scholarly journals A Case of Transanal Extraction of a Foreign Body in the Rectum Using Hand-Assisted Laparoscopic Surgery

2017 ◽  
Vol 70 (1) ◽  
pp. 26-30
Author(s):  
Satoshi Arakawa ◽  
Zenichi Morise ◽  
Masashi Isetani ◽  
Shunji Umemoto ◽  
Masahiro Ikeda ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Foreign Body ◽  
Transanal Extraction

scholarly journals Removal of a retroperitoneal foreign body by laparoscopic surgery

2019 ◽  
Vol 8 (2) ◽  
pp. 86
Author(s):  
Yu Wakimoto ◽  
Saeki Shinichiro ◽  
Hidetake Kamei ◽  
Atsushi Fukui ◽  
Hiroaki Shibahara
Keyword(s):  
Laparoscopic Surgery ◽  
Foreign Body

scholarly journals An unusual place to find a lost needle in laparoscopic surgery

2014 ◽  
Vol 96 (6) ◽  
pp. e6-e7 ◽  
Author(s):  
F Al Jaafari ◽  
AG Christofides ◽  
CRW Bell ◽  
JD Beatty
Keyword(s):  
Laparoscopic Surgery ◽  
Foreign Body ◽  
Operative Time ◽  
Systematic Search ◽  
X Rays ◽  
Laparoscopic Prostatectomy ◽  
Retained Foreign Body ◽  
Never Event ◽  
Prolonged Operative Time

Losing a needle during laparoscopic surgery is an uncommon but potentially challenging scenario for the surgeon. The prolonged operative time to search for a small retained foreign body such as a needle can cause clinical and medicolegal complications. As a result, it is considered a ‘never event’. This report describes a case of a lost needle during a laparoscopic prostatectomy, when a meticulous and systematic search for the foreign body was initiated and completed with the use of x-rays, only to find it in an unusual place.

scholarly journals Rectal Foreign Bodies:A Retrospective Study

2017 ◽  
Vol 6 (1) ◽  
pp. 1367
Author(s):  
Nishith M. Paul Ekka ◽  
Shital Malua ◽  
Pankaj Bodra
Keyword(s):  
Retrospective Study ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Case Reports ◽  
Demographic Data ◽  
Case Series ◽  
Rectal Foreign Bodies ◽  
Obstetric Forceps ◽  
Transanal Extraction ◽  
Manual Extraction

<p><strong>Background</strong>: Reported incidence of rectal foreign bodies is rather rare with only isolated published case reports or case series. Controlled studies of patients with rectal foreign bodies have not been conducted. The approach to the management of these patients has not changed in the last 10-20 years.</p><p><strong>Objective</strong>: The aim of this study was to describe 16 cases of colorectal foreign bodies introduced during sexual activity, gathered by the authors from 2002 to 2016, and to establish an epidemiological and therapeutic pattern.</p><p><strong>Material and methods</strong>: This was a retrospective study that involved retrieval of folders belonging to patients who were treated for foreign body of rectum. The patients demographic data along with type of object (Foreign body), time of presentation and type of treatment required were recorded from the case folders.</p><p><strong>Results</strong>: All the 16 patients in our series were male with a mean age of 42 years. Household bottles (37.8%) were the most common foreign body while a majority of patients presented between 24 to 48 hrs. Laparotomy was done in 8 cases (50%) out of which in 7 cases transanal extraction was done by milking while in 1 case colostomy was done. Manual extraction was successful in 25% while forceps were helpful in another 25%.</p><p><strong>Conclusions</strong>: The incidence of rectal foreign bodies is disproportionately higher in men. Manual extraction with or without the help of obstetric forceps appears to be the treatment modality of choice. The appropriate technique will depend on the size and surface of the retained object and the presence of complications.</p>

Application of transanal extraction of specimen by laparoscopic surgery in treatment of rectal cancer

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Viết Hùng Trần ◽  
Anh Vũ Phạm ◽  
Anh Vũ Phạm
Keyword(s):  
Rectal Cancer ◽  
Laparoscopic Surgery ◽  
Endoscopic Surgery ◽  
Anterior Resection ◽  
Rectal Adenocarcinoma ◽  
Natural Orifice ◽  
Natural Orifice Specimen Extraction ◽  
Hybrid Notes ◽  
Pull Through ◽  
Transanal Extraction

