Removal Of Foreign Body Research Articles

Denture in the rectum: A case report

Swallowed foreign bodies are uncommon during general anesthesia. In the majority of the cases, these foreign bodies are passed spontaneously and uneventfully and the minority requires endoscopic or surgical intervention. It is recommended that every removable prosthesis should be removed, labeled, and stored in a safe place preoperatively. Furthermore, if a foreign body was missing, proper notification should be done in the immediate postoperative period to enable early detection and avoid any complications that might result from its impaction in distal places. This paper reports a case of a swallowed denture during induction of anesthesia. The clinical and imaging findings are presented along with a review of the literature. A 53-year old woman was admitted for laparoscopic cholecystectomy. A week postoperatively, the patient reported a colicky lower abdominal pain increasing in severity. Lower quadrants deep tenderness was elicited by examination. A foreign body was detected within the proximal rectum by abdominal CT scan. The foreign body was the patient’s denture that was not removed earlier during the induction of anesthesia. Endoscopic foreign body removal was done by flexible sigmoidoscopy. This case report highlights the importance of removing any removable prosthesis before induction of anesthesia and reporting any missing prosthesis such as dentures in the immediate postoperative period.

Successful removal of metallic foreign body in the neck-mediastinum via the parapharyngeal space approach.

Neck-mediastinum foreign body (FB) is a common emergency in otorhinolaryngology head and neck surgery departments, and it can be lethal. We present a case of an uncommon foreign body in the neck-mediastinum. The FB was metallic and about 12 cm long. A 74-year-old male accidentally swallowed a metallic FB that lodged in his throat for > 3 days. The intake of the object was associated with smoking a peace pipe, and was an indication for surgery. Aerodermectasia was observed in the neck upon physical examination, and a high-density foreign body was found in the neck-mediastinum through cervicothoracic computed-tomography (CT) scan. Electronic laryngoscopy showed a white pseudo-membrane adhering to the surface of the bilateral piriform fossa in the right laryngeal vestibule, and the root of the tongue, and mucosa were swollen. Cervicothoracic CT revealed dense shadows in the neck-mediastinum. However, electronic laryngoscopy showed no FB in the larynx or piriform fossa. The metal FB was removed by surgery via the parapharyngeal space approach instead of endoscopy. After preoperative assessment and preparation, we successfully removed the metal FB from the neck-mediastinum via the parapharyngeal space approach. The patient was doing well at one-month follow-up. Neck-mediastinum FB is an emergency but rare case necessitating otorhinolaryngology head and neck surgery. It can easily lead to mediastinal and lung infection; given its location in the body, it may lead to aortic arch rupture if not handled promptly.

Unusual glass foreign body in the urinary bladder: a COVID-19 lockdown effect

A variety of foreign bodies/objects have been recovered from the urinary bladder and urethra. However, trauma may also be a cause of delayed intravesical foreign body presentation. Delayed presentation with minimal bothersome symptoms and with no other associated organ injury is very unusual. As per available literature on urinary bladder FBs, this is the rare case in which isolated glass foreign body was recovered from urinary bladder. A 38-year-old male presented with complaints of pain in the lower abdomen after passing urine and occasional terminal haematuria after straining on stools, for 5-6 months. Patient gave history that he had a fall over glass table while dusting a ceiling fan 6 months ago. He had glass piece injury to left buttock. Due to COVID-19 lockdown he was unable to contact nearby health facility, so, he self-removed a glass piece from buttock wound. Patient was planned for cystoscopy with exploration and removal of foreign body under spinal anaesthesia. Detailed history and examination are of paramount importance in intravesical foreign body cases. Cross-sectional imaging should be done to rule out associated adjacent organ injury and retained foreign body parts. Sharp glass foreign body in urinary bladder should be removed via cystotomy in order to avoid mucosal injury by sharp edges.

