Final answer:
During a surgical procedure, lap sponges must be counted after entering the peritoneum to prevent them from being left in the body, which could lead to serious complications. A secondary count is also required before closing the peritoneum.
Step-by-step explanation:
Once the peritoneum is entered, during a surgical procedure, lap sponges should be counted. Lap sponges are large, cotton gauze pads used to absorb bodily fluids and assist in the visualization of the surgical area within the abdominal cavity. It is of paramount importance that all sponges are accounted for to prevent retained surgical items, a serious but avoidable complication. Prior to the closure of the peritoneum, a secondary count is also necessary to ensure that no lap sponges have been omitted from the first count and are not left in the patient's body. This practice aligns with standard surgical safety protocols designed to enhance patient safety and minimize the risk of postoperative complications.
Once the peritoneum is entered, lap sponges should be carefully placed to help prevent any contamination or damage to the surrounding organs and tissues. Lap sponges are sterile absorbent pads used during surgical procedures to help control bleeding, absorb liquids, and protect tissues. They are typically moistened with a sterile saline solution before use. These sponges are used to gently absorb any fluids or blood that may be present in the surgical field, ensuring clear visibility for the surgeon.