Laparoscopic approach to pelvic gossypibomas with abscess formation: a case series.

Introduction: Gossypibomas are rare but serious postoperative complications resulting from retained surgical gauzes. They can cause chronic inflammation, abscess formation, and adherence to adjacent pelvic structures, leading to diagnostic and therapeutic challenges. Laparoscopic management of these cases remains underreported. This case series presents three rare pelvic gossypibomas successfully managed via minimally invasive surgery. Case Presentations: Discussion: Pelvic gossypibomas may remain undiagnosed for years, presenting with non-specific gastrointestinal, genitourinary, or systemic symptoms. Imaging, including ultrasound and CT, is essential for diagnosis. Laparoscopy offers a safe, effective approach for adhesiolysis, foreign body removal, and management of associated complications, including abscesses and organ compression. Conclusion: Laparoscopic management of postoperative pelvic gossypibomas is feasible, safe, and effective, even in complex cases with adhesions, abscess formation, and proximity to vital structures. This minimally invasive approach provides excellent outcomes, rapid recovery, and high patient satisfaction, highlighting its role as a preferred alternative to open surgery in selected patients.