loc>
<publisher-name><![CDATA[St. Louis, MO]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Imaging of retained surgical sponges in the abdomen and pelvis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[O&#8217;Connor]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Coakley]]></surname>
<given-names><![CDATA[FV]]></given-names>
</name>
<name>
<surname><![CDATA[Meng]]></surname>
<given-names><![CDATA[MV]]></given-names>
</name>
<name>
<surname><![CDATA[Eberhardt]]></surname>
<given-names><![CDATA[SC.]]></given-names>
</name>
</person-group>
<source><![CDATA[AJR Am J Roentgenol]]></source>
<year>2003</year>
<volume>180</volume>
<page-range>481-9</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Intrathoracic gossypiboma: magnetic resonance features]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vayre]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Richard]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Ollivier]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
</person-group>
<source><![CDATA[Int J Cardiol]]></source>
<year>1999</year>
<volume>70</volume>
<page-range>199-200</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Risk factors for retained surgical items: A meta-analysis and proposed risk stratification system]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moffatt-Bruce]]></surname>
<given-names><![CDATA[SD]]></given-names>
</name>
<name>
<surname><![CDATA[Cook]]></surname>
<given-names><![CDATA[CH]]></given-names>
</name>
<name>
<surname><![CDATA[Steinberg]]></surname>
<given-names><![CDATA[SM]]></given-names>
</name>
<name>
<surname><![CDATA[Stawicki]]></surname>
<given-names><![CDATA[SP.]]></given-names>
</name>
</person-group>
<source><![CDATA[J Surg Res]]></source>
<year>2014</year>
<volume>190</volume>
<page-range>429-36</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Endovascular foreign body retrieval]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carroll]]></surname>
<given-names><![CDATA[MI]]></given-names>
</name>
<name>
<surname><![CDATA[Ahanchi]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[JH]]></given-names>
</name>
<name>
<surname><![CDATA[Panneton]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<source><![CDATA[J Vasc Surg]]></source>
<year>2013</year>
<volume>57</volume>
<page-range>459e463</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Retained foreign bodies after surgery]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lincourt]]></surname>
<given-names><![CDATA[AE]]></given-names>
</name>
<name>
<surname><![CDATA[Harrell]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cristiano]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[J Surg Res]]></source>
<year>2007</year>
<volume>138</volume>
<page-range>170e174</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Retained Foreign Bodies: Risks and Outcomes at the National Level]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Al-Qurayshi]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Hauch]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Slakey]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Kandil]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<source><![CDATA[J Am Coll Surg]]></source>
<year>2015</year>
<volume>220</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>749-59</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Managing the prevention of retained surgical instruments: what is the value of counting?]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Egorova]]></surname>
<given-names><![CDATA[NN]]></given-names>
</name>
<name>
<surname><![CDATA[Moskowitz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gelijns]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Weinberg]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Curty]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rabin-Fastman]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<source><![CDATA[Ann Surg]]></source>
<year>2008</year>
<volume>247</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>13-8</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gibbs]]></surname>
<given-names><![CDATA[VC]]></given-names>
</name>
<name>
<surname><![CDATA[McGrath]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Russell]]></surname>
<given-names><![CDATA[T.]]></given-names>
</name>
</person-group>
<source><![CDATA[The prevention of retained foreign bodies after surgery. Bulletin of the American College of Surgeons]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="">
<collab>Association of Perioperative Registered Nurses: AORN Recommended Practices Committee</collab>
<source><![CDATA[Standards, Recommended Practices and Guidelines: Recommended practices for sponge, sharp and instrument counts]]></source>
<year>2005</year>
<publisher-loc><![CDATA[AORN ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology.]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Macario]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Morris]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Morris]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<source><![CDATA[Arch Surg]]></source>
<year>2006</year>
<volume>141</volume>
<page-range>659-62</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Errores de te&#769;cnica quiru&#769;rgica. Cuerpos extran&#771;os abandonados en el vientre operatorio]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stajano]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<source><![CDATA[Bol. Soc. Cir. Uruguay]]></source>
<year>1941</year>
<volume>12</volume>
<page-range>314-26</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Corpus alienum intraabdominal]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodri&#769;guez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Ruso]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Bruno]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<source><![CDATA[Cir Uruguay]]></source>
<year>1997</year>
<volume>67</volume>
<page-range>80-3</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Perrier]]></surname>
<given-names><![CDATA[J. P.]]></given-names>
</name>
<name>
<surname><![CDATA[Berro]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<source><![CDATA[Oblitos, aspectos quiru&#769;rgicos y médico-legales]]></source>
<year></year>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