Effectiveness of parents kiss for removal of pediatric nasal foreign bodies

<p><strong>Background:</strong> Lodging of foreign body in the nose is one of the common accidents in pediatric age group leading to emergency consultation. Our aim was to evaluate the efficacy of mouth to mouth blowing to remove or facilitate removal of nasal foreign body.</p><p><strong>Methods:</strong> This was a prospective interventional study on 46 children aged 2-6 years presenting to pediatric emergency department at Sher- I-Kashmir institute of medical sciences with a history of unilateral foreign body in nose, between February 2016 and January 2019. At the most, three attempts of Mouth-to-mouth blows were given to remove the foreign body. In case of failure, instrumentation was used. The data was tabulated according to age, Gender, type of foreign body and management received.</p><p><strong>Results:</strong> Out of 46 children, 16 of the children were girls and 30 were boys. Parents kiss was successful in removing nasal foreign body in 34 (79.31%) children. Beads were the most common types of foreign bodies (36.96%). The most common presentation was report of accidental placement of something in the nose, other presentations were bleeding from the nose and unilateral discharge. 22 of 27 (81.48%) ‘Simple’ foreign bodies were removed by parents kiss while 12 of 19 (63.15%) ‘complex’ foreign bodies were removed by parents kiss.</p><p><strong>Conclusions:</strong> For children presenting with foreign body in the nose, mouth to mouth blowing should be the first maneuverer to facilitate removal.</p>

FOREIGN BODY EAR AND NOSE IN PATIENTS ATTENDING A TERTIARY CARE HOSPITAL-OUR TWO YEAR EXPERIENCE.

Background: Foreign bodies (FBs) in the ear and nose are relatively frequent emergencies seen in the ENT emergency and OPD. The FBs in the ear and nose are more common but not limited to children and mentally challenged adults. The most common ear and nose foreign bodies include plastic toys, food, and small household items. Majority of FBs are harmless but few like insects and sharp objects are extremely uncomfortable requiring emergency removal. Aims: and Objectives: In the current study we aimed to evaluate the common types, prevalence, age of presentation, sex predilection, clinical presentations, treatment approaches used and complications during extraction of ear and nose FBs in patients presenting FB induced emergency. Methods: The current study was a prospective study carried out for 2 years (June 2019-June 21). All the subjects attending Sri Maharaja Hari Singh Hospital (SMHS), Government Medical College Srinagar (J&K) presenting ear and nose FBs induced emergency, were enrolled in the current study. All the relevant demographic, clinical, and therapeutic modalities of each patient were recorded and then analysed using statistical software (SPSS version 14.) Results: A total of 770 subjects were recruited in the study with nearly equal males and female representation. The majority of cases (~70%) were in the age group of <10 years in both the genders. Majority of the cases were from urban areas. Among all the subjects recruited, a greater number of subjects had FB in ear (~63%), while as 37% had FB in the nose. About 5% of the subjects reported FB bilaterally in the ears. Paper was the prevalent nose FB, while as bead was found pervasive in the ear. Only 4.5% subjects needed general anaesthesia for the removal of FB, while as only 10.8% experienced bleeding during the FB removal. Conclusion: Foreign body ear and nose pose a common ENT emergency in the clinic and are usually presented in the young subjects. Unlike, the FB in the nose, the ear FB can be more harmful by causing tympanic membrane perforation. The treatment modalities for ear and nose FB removal depends upon the type and place of FB impaction in the subject.

Quit screwing around: magnetic retrieval of an appendiceal foreign body.

Video 1Narration of case and demonstration of appendiceal foreign body removal using a novel magnetic catheter.

