Removing a metal foreign object successfully from a patient’s retroperitoneal space using laparoscopy and a novel navigation system

Abstract

Trauma with foreign objects retained within the human body has become a common surgical emergency condition. Traditional surgical methods often involve creating large incisions in soft tissue and may lead to additional complications during wound healing. We have developed a new method of removing foreign bodies from patients' abdomens by using laparoscopy with the help of a novel navigation system that provides accurate positioning. This approach is minimally invasive and simple. This is the first combination of both technologies in this field.

Laparoscopic Retrieval of multiple Sharp Foreign Bodies from Stomach in a Patient of Acuphagia – A Case Report

“…However, up to 10% needs removal and majority of them can be retrieved successfully through endoscopic intervention. Only 1% of these FB may need some form of surgical intervention 1,6 . The peak incidence of FB ingestion occurs between 6 months and 6 years of age 5 .…”

“…The diagnosis is primarily made on history and during information gathering, the clinician can reach the nature of diagnostic evaluation, urgency, type and extent of a possible surgical intervention. Two plain radiographs of the affected body area have been recommended as a part of initial assessment and are very helpful if FB is radio-dense 6,15 . Mosca et al 14 reported confirmed diagnosis of ingested FB in 38% of their patients on basis of plain x-ray alone.…”

“…For retrieval of FB, the traditional surgical approaches often involved laparotomy that had its demerits of additional complications such as increased surgical trauma, prolonged hospitalization, problems with wound healing, etc. 6 . Currently, Endoscopic approach is usually used for retrieval of ingested FB where possible.…”

“…Currently, Endoscopic approach is usually used for retrieval of ingested FB where possible. With the advent of laparoscopy, surgeons are increasingly inclined to use laparoscopic approach in both emergency and elective scenarios, in lieu of the traditional laparotomy especially where sharp objects are involved or when the FB are stuck in the GI tract beyond the duodenum 6,7 . The potential advantages or benefits of a laparoscopic procedures in abdominal operations are well established like small incision, less pain, shorter hospital stay, less prevalence of post-operative ileus, better cosmesis, earlier return to work and 78 DOI: https://doi.org/10.55282/imj.cr93 a low incidence of post-operative hernias 4,8 .…”

“…Surgical management is rarely indicated in FB ingestion, because vast majority of these FBs passes through the GI tract uneventfully or can be retrieved successfully with endoscope. The surgical option is only considered when the endoscopic removal is unsuccessful or not possible, or in case of ingested FB complications 4,6 .…”