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Laparoscopic retrieval of sharp foreign body: An innovative approach
P O Igwe1, N E Brownson2, S L Harcourt2
1Colorectal and Minimal Access, General Surgery Unit, Department of Surgery, University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt, Rivers State, Nigeria.
International Journal of Surgery Case Reports
|June 21, 2020
Summary
Laparoscopic surgery successfully retrieved a migrated Steinmann pin from the abdominal cavity. This minimally invasive technique offers a novel solution for managing such rare foreign body complications.
Area of Science:
- Minimally Invasive Surgery
- Surgical Techniques
- Foreign Body Retrieval
Background:
- Laparoscopy is an emerging surgical approach in developing nations.
- Migrated foreign bodies present significant challenges for patients and caregivers.
- Literature lacks detailed methods for retrieving migrated Steinmann pins laparoscopically.
Observation:
- A 34-year-old male presented with a migrated Steinmann pin into the abdominal cavity post-hip dislocation surgery.
- Physical examination revealed tenderness and a palpable foreign body in the right iliac fossa.
- Imaging studies were inconclusive regarding the exact pin location.
Findings:
- A migrated sharp Steinmann pin was successfully retrieved from the abdominal cavity using laparoscopy.
- A two-port laparoscopic technique was employed, aligning ports with the pin's orientation for retrieval.
Implications:
- Laparoscopic retrieval of migrated Steinmann pins is an innovative and effective approach.
- This method can potentially reduce patient morbidity compared to open surgical procedures.
- Highlights the utility of laparoscopy in managing unusual intra-abdominal foreign body migration.