312 Foreign Bodies in the Urinary Tract - Can We Learn Something from the Pandemic?

Abstract Aim We aim to quantify the morbidity and resource utilisation from patients presenting with foreign bodies in the urinary tract and analyse the effect of the coronavirus pandemic on the numbers. Often these patients have co-existing mental health issues, which necessitates coordinated multi-disciplinary care. It is important that patient care is assessed holistically, with assessment of whether changes in mental health care impact urological morbidity. Method We performed a 2-year, retrospective, single-institution study of patients requiring removal of foreign bodies from their urinary tract. Results There were 49 episodes of patients needing removal of foreign body; all were inpatients at the regional mental health hospital.8% of patient episodes presented with urinary sepsis. All patients had successful general anaesthetic, endoscopic removal of the foreign body from their urinary tract. There was significantly more episode’s pre-pandemic (38 episodes, mean 2.7 per month) than during the pandemic (11 episodes, mean 1.1 per month). During the pandemic, staffing levels within the mental health hospital have been increased to enable isolation procedures to be conducted when necessary. It was felt that the reduction in foreign body insertion episodes was a consequence of this. The resultant reduction in acute hospital admissions and procedures is estimated to have saved £400,256 per annum. Conclusions Patients presenting with a foreign body in the urinary tract utilize a considerable number of resources and are a source of morbidity. Urosepsis and retention are common sequelae. Reduced episodes during the pandemic have shown that increased staffing levels have a positive effect and could be cost-effective. It is imperative that this data is used to appropriately allocate resources to reduce patient morbidity.

Aesthetic Removal of Foreign Body Granulomas of Forehead Via Pretrichial Approach.

In the field of plastic surgery, various filler types have been developed, which are widely used for cosmetic or reconstruction purposes. However, unregulated substances often injected by unlicensed practitioners may cause difficult-to-treat side effects, such as foreign body granulomas. Since the forehead is an exposed area and the lesions are likely extensive, complete surgical removal with inconspicuous scar can be difficult. In addition, pharmacological treatments, such as steroids, have only a temporary effect. The authors report successful cases of foreign body removal combined with subcutaneous forehead lift via a pretrichial approach for cosmetic satisfaction.Ten patients who had received illegal filler injections that resulted in chronic granulomas on the forehead were studied. The granulomas were confirmed using sonography, and simultaneous foreign body removal and subcutaneous forehead lifts using pretrichial incisions were planned. For the surgical method, the forehead flap was carefully elevated to a uniform thickness in the subcutaneous plane via a pretrichial incision, and the foreign body was removed, paying attention to the forehead contour and nerve damage; excess skin was excised from the top of the flap to tighten the remaining skin on the forehead.None of the patients developed complications, such as skin necrosis, infection, hematoma, or wound dehiscence, during the follow-up period. The functional and aesthetic outcomes were satisfactory in all the patients.The subcutaneous forehead lift via a pretrichial incision seems to facilitate foreign body removal and improve the forehead deformity by tightening the remaining skin.

INCIDENCE AND RISK FACTORS OF POSTOPERATIVE ENDOPHTHALMITIS AFTER PRIMARY SURGICAL REPAIR COMBINED WITH INTRAOCULAR FOREIGN BODY REMOVAL.

To analyze the incidence and risk factors of postoperative endophthalmitis after primary surgical repair and intraocular foreign body (IOFB) removal within 24 hours of injury. The records of all patients treated surgically for open globe injury and IOFB removal at the Eye Hospital of Shandong First Medical University between January 1, 2015, and June 30, 2020, were retrospectively reviewed. Variables included time from injury to operation, cause of injury, details of surgical repair, and follow-up. The incidence and risk factors of endophthalmitis after IOFB removal were studied. During 5 years, 99 patients with IOFB were reviewed. Of these, 19 patients were diagnosed with endophthalmitis on admission, and 5 were suspected of having endophthalmitis during operation. Fifty-four cases had no clinical signs of endophthalmitis on admission and during operation and were treated with operation within 24 hours after the injury. Two patients (2 of 54; 3.70%) developed endophthalmitis after IOFB removal, and the causative agent in both cases was Bacillus cereus. The incidence of infectious endophthalmitis after primary surgical repair combined with IOFB removal (≤24 hours) was 3.70% in patients who received a series of standard treatments, and B. cereus infection might be a risk factor.

