Journal article
Management of a Retained Broken Suture Needle During Cerclage Placement
Obstetrics and gynecology (New York. 1953), v 142(5), pp 1241-1243
01 Nov 2023
PMID: 37562036
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
BACKGROUNDBroken suture needles with unintentional foreign body retention are an uncommon occurrence during obstetric procedures. Few reports exist in the literature of cases in pregnant patients. We report a case with the pregnancy management of a broken needle during cerclage placement that was retained in the cervix until repeat cesarean delivery. CASEA 36-year-old woman, gravida 12 para 5, presented at 13 weeks of gestation for a history-indicated cerclage. The suture needle broke during the cerclage procedure, leaving a 35-mm needle fragment inside the cervical stroma between the 11 and 2 o'clock position that could not be recovered after multiple attempts. The procedure continued without needle recovery. Intraoperative pelvic X-ray was performed, demonstrating the retained fragment. No further attempts at recovery were made during the pregnancy, and a plan was made to proceed with removal at the patient's repeat cesarean delivery. The patient presented in labor at 32 1/7 weeks of gestation and underwent an uncomplicated cesarean delivery. The retained needle was subsequently removed after manual palpation of the fragment transvaginally. CONCLUSIONRetained broken suture needles during obstetric procedures require careful management decisions in pregnant patients. Retention of a needle fragment until delivery may be considered if risks of removal outweigh the anticipated benefits.
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Details
- Title
- Management of a Retained Broken Suture Needle During Cerclage Placement
- Creators
- Sascha Wodoslawsky - Thomas Jefferson UniversityMatthew H Mossayebi - Thomas Jefferson UniversityGregg Alleyne - Thomas Jefferson UniversityHuda B Al-Kouatly
- Publication Details
- Obstetrics and gynecology (New York. 1953), v 142(5), pp 1241-1243
- Publisher
- Lippincott
- Number of pages
- 3
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Infectious Diseases (and HIV Medicine)
- Web of Science ID
- WOS:001193407300031
- Scopus ID
- 2-s2.0-85175434827
- Other Identifier
- 991021910533404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Obstetrics & Gynecology