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The management of patients with retained foreign bodies in the rectum: from surgeon with respect

M Safioleas1, M Stamatakos, C Safioleas

  • 1Department of Propaedeutic Surgery, Medical School of Athens University, Athens, Greece.

Acta Chirurgica Belgica
|December 1, 2009
PubMed
Abstract

Insights

Foreign bodies in the rectum are a growing concern, particularly in the homosexual population. Successful removal requires surgical ingenuity and patient respect.

Area of Science:

  • Medical Science
  • Surgical Procedures
  • Gastroenterology

Background:

  • Rectal foreign body introduction is a recognized medical issue.
  • An increasing prevalence has been observed within the homosexual population.
  • Thirty-four cases of retained rectal foreign bodies were managed over 25 years.

Purpose of the Study:

  • To review the management of retained rectal foreign bodies.
  • To highlight the surgical challenges and outcomes associated with rectal foreign bodies.

Main Methods:

  • Surgical intervention was employed for complications and large objects.
  • Five laparotomies were performed for rectal perforation.
  • One laparotomy was necessary for the retrieval of a large wooden foreign body.

Main Results:

  • The study identified a low complication rate.
  • One patient developed a retrovaginal fistula, the sole complication observed.
  • Surgical intervention was required in specific complex cases.

Conclusions:

  • Successful extraction of rectal foreign bodies demands significant surgical creativity.
  • Standard surgical techniques may need adaptation for complex cases.
  • Emphasizes the importance of respectful patient care for individuals seeking treatment for this condition.

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