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Updated: Jun 21, 2026

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Surgical Robot-Assisted Transanal Specimen Extraction Radical Sigmoidectomy Without an Auxiliary Abdominal Incision
Published on: June 13, 2025
Extraction of a rectal foreign body - an alternative method.
Syed Imran Hussain Andrabi1, Nick A Johnson, Arshad Hussain Malik
1Department of Surgery, Leicester Royal Infirmary, Leicester, UK. imranandrabi@gmail.com
Summary
This case report details the trans-anal extraction of impacted rectal foreign bodies using Kielland obstetric forceps. This unconventional method avoided a difficult laparotomy and stoma in a patient with psychosis.
Area of Science:
- Gastroenterology
- Surgical Innovation
Background:
- Rectal foreign bodies pose a significant clinical challenge.
- Management often requires invasive procedures, especially in patients with complex medical histories.
Observation:
- A patient presented with impacted retained rectal foreign bodies.
- Psychosis complicated the management, making laparotomy with stoma creation undesirable.
Findings:
- Trans-anal extraction was attempted using various instruments.
- Kielland obstetric forceps, an unconventional tool, were successfully used for retrieval after other methods failed.
Implications:
- This case highlights the potential utility of Kielland obstetric forceps in managing rectal foreign bodies.
- It offers a less invasive alternative, particularly in challenging patient populations.
- This technique may represent a novel approach in the surgical armamentarium for rectal foreign body extraction.
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