Dinner plate-sized surgical tool found inside woman’s body 18 months after C-section

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Dinner plate-sized surgical tool found inside woman’s body 18 months after C-section
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An extra-large Alexis retractor was left inside the patient’s abdomen after surgety.

A woman complaining of chronic pain discovered that she had a surgical tool the size of a dinner plate inside her abdomen more than a year after delivering her baby via cesarean section, health officials said.

Te Whatu Ora Te Toka Tumai Auckland, formerly known as the Auckland District Health Board, previously denied that it had failed to exercise reasonable skill and care towards the patient, pointing to “known error rates.” The patient had a scheduled cesarean at Auckland City Hospital because of concerns about placenta previa — a condition in which the placenta completely or partially covers the opening of the uterus.

“I remember being asked by the scrub nurse to open another Alexis wound retractor … [W]e had none in the prep room, so I quickly fetched one from the sterile stock room,” the nurse said. “I opened this to the scrub nurse and left it at that.” After the surgical tool was discovered in a CT scan and removed from the patient’s body, the hospital staff involved in the C-section were said to be “genuinely concerned” and “most apologetic.”The incident took place in 2020 at Auckland City Hospital in Auckland, New Zealand.“As set out in my report, the care fell significantly below the appropriate standard in this case and resulted in a prolonged period of distress for the woman,” the commissioner wrote.

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