During surgery, what is the primary concern when counting sponges?

The primary concern when counting sponges during surgery is to ensure that no foreign bodies are left inside the patient. This practice is critical in preventing retained surgical items, which can lead to serious complications such as infection, pain, and additional surgeries. Accurate counting before, during, and after the procedure helps to verify that all sponges are accounted for, thus safeguarding the patient's well-being.

While preventing infection, maintaining a sterile field, and reducing operating time are important aspects of surgical protocol, they are secondary to the fundamental goal of ensuring patient safety by preventing any items from being unintentionally left behind. The counting of sponges is a key step in minimizing risks associated with surgical procedures.