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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
[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.
Aim:
to present the results of treatment of rectal foreign bodies.
Material And Methods:
15-year outcomes of 112 patients with rectal foreign bodies were analyzed.
Results:
Outpatient and hospital care were applied in 52 (46%) and 60 (54%) of cases respectively. Transanal removal was made in 97 (87%) patients including 28 (25%) cases of general anaesthesia. 14 (13%) patients underwent surgery. Colostomy was performed in 7 (6%) cases. We presented cases of foreign bodies removal through laparotomy, colotomy and SILS-assisted transanal approach.
Discussion:
From clinical point of view foreign bodies should be first of all classified by their dimensions. Anamnesis and physical examination are very important. Abdominal X-ray survey is obligatory. Transanal removal under general anaesthesia is advisable if perforation is absent. If such procedure is impossible laparotomy is indicated.
Conclusion:
Algorithm of survey and treatment is presented.
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