Tóm tắt Đặt vấn đề: Phẫu thuật nội soi qua đường tự nhiên (NOTES: Natural orifice transluminal endoscopic surgery) và phẫu thuật nội soi truyền thống nhưng lấy bệnh phẩm qua ngả tự nhiên (Hybrid NOTES) là bước phát triển mới trong phẫu thuật ít xâm lấn điều trị ung thư đại trực tràng. Song nó vẫn chưa được phát triển rộng rãi trên thế giới cũng như ở Việt Nam. Nghiên cứu này nhằm mục đích đánh giá kết quả bước đầu phẫu thuật cắt ung thư trực tràng nội soi lấy bệnh phẩm qua đường tự nhiên. Phương pháp nghiên cứu: nghiên cứu tiến cứu. Đối tượng nghiên cứu gồm 32 người bệnh ung thư biểu mô tuyến trực tràng giai đoạn T≤3, N≤1, M0 được phẫu thuật từ 10/2012 đến 09/2015 tại BVTW Huế. Phương pháp nghiên cứu: phẫu thuật được tiến hành trên hai phương thức Hybrid NOTES(A) và NOTES(B) với ba kỹ thuật: cắt trước (AR: anterior resection), trước thấp (LAR: low anterior resection) và xuyên cơ thắt (Pull-through). Kết quả: Tất cả 32 người bệnh đều được phẫu thuật thành công cắt ung thư trực tràng nội soi lấy bệnh phẩm qua đường tự nhiên, không có trường hợp nào phải chuyển mổ mở. 3 trường hợp trong nhóm NOTES có tai biến chảy máu và thủng niệu đạo, phải đặt thêm trocar hỗ trợ và không có trường hợp nào tử vong. Thời gian phẫu thuật nhóm Hybrid NOTES là 194±47(120-280) phút, nhóm NOTES là 258±40(190-300) phút. Thời gian nằm viện: 9±2,7(4-19) ngày. Kết luận: Phẫu thuật cắt ung thư trực tràng nội soi lấy bệnh phẩm qua đường tự nhiên bước đầu cho thấy khả thi và an toàn trên cả hai phương thức: phẫu thuật nội soi đường bụng lấy bệnh phẩm qua ngả tự nhiên Hybrid NOTES và phẫu thuật hoàn toàn qua lỗ tự nhiên NOTES. Abstract Introduction: Transanal extraction of specimen by laparoscopic surgery for rectal cancer composed of Natural Orifice Transluminal Endoscopic Surgery (NOTES) and Hybrid NOTES nowadays is an important evaluation in minimally invasive for colorectal cancer surgery. However, it has not implemented commonly on over the world. This research is to evaluate the outcome of the technique in treatment of rectal cancer. Material and Methods: Prospective study was conducted from 10/2012 to 09/2015 in 32 patients diagnosed with rectal adenocarcinoma staging T≤3, N≤1, M0 and were operated using one of two modalities Hybrid NOTES (A) and NOTES (B) with three techniques: AR, LAR and Pull-through. Results: Thirty-two patients with rectal cancer were successfully operated by Hybrid NOTES and NOTES procedures. Three cases in group NOTES that had per-operative complications such as bleeding or urethra injury were required one or two additional trocars to complete the procedure, no conversion to open surgery and no mortality. The operation duration: group A (Hybrid NOTES): 194±47 (120-280) minutes; group B (NOTES): 258±40 (190-300) minutes. The length of hospital stay: 9±2.7 (4-19) days. Conclusion: Laparoscopic rectal resection with natural orifice specimen extraction for rectal cancer composed of Natural orifice transluminal endoscopic surgery (NOTES) and Hybrid NOTES is feasible and safe. However, a study in a large number of patient and long follow-up is necessary. Keyword: Natural orifice transluminal endoscopic surgery (NOTES), Hybrid NOTES, rectal cancer.

scholarly journals Clinical characteristics of magnetic foreign body misingestion in children