Emergent Endoscopy for Esophageal Foreign Body Removal: The Impact of Location.

BackgroundTimely intervention is essential for the successful removal of ingested foreign bodies. Emergent endoscopy (EGD) is usually performed in the emergency department (ED), operating room (OR), intensive care unit (ICU), or endoscopy suite. However, because the endoscopy suite is not always available, this study investigated the impact of location outside of the endoscopy suite on the successful removal of ingested foreign bodies and other patient outcomes.MethodologyWe reviewed charts of patients who underwent EGD for foreign body removal at an academic quaternary center between January 01, 2012, and December 31, 2020. We defined successful EGD as retrieval of the foreign body at the first attempt and not requiring subsequent endoscopy or surgical intervention. We performed descriptive and inferential statistical analyses and conducted classification and regression trees to compare endoscopy procedure length (EPL) and hospital length of stay (HLOS) between different locations.ResultsWe analyzed 77 patients, of whom 13 (17%) underwent endoscopy in the ICU, 46 (60%) in the OR, and 18 (23%) in the ED. Endoscopic removal failed in four (5%) patients. Endoscopy length was significantly shorter in the OR (67 (48-122) minutes) versus the ICU (158 (95-166) minutes, P = 0.004) and the ED (111 (92-155) minutes, P = 0.009). Time to procedure was similar if the procedure was performed in the ED (278 minutes), the ICU (331 minutes), or the OR (378 minutes). The median (interquartile range) of HLOS for the OR group (0.87 (0.54-2.03) days) was significantly shorter than the ICU group (2.26 (1.47-6.91) days, P = 0.007).ConclusionsWhile performing endoscopy for esophageal foreign body removal in the OR may be associated with a shorter EPL and HLOS, no location was inferior for overall outcomes. Further prospective and randomized studies are needed to confirm our findings.

Endoscopic tooth extraction after intrusion into the maxillary sinus in a teenager: a clinical case

Relevance . One of the complications of maxillary tooth extraction is its intrusion into the maxillary sinus due to the peculiarities of the anatomy of the upper jaw and possible technical errors of the doctor. The extranasal approach is the most common treatment method of this pathology, namely the Caldwell-Luke surgery (radical antrostomy) or oroantral communication closure and removal of a foreign body from a maxillary sinus. Diagnosis . This article describes two clinical cases. Both patients were admitted to the Pediatric Maxillofacial Surgery Unit with a diagnosis of Foreign body in the maxillary sinus. The paper presents our experience on the endoscopic removal of a foreign body from the TMJ in these patients. Results . Endoscopic removal of foreign bodies from the maxillary sinus was the treatment method in these patients. The postoperative period was unremarkable and without complications. Conclusions . We currently believe that the endoscopic approach to tooth removal from the maxillary sinus is a solution that should be adhered to by all modern surgeons since this method is less invasive and has a short recovery period.

Ocular Trauma - Management: A Case Report

Ocular morbidity resulting from trauma remains most common cause of uniocular and non-congenital visual loss across the world. Penetrating injury threatens the integrity of the globe and constitutes an ocular emergency. We report a case of a 21-year-old male, who presented at our Centre within two hours of Type C, Grade D, and Zone 2 injury with a retained metallic foreign body. Primary repair was done after a prompt and detailed examination to maintain the globe integrity. This was followed by removal of foreign body with lensectomy as a secondary procedure within the week of the injury. We report this case to highlight the surgical dilemmas that may be faced by the surgeon while dealing with an ocular emergency.

