Imaging of Surgical Paraphernalia: What Belongs in the Patient and What Does Not1
Kenneth A. Wolfson, MD,
Leanne L. Seeger, MD,
Barbara M. Kadell, MD and
Jeffrey J. Eckardt, MD
1 From the Departments of Radiological Sciences (K.A.W., L.L.S., B.M.K.) and Orthopaedic Surgery (J.J.E.), University of California Los Angeles (UCLA) School of Medicine, 200 UCLA Medical Plaza, Suite 165-57, Los Angeles, CA 90095-6952. Presented as a scientific exhibit at the 1998 RSNA scientific assembly. Received October 27, 1999; revision requested December 7 and received February 14, 2000; accepted March 14. Address correspondence to K.A.W. (e-mail: kwolfson@bellsouth.net).
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Figure 1a. Nerve hook used for localization is depicted on an intraoperative cross-table lateral radiograph of the spine (a) and in a photograph (b).
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Figure 1b. Nerve hook used for localization is depicted on an intraoperative cross-table lateral radiograph of the spine (a) and in a photograph (b).
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Figure 2a. Kocher clamp used for spine localization is depicted on an intraoperative radiograph (a) and in a photograph (b).
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Figure 2b. Kocher clamp used for spine localization is depicted on an intraoperative radiograph (a) and in a photograph (b).
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Figure 3a. Allis forceps used for localization is depicted on an intraoperative radiograph (a) and in a photograph (b).
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Figure 3b. Allis forceps used for localization is depicted on an intraoperative radiograph (a) and in a photograph (b).
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Figure 4a. Bone curette used for localization, between the blades of a retractor, is depicted on an intraoperative radiograph (a) and in a photograph (b).
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Figure 4b. Bone curette used for localization, between the blades of a retractor, is depicted on an intraoperative radiograph (a) and in a photograph (b).
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Figure 5a. Periosteal elevator used for localization is depicted on an intraoperative radiograph (a) and in a photograph (b).
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Figure 5b. Periosteal elevator used for localization is depicted on an intraoperative radiograph (a) and in a photograph (b).
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Figure 6a. Ray-tech sponge with interwoven radiopaque markers (arrow in a) overlies the spine on an intraoperative radiograph (a) and is depicted in a photograph (b).
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Figure 6b. Ray-tech sponge with interwoven radiopaque markers (arrow in a) overlies the spine on an intraoperative radiograph (a) and is depicted in a photograph (b).
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Figure 7a. Lap sponge made of radiolucent material, with a radiopaque tail overlying the lower lumbar spine (arrow in a), is depicted on a radiograph (a) and in a photograph (b).
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Figure 7b. Lap sponge made of radiolucent material, with a radiopaque tail overlying the lower lumbar spine (arrow in a), is depicted on a radiograph (a) and in a photograph (b).
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Figure 8a. Tonsil sponge with a radiopaque marker and a radiolucent tail is depicted on a radiograph (a) and in a photograph (b).
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Figure 8b. Tonsil sponge with a radiopaque marker and a radiolucent tail is depicted on a radiograph (a) and in a photograph (b).
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Figure 9a. Cottonoid sponge marker is a linear opacity on a radiograph (a) and is depicted in a photograph (b).
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Figure 9b. Cottonoid sponge marker is a linear opacity on a radiograph (a) and is depicted in a photograph (b).
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Figure 10a. Peanut dissectors with interwoven markers are depicted on a radiograph (a) and in a photograph (b).
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Figure 10b. Peanut dissectors with interwoven markers are depicted on a radiograph (a) and in a photograph (b).
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Figure 11a. Curved needles are depicted on a radiograph (a) and in a photograph (b). (c) Intraoperative radiograph depicts a curved needle (arrow) lying on a drape that overlies the perineum.
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Figure 11b. Curved needles are depicted on a radiograph (a) and in a photograph (b). (c) Intraoperative radiograph depicts a curved needle (arrow) lying on a drape that overlies the perineum.
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Figure 11c. Curved needles are depicted on a radiograph (a) and in a photograph (b). (c) Intraoperative radiograph depicts a curved needle (arrow) lying on a drape that overlies the perineum.
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Figure 12a. Straight needles are depicted on a radiograph (a) and in a photograph (b).
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Figure 12b. Straight needles are depicted on a radiograph (a) and in a photograph (b).
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Figure 13. Calcium sulfate beads impregnated with antibiotics, which were placed for treatment of osteomyelitis, are depicted on a radiograph.
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Figure 14a. Radiographs depict infected total-knee arthroplasty (a) and antibiotic-impregnated methyl methacrylate cement spacer placed after removal of the arthroplasty (b).
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Figure 14b. Radiographs depict infected total-knee arthroplasty (a) and antibiotic-impregnated methyl methacrylate cement spacer placed after removal of the arthroplasty (b).
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Figure 15a. Bolster (retention) sutures, cut sections of red rubber catheter used to facilitate wound closure, are depicted on radiographs (a, b) and in a photograph (c).
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Figure 15b. Bolster (retention) sutures, cut sections of red rubber catheter used to facilitate wound closure, are depicted on radiographs (a, b) and in a photograph (c).
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Figure 15c. Bolster (retention) sutures, cut sections of red rubber catheter used to facilitate wound closure, are depicted on radiographs (a, b) and in a photograph (c).
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Figure 16a. Radiopaque tail marker (arrow) of a retained lap sponge is depicted on an abdominal radiograph (a) and on a computed tomographic scan (b).
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Figure 16b. Radiopaque tail marker (arrow) of a retained lap sponge is depicted on an abdominal radiograph (a) and on a computed tomographic scan (b).
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Figure 17. Retained Ray-tech sponge (arrow) in the mediastinum after sternotomy is depicted on a radiograph.
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Figure 18. Retained wing nut (arrow) from a retractor is depicted on a radiograph.
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Figure 19. Retained curved needle (arrow) is depicted on a radiograph.
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Figure 20. Retained Kelly clamp is depicted on a radiograph.
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Figure 21a. Acupuncture needles are depicted on radiographs in the soft tissues of the leg (a) and in the paraspinal soft tissues (b).
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Figure 21b. Acupuncture needles are depicted on radiographs in the soft tissues of the leg (a) and in the paraspinal soft tissues (b).
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Figure 22a. Broken drill bit (arrow) in the femur is depicted on radiographs (a, b) and in a photograph (c).
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Figure 22b. Broken drill bit (arrow) in the femur is depicted on radiographs (a, b) and in a photograph (c).
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Figure 22c. Broken drill bit (arrow) in the femur is depicted on radiographs (a, b) and in a photograph (c).
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Copyright © 2000 by the Radiological Society of North America.