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yu Kun Huang ◽  
Shao Xian Hong ◽  
I. Hsin Tai ◽  
Kai Sheng Hsieh
Keyword(s):  
Laparoscopic Surgery ◽  
Foreign Body ◽  
Rural Areas ◽  
Intestinal Perforation ◽  
Foreign Bodies ◽  
Magnetic Beads ◽  
Abdominal Sonography ◽  
Mortality And Morbidity ◽  
Magnetic Foreign Body ◽  
Urban And Rural Areas

AbstractMagnetic foreign body misingestion (MFBM) is now occurring more frequently. It may cause remarkable mortality and morbidity in children. A retrospective analysis of the clinical data of children admitted to Xiamen Children’s Hospital between March 2017 and July 2020 due to accidental MFBM. A total of 14 children who had MFBM were collected, the proportion between urban and rural areas was 8:6, and the ratio of male to female was 6:1. The age ranged from 1.2 to 8.9 years (median 4.6 years). The number of magnetic foreign bodies ingested by mistake is 1 to 17 (average 6.5). Magnetic foreign objects are divided into magnets (3 cases) + magnetic beads (11 cases). About 40% (5/14) of this patient series showed no available misingestion history. Management includes: 4 cases of open surgery (including 1 case of laparoscopic transfer to operation), 3 cases of laparoscopic surgery, 2 cases of gastroscopy, 5 cases of conservative treatment of foreign bodies discharged through the anus. Of the 7 surgical cases, 6 cases presented with intestinal obstruction and intestinal perforation (at least 1 intestinal perforation and at most 5). Abdominal sonography has limitations in the detection of magnetic foreign bodies in the digestive tract. The proportion of laparoscopic surgery in the 7 surgical cases is nearly half. All surgical cases recovered smoothly after treatment. Our experience shows that MFBM is a big issue for the small children! The early symptoms of MFBM are often atypical especially among young children and MFBM may lead to severe adverse events. We proposed a management strategy for MFBM in children. We advise pediatricians/emergency physicians, parents/children’s guardians and society should raise the collaborated alertness of MFBM. Global awareness of risk prevention of magnetic material accidental ingestion cannot be overemphasized.

scholarly journals Successful laparoscopic treatment for sustained abdominal pain due to fish bone migrating into the neck of the pancreas: a case report and thinking about surgical approach through the literature review

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Yang Wang ◽  
Xianzhang Luo ◽  
Jiefeng Zhang
Keyword(s):  
Laparoscopic Surgery ◽  
Foreign Body ◽  
Epigastric Pain ◽  
Posterior Wall ◽  
Final Diagnosis ◽  
Fish Bone ◽  
Upper Gastrointestinal Endoscopy ◽  
Case Presentation ◽  
Pancreatic Neck ◽  
Pass Through

Abstract Background The majority of ingested foreign bodies pass through the gastrointestinal tract smoothly, with less than 1% requiring surgery. Fish bone could perforate through the wall of stomach or duodenum and then migrate to other surrounding organs, like the pancreas and liver. Case presentation We report herein the case of a 67-year-old male who presented with sustained mild epigastric pain. Abdominal computed tomography revealed a linear, hyperdense, foreign body along the stomach wall and pancreatic neck. We made a final diagnosis of localized inflammation caused by a fish bone penetrating the posterior wall of the gastric antrum and migrating into the neck of the pancreas. Upper gastrointestinal endoscopy was performed firstly, but no foreign body was found. Hence, a laparoscopic surgery was performed. The foreign body was removed safely in one piece and was identified as a 3.2-cm-long fish bone. The patient was discharged from the hospital on the fifth day after surgery without any postoperative complications. Conclusion Laparoscopic surgery has proven to be a safe and effective way to remove an ingested fish bone embedded in the pancreas.

scholarly journals Single incision laparoscopic surgery technique for transanal removal of rectal foreign body

2014 ◽  
Vol 2014 (3) ◽  
pp. rju022-rju022 ◽  
Author(s):  
B. Elias ◽  
T. Debs ◽  
S. Hage ◽  
B. Bassile ◽  
P. Hanna ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Foreign Body ◽  
Single Incision ◽  
Single Incision Laparoscopic Surgery ◽  
Surgery Technique
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