Transanal Rectal Foreign Body Removal Using a SILS Port

Han, Hogyu; Joung, Sung Yup; Park, Seong Heum; Min, Byung Wook; Um, Jun Won

doi:10.1097/sle.0b013e31824a54aa

Cited by 9 publications

(7 citation statements)

References 6 publications

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“…The patient with perforation, peritonitis, or major injury of the rectum, a diverting colostomy should be made after removal of the foreign body [10]. The use of minimally invasive techniques for the removal of smooth foreign bodies has been described [12]. It avoids the need for laparotomy and decreases hospital stay for the patient.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Presence of Unusual Foreign Body in Rectum in Homosexual Male

Vishal¹,

Meena²,

Mahendra³

2018

IJCR

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Foreign body in the rectum is rare yet potentially life-threatening condition; fear of social embarrassment causes the patient to delay to seek treatment and even hide the actual history and replace imaging reports, which leads to incorrect diagnosis and eventually the treatment. In this article, we report the case of a 30 years hepatitis B positive, homosexual male who presented to the department with a chief complaint of pain in the lower abdomen and was diagnosed to have foreign body (pestle) in rectum, which was inserted as a part of sexual adventure and deliberate attempt was made by the patient to replace X-ray films with other patients to mislead the treating doctor. Finally, the foreign body was removed surgically and was followed by psychiatric evaluation of the patient.

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Section: Discussionmentioning

confidence: 99%

A Rare Case of Presence of Unusual Foreign Body in Rectum in Homosexual Male

Vishal¹,

Meena²,

Mahendra³

2018

IJCR

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“…Lake et al[4] in their experience cited several factors responsible for failure of transanal removal including the impaction of a an object longer than 10 cm, hard or sharp objects, objects that have migrated upward into the sigmoid colon and those that have been impacted for more than 2 d. There are specific indications for the use of emergency laparotomy for extraction of impacted objects including failure of attempts at transanal removal, presence of perforation and/or peritonitis[1,2,4,8,16]. The use of minimally invasive operative techniques for impacted rectosigmoid foreign bodies has been described which is a combination of laparoscopic downward milking of the object followed by per anal extraction[1,2,17-19]. This approach however is only recommended for smooth foreign bodies and if successful, avoids the need for a full laparotomy and provides the benefit of early discharge from the hospital[1,2,17-19].…”

Section: Discussionmentioning

confidence: 99%

“…The use of minimally invasive operative techniques for impacted rectosigmoid foreign bodies has been described which is a combination of laparoscopic downward milking of the object followed by per anal extraction[1,2,17-19]. This approach however is only recommended for smooth foreign bodies and if successful, avoids the need for a full laparotomy and provides the benefit of early discharge from the hospital[1,2,17-19]. Figure 2 is adapted from reference 1.…”

Section: Discussionmentioning

confidence: 99%

Increasing trend in retained rectal foreign bodies

Ayantunde¹,

Unluer²

2016

WJGS

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AIMTo highlight the rising trend in hospital presentation of foreign bodies retained in the rectum over a 5-year period.METHODSRetrospective review of the cases of retained rectal foreign bodies between 2008 and 2012 was performed. Patients’ clinical data and yearly case presentation with data relating to hospital episodes were collected. Data analysis was by SPSS Inc. Chicago, IL, United States.RESULTSTwenty-five patients presented over a 5-year period with a mean age of 39 (17-62) years and M: F ratio of 2:1. A progressive rise in cases was noted from 2008 to 2012 with 3, 4, 4, 6, 8 recorded patients per year respectively. The majority of the impacted rectal objects were used for self-/partner-eroticism. The commonest retained foreign bodies were sex vibrators and dildos. Ninty-six percent of the patients required extraction while one passed spontaneously. Two and three patients had retrieval in the Emergency Department and on the ward respectively while 19 patients needed examination under anaesthesia for extraction. The mean hospital stay was 19 (2-38) h. Associated psychosocial issues included depression, deliberate self-harm, illicit drug abuse, anxiety and alcoholism. There were no psychosocial problems identified in 15 patients.CONCLUSIONThere is a progressive rise in hospital presentation of impacted rectal foreign bodies with increasing use of different objects for sexual arousal.

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“…Numerous objects including bottles, light bulbs, apples, rubber balls, spray containers, vibrators, and other phallic objects have been described [1,2] . Bi-manual manipulation under general anaesthesia is the mainstay of removal of such objects, although some authors advocate the use of polypectomy snares, obstetric forceps, achalasia balloons and even single-incision laparoscopic surgery (SILS) port technique for difficult cases [2–5] .…”

Section: Introductionmentioning

confidence: 99%

Removal of a sex toy under general anaesthesia using a bimanual-technique and Magill’s forceps: A case report

Obinwa

Robertson

Stokes

2015

International Journal of Surgery Case Reports

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HighlightsA case of a 68-year-old male with large bowel obstruction due to the presence of a phallic object in the rectum is presented.Removal of the phallic object was achieved using a pair of Magill’s forceps and bi-manual manipulation under general anaesthesia.This case demonstrates the use of Magill’s forceps to aid removal of a foreign body in the rectum.Laparotomy and open removal may, therefore, be rarely necessary.

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Transanal Rectal Foreign Body Removal Using a SILS Port

Cited by 9 publications

References 6 publications

A Rare Case of Presence of Unusual Foreign Body in Rectum in Homosexual Male

A Rare Case of Presence of Unusual Foreign Body in Rectum in Homosexual Male

Increasing trend in retained rectal foreign bodies

Removal of a sex toy under general anaesthesia using a bimanual-technique and Magill’s forceps: A case report

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