Menu: Home :: go to Journal :: switch to Russian :: switch to English
You are here: all Journals and Issues→ Journal→ Issue→ Article



The problem of intraoperative leaving of foreign bodies was and is still relevant in surgery and law. This is caused by the left foreign bodies in some cases, especially during migration they may cause severe consequences, connected with harm-doing to life and health of patients, even causing fatal outcome. The frequency of which is varying from 11 to 40 %. The basis of this is longstanding experience of work as a surgeon. The reasons of leaving foreign bodies in the organism are given and they are divided into two groups - objective and subjective. The attention is paid to social conditions, which are existing now in the country. Besides, the important role is given to personal characteristics of medical officers, participating in surgical aiding. One of the key links of chain is materially-technical equipment of therapeutic and prophylactic institutions on giving special medical aid. It is considered that when such a case is happening the legal relations are always happening between the doctor (medical institution) and the patient. The consequences of this event for the patient must be estimated by judicial-medical expertise and are reviewed within the framework of Criminal Code of Russian Federation (article 118) and Civil Process Code of Russian Federation. The full complex of medium-term and long-lasting preventive measures on decreasing frequency of unpremeditated leaving of foreign bodies is given.


intraoperative foreign bodies; causes; legal relations; preventive measures

Full-text in one file







1. Ognerubov N.A. Specifika prestuplenij, sovershaemyh medicinskimi rabotnikami v sfere professional'noj dejatel'nosti: kriminologicheskij analiz // Vestnik Tambovskogo universiteta. Serija Gumanitarnye nauki. Tambov, 2014. Vyp. 2 (130). S. 225-230. 2. Ognerubov N.A. Sindrom jemocional'nogo vygoranija kak determinanta prestupnosti v sfere medicinskoj dejatel'nosti // Social'no-jekonomi-cheskie javlenija i processy. Tambov, 2013. № 1. S. 245-247. 3. Bahchevnikov V.V. Posledstvija neprednamerennogo intraoperacionnogo ostavlenija inorodnyh tel i ih sudebno-medicinskaja ocenka: avtoref. dis. … kand. med. nauk. SPb., 1999. 4. Garg M., Aggarwal A.D. A review of medico-legal consequences of gossypiboma // Journal of the Indian Academy of Forensic Medicine. 2010. Vol. 32. R. 358-361. 5. Yildirim S., Tarim A., Nursal T.Z., Yildirim T., Caliskan K., Torer N. et al. Retained surgical sponge (gossypiboma) after intraabdominal or retroperitoneal surgery: 14 cases treated at a single center // Langenbeck's Archives of Surgery. 2006. Vol. 391. P. 390-395. 6. Lauwers P.R., Van Hee R.H. Intraperitoneal gossypibomas: The need to count sponges // World Journal of Surgery. 2000. Vol. 24. P. 521-527. 7. Sakhel K., Hines J. To forget is human: The case of the retained bulb // Journal of Robotic Surgery. 2009. Vol. 3. P. 45-47. 8. Rajalingam R., Saluja S.S., Sharma A., Mishra P.K. Post cholecystectomy gossypiboma: a malignant masquerade // The American Surgeon. 2011. Vol. 77. № 5. P. E94-E95. 9. Manzella A., Filho P.B., Albuquerque E., Farias F., Kaercher J. Imaging of gossypibomas: Pictorial review // AJR. American Journal of Roentgenology. 2009. Vol. 193. P. S94-S101. 10. Bani-Hani K.E., Gharaibeh K.A., Yaghan R.J. Retained surgical sponges (gossypiboma) // Asian Journal of Surgery. 2005. Vol. 28. P. 109-115. 11. Gawande A.A., Studdert D.M., Orav E.J., Bren-nan T.A., Zinner M.J. Risk factors for retained instruments and sponges after surgery // The New England Journal of Medicine. 2003. Vol. 348. P. 229-235. 12. Iwase T., Ozawa T., Koyama A., Satake K., Tauchi R., Ohno Y. Gossypiboma (foreign body granuloma) mimicking a soft tissue tumor with hip hemiarthroplasty // Journal of Orthopaedic Science. 2007. Vol. 12. P. 497-501. 13. Kim C.K., Park B.K., Ha H. Gossypiboma in abdomen and pelvis: MRI findings in four pa-tients // AJR. American Journal of Roentgenology. 2007. Vol. 189. P. 814-817. 14. Asuquo M.E., Ogbu N., Udosen J., Ekpo R., Agbor C., Ozinko M. et al. Acute abdomen from gossypiboma: A case series and review of literature // Nigerian Journal of Surgery. 2006. Vol. 8. P. 174-176. 15. Chorvat G., Kahn J., Camelot G., Henriet P., Gillet J.Y., Gillet M. Pleural textilome discov-ered after the cure of persistent arterial canal // La Tunisie Medicale. 1976. Vol. 30. 16. Kazarjan V.M. Posleoperacionnye inorodnye tela brjushnoj polosti. Mediko-pravovye aspekty // Sudebno-medicinskaja jekspertiza. 2008. T. 51. № 5. S. 33-35. 17. Jarema I.V., Kazarjan V.M., Nahaev V.I. i dr. Posleoperacionnye jatrogennye inorodnye tela brjushnoj polosti: prestuplenie ili neprednamerennoe prichinenie vreda? // Hirurg. 2010. № 2. S. 63-67. 18. Ognerubov N.A. Jatrogenii v medicinskoj dejatel'nosti: ugolovno-pravovoj aspekt. Voronezh, 2010. 19. Gibbs V.C., McGrath M.H., Russell T.R. The prevention of retained foreign bodies after surgery // Bulletin of the American College of Surgeons. 2005. Vol. 90.



Section of issue

Civil society and state

Для корректной работы сайта используйте один из современных браузеров. Например, Firefox 55, Chrome 60 или более новые.