William Walter MD, Presenter: Nothing to Disclose

Seymour Sprayregen MD, Abstract Co-Author: Nothing to Disclose

Jeffrey Michael Levsky MD, PhD, Abstract Co-Author: Nothing to Disclose

E. Stephen Amis MD, Abstract Co-Author: Nothing to Disclose

Linda Broyde Haramati MD, MS, Abstract Co-Author: Investor, OrthoSpace Ltd Investor, Kryon Systems Ltd Spouse, Board Member, Bio Protect Ltd Spouse, Board Member, OrthoSpace Ltd Spouse, Board Member, Kryon Systems Ltd

1. Understand the role of imaging for perioperative evaluation of surgical item miscounts 2. Review the radiographic appearance of many different surgical items and their mimics 3. Understand the limitations of intraoperative radiography

1. Review of guidelines for managing surgical item miscounts a. Current clinical practice in operative imaging for retained surgical items b. Dedicated imaging of miscounted items 2. Review of imaging appearance of surgical items a. Dedicated radiographs of miscounted items: retractors, clamps, scissors, trocars, forceps, suction cannula, marking pen, surgical sponge, gauze pad, cottonoid, laparoscopic pads with radiofrequency tags, microclip, suture needles of various size, and broken instruments b. Examples of retained surgical items on radiography, CT, MRI, and fluoroscopy c. Complications of various retained items: gossypiboma, abscess, and bowel perforation d. Mimics of retained surgical items: bony mimics, vascular or other calcifications, clips, wires, expected and migrated retained surgical material 3. Limitations of intraoperative radiography a. Artifacts: multiple overlying clips, wires, and instruments b. Small size of items sought (suture needles) c. Role of clinical history for image interpretation

http://abstract.rsna.org/uploads/2014/14001795/14001795_c4dh.pdf

Walter, W, Sprayregen, S, Levsky, J, Amis, E, Haramati, L, The Ins and Outs of Imaging Potentially Retained Surgical Items.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14001795.html