Two port laparoscopic-assisted removal of a migrating rectal foreign body

Durai, Rajaraman; Biradhar, D.; Ng, Philip C H

doi:10.1007/s10151-009-0548-5

Cited by 3 publications

(3 citation statements)

References 5 publications

(7 reference statements)

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“…15 Two or 3 intraabdominal ports are used, through which instruments are used to “milk” the object distally into the rectum to permit for manual extraction. 6 Laparotomy may also be required to remove foreign bodies, either by colotomy with extraction and primary closure, resection and primary anastomosis, or resection and colostomy creation. Any injury to the rectum or colon caused by the object must be repaired.…”

Section: Discussionmentioning

confidence: 99%

“…However, repeated palpation of the object by multiple physicians can cause the object to migrate more proximally in the rectum, requiring more-invasive approaches to extraction. There have been numerous methods described in the literature, such as obstetrical suction devices or the use of uterine or Kocher clamps, 1,3–5 laparoscopic, as well as manually assisted, “milking” of the large bowel, 6 snare-wire extraction sigmoidoscopy, 1 as well as complete division of the anal sphincters. To our knowledge, there have been no previous reports on the transanal use of the SILS™ port (Covidien, Mansfield, MA, USA) for extraction of a foreign body.…”

Section: Introductionmentioning

confidence: 99%

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Novel Approach to Rectal Foreign Body Extraction

Bak

Merriam

Neff

et al. 2013

JSLS

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Novel Approach to Rectal Foreign Body Extraction

Bak

Merriam

Neff

et al. 2013

JSLS

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“…Surgery in stable patients is guided by a step-up approach. Laparoscopy should be performed to begin with, as it allows to evaluate the contamination of the peritoneal cavity and, in the absence of a perforation, a laparoscopicassisted technique can be performed, gently milking downward the AFB to allow a transanal extraction [253,270]. Milking can be performed manipulating the object distally using transmural pressure and, wherever feasible, is preferred to colotomy.…”

Section: D -In Patients With Retained Anorectal Foreign Body What Are the Indications For Surgical Treatment And What Is The Appropriate mentioning

confidence: 99%

Anorectal emergencies: WSES-AAST guidelines

et al. 2021

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Anorectal emergencies comprise a wide variety of diseases that share common symptoms, i.e., anorectal pain or bleeding and might require immediate management. While most of the underlying conditions do not need inpatient management, some of them could be life-threatening and need prompt recognition and treatment. It is well known that an incorrect diagnosis is frequent for anorectal diseases and that a delayed diagnosis is related to an impaired outcome. This paper aims to improve the knowledge and the awareness on this specific topic and to provide a useful tool for every physician dealing with anorectal emergencies.The present guidelines have been developed according to the GRADE methodology. To create these guidelines, a panel of experts was designed and charged by the boards of the World Society of Emergency Surgery (WSES) and American Association for the Surgery of Trauma (AAST) to perform a systematic review of the available literature and to provide evidence-based statements with immediate practical application. All the statements were presented and discussed during the WSES-AAST-WJES Consensus Conference on Anorectal Emergencies, and for each statement, a consensus among the WSES-AAST panel of experts was reached. We structured our work into seven main topics to cover the entire management of patients with anorectal emergencies and to provide an up-to-date, easy-to-use tool that can help physicians and surgeons during the decision-making process.

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Colorectal Foreign Bodies: Six Cases Report and Review of the Literature

Kim

Choi

Yun

2015

Journal of Trauma and Injury

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The incidence of foreign body insertion in the anorectum is rare, however, it is increasing, especially in urban populations. Foreign objects in the anorectum can be of different sizes, shapes and materials. Frangible objects like glass or beakers, and sharp foreign bodies that may easily injure the bowel mucosa are particularly dangerous. Physicians have to consider more innovative options on how to extract these foreign bodies without inciting injury; and, if injury would occur, consider different techniques to repair it, whether transanally or transabdominally, and opt for primary repair, or resection with either anastomosis or stoma creation. Here, I introduce our cases with colorectal foreign bodies and present several literatures to help physicians decide when presented with cases like these. [ J Trauma Inj 2015; 28: 51-54 ]

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Two port laparoscopic-assisted removal of a migrating rectal foreign body

Cited by 3 publications

References 5 publications

Novel Approach to Rectal Foreign Body Extraction

Novel Approach to Rectal Foreign Body Extraction

Anorectal emergencies: WSES-AAST guidelines

Colorectal Foreign Bodies: Six Cases Report and Review of the Literature

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