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Colonic Foreign Body Retrieval Using a Modified TAMIS Technique with Standard Instruments and Trocars

Shamir O Cawich1, Fawwaz Mohammed1, Richard Spence1

  • 1Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine Campus, St. Augustine, Trinidad and Tobago.

Case Reports in Emergency Medicine
|May 7, 2015
PubMed

Insights

Retained colorectal foreign bodies (CFBs) can be removed using a modified Transanal Minimally Invasive Surgery (TAMIS) technique. This approach utilizes standard laparoscopic instruments, making it suitable for resource-limited settings.

Area of Science:

  • Colorectal Surgery
  • Minimally Invasive Surgery
  • Surgical Techniques

Background:

  • Retained colorectal foreign bodies (CFBs) are increasingly reported.
  • Foreign body ingestion and retention in the colon present unique clinical challenges.

Purpose of the Study:

  • To present a novel technique for the retrieval of retained colorectal foreign bodies.
  • To describe the application of a modified Transanal Minimally Invasive Surgery (TAMIS) approach for CFB extraction.

Main Methods:

  • A case report of a 52-year-old male patient with a retained CFB.
  • Utilized a modified TAMIS technique employing standard laparoscopic instruments and trocars.
  • No specialized access platforms or equipment were required.

Main Results:

  • Successful retrieval of the retained colorectal foreign body was achieved.
  • The modified TAMIS technique proved effective for extraction.

Conclusions:

  • The modified TAMIS technique offers a viable solution for CFB retrieval.
  • This method is particularly advantageous in resource-poor environments due to its reliance on standard surgical equipment.
  • The technique does not necessitate additional specialized skills beyond conventional laparoscopy.

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