All surgeons encounter a situation where a previously operated outside patient is having pain abdomen and running fever or obstruction. On investigations eg. CECT ,if he/she suspects retained surgical mop/instrument /foreign body .There is no doubt about re-operative surgery and plan of management ,but surgeons mind get confused on following points - 1)whether to inform relative about found error on part of previous surgeon? 2)whether to include this all in OT notes or not 3)if I include all this into OT notes and patient sues previous surgeon then will i be safe ?
4)if i skip describing this then how to explain pt about why second surgery was done and why patient is having complicated postoperative course in second surgery? 5) is it breach of trust to document /is it breach of trust to not document? Should a retained surgical mop(gossypibioma) be document in second surgery notes or…
