It doesn’t matter how small or large, anything can and will be left behind in emergent and trauma cases. Recognizing that this can occur, no matter how confident you are that it has not, is the key. Always count, but followup with an x-ray that covers all areas of the surgical field before closing. 1.

This is a large pari of surgical forceps 2. This is a malleable retractor, a long, thin sheet of pliable metal that can be bent to any desired shape 3. And finally, a pair of Metzenbaum scissor, a common surgical instrument for cutting tissue Reference - http://goo.gl/6ocJHm