SILICONE DRAIN

Description of Event or Problem

PATIENT HAD UNDERGONE VENTRAL HERNIA REPAIR ON (B)(6)2010 AT (B)(6) MEDICAL CENTER. ONE SILICONE 19F DRAIN WAS PURPOSEFULLY LEFT IN PLACE. THE PATIENT WAS TRANSFERRED TO A LONG TERM ACUTE CARE FACILITY -PROMISE SUBURBAN- WITH THE DRAIN INTACT. ON (B)(6)2010, AT THE LONG TERM FACILITY, THE DRAIN WAS REMOVED. AT THE TIME OF REMOVAL A PART OF THE DRAIN, APPROXIMATELY 15.2 CM, WAS UNINTENTIONALLY RETAINED. ON (B)(6)2010, THE PATIENT PRESENTED TO (B)(6) EMERGENCY DEPARTMENT WITH 3 DAY HISTORY OF ABDOMINAL PAIN. SHE WAS ADMITTED AND THE RETAINED DRAIN PIECE -IDENTIFIED ON CT SCAN- WAS SURGICALLY REMOVED. UPON INSPECTION, THE PIECE APPEARED TO HAVE ONE END THAT WAS JAGGED AND UNEVEN, AS IF IT HAD BEEN TORN APART.