When closing the subcutaneous layer at the end of the surgery, it was noted that one of the suture needles had broken, and part remained in the patient.
The drapes and floor were searched but the needle was not found.
All other counts were correct.
The attending surgeon directed the resident to find and remove the needle fragment, if possible.
Several x-rays were performed and read by radiology, and the needle was determined to be in the anterior abdominal wall.
After a lot of searching and effort, the surgical team was unable to locate the needle, and they finished closing and sent the patient to pacu.
The final count was documented as incorrect.
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