Abstract
Twelve infants aged 6–18 months with ingested open safety pins (OSPs) were operated upon between 1984 and 1993. The OSPs were wide-open in 4 and the retention time was more than 3 days in 8. At laparotomy, the stomach and duodenum were explored and the OSP and a Levin tube inserted previously from mouth to stomach were identified by palpation. The pin was inserted through the holes of the tube and locked intraluminally without opening the stomach and the tube was then withdrawn from the mouth with the OSP at its tip. When the OSP was located in the duodenum, it was squeezed back into stomach for removal. If the OSP could not be squeezed back into the stomach due to an unfavorable position, it was locked intraluminally and milked distally for spontaneous discharge. No complications related to the procedure were encountered. In conclusion, if non-operative methods fail and/or endoscopic systems are not available for the removal of retained OSPs, the proposed technique, which avoids enterotomy and related complications, is recommended.
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