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Published on: September 11, 2018
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[Treatment of rectal foreign bodies]
D A Khubezov1, S N Trushin1, K V Puchkov1
1Pavlov Ryazan State Medical University, Health Ministry of the Russian Federation ,Regional Clinical Hospital, Ryazan, Russia.
Khirurgiia
|October 11, 2016
Summary
Treatment of rectal foreign bodies involves analyzing patient outcomes over 15 years. Transanal removal is often successful, but surgery may be necessary in complex cases.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Emergency Medicine
Background:
- Rectal foreign bodies present a unique clinical challenge.
- Management strategies vary, necessitating a review of outcomes.
Purpose of the Study:
- To present the treatment outcomes for rectal foreign bodies.
- To analyze a 15-year experience with 112 patients.
Main Methods:
- Retrospective analysis of 112 patients treated for rectal foreign bodies over 15 years.
- Categorization of treatment approaches including outpatient vs. hospital care, transanal removal, and surgical interventions.
- Review of diagnostic procedures such as abdominal X-ray surveys.
Main Results:
- Outpatient and hospital care were utilized in 46% and 54% of cases, respectively.
- Transanal removal was successful in 87% of patients, with 25% requiring general anesthesia.
- Surgical intervention, including colostomy, was necessary in 13% of cases.
Conclusions:
- Classification of foreign bodies by dimensions is crucial for effective management.
- Thorough medical history and physical examination, alongside mandatory abdominal X-ray, are vital.
- Transanal removal under general anesthesia is recommended for non-perforated cases; laparotomy is indicated when transanal approaches fail.
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