Study of the Different Etiologies of Intestinal Obstruction and the Factors Affecting the Type of Administration

30 patients were collected from Al-Yarmouk Teaching Hospital, and the research aimed to Study of the different etiologies of intestinal obstruction and the factors That affecting type of administration And based on data analysis by a specialist in the statistical analysis program SPSS 22, we find that the mean value and SD to the patients’ ages were 35.7±5.87 and the number of women participating in this study was 45% and men were 55%. As for intestinal obstruction, we find that the most of them were with 11 patients without adhesion, and the least was in the proportion of one patient—the Intussusception. As for Surgical procedures, most of them were for the removal of foreign bodies. We conclude from this study that the indications for surgical treatment of intestinal obstruction should be reasonably understood, and the optimal timing of surgery should be understood. To achieve maximum benefits for patients.

Position paper of the Initiative Chronische Wunde (ICW) e. V. on the nomenclature of debridement in chronic wounds

Die heute in der Wundbehandlung verwendete Nomenklatur ist interdisziplinär und interprofessionell sehr unterschiedlich. Daher ist es ein Anliegen der Fachgesellschaft Initiative Chronische Wunde (ICW) e. V. bislang unklare Begriffe eindeutig und nachvollziehbar zu beschreiben. Von den Experten der ICW wurde daher in einem Konsensusverfahren als Débridement chronischer Wunden die Entfernung von anhaftendem, abgestorbenem Gewebe, Krusten oder Fremdkörpern aus Wunden bezeichnet. Hierfür gibt es verschiedene Therapieoptionen, die als autolytisches, biochirurgisches, mechanisches, osmotisches, proteolytisches/enzymatisches und technisches Débridement unterschieden werden können. Bei dem chirurgischen Débridement wird zudem zwischen meist ambulant durchführbaren scharfen Débridements wie beispielsweise kleineren chirurgischen Eingriffen und chirurgischen Débridements mit adäquater Anästhesie in einem Operationssaal differenziert. Als Wundspülung wird von der ICW die Entfernung von nicht haftenden Bestandteilen auf Wunden mit sterilen Lösungen bezeichnet.Débridement und/oder Wundspülung sind oft der erste Schritt einer phasengerechten modernen Wundbehandlung. Mehrere Methoden eignen sich für die Anwendung einer kombinierten oder sukzessiven Therapie. Bei der Entscheidung, welche therapeutische Option hierbei zum Einsatz kommt, sollte eine Vielzahl individuell unterschiedlicher Faktoren in Abhängigkeit von den zu behandelnden Patienten, aber auch von den Therapeuten berücksichtigt werden. Die letztendliche individuelle Entscheidung für eine Methode sollte jeweils gemeinsam mit den Patienten getroffen und anschließend adäquat dokumentiert werden.

Ear Foreign Body Extraction

Ear foreign body removal is a common procedure performed in the emergency department that can happen to anyone, both children and adults. The method used in writing this literature review is a literature review. Article writing consists of several sources originating from journals and related agency guidelines. Source searches were conducted on online portals for journal publications such as Medscape, Research gate and the National Center for Biotechnology Information/NCBI (ncbi.nlm.nih.gov), with the keyword used being “ear foreign body”. Various kinds of foreign objects have been reported to have entered the ear canal including insects, beads, paper and so on. Foreign body removal techniques consist of manual instrumental, irrigation, and suctioning. Removal of foreign bodies should not be performed if the patient is suspected of having a perforation of the tympanic membrane. Removal of a foreign body from the ear canal depends on the type of foreign body present in the ear canal.

Minimally invasive removal of intra-articular hip fragments under navigation guidance

The interposition of foreign bodies between the femoral head and the acetabulum represents a danger to the articular cartilage with a definite progression to osteoarthritis. Their removal is necessary and usually involves two surgical techniques: by open arthrotomy or under arthroscopy. The present article proposes a new surgical technique allowing the removal of intra-articular foreign bodies from the hip by a minimally invasive approach and aCT-guided navigation system. This technique is a good alternative that overcomes some shortcomings of other minimally invasive techniques, which struggle to access the fragment. It can also avoid specific complications of these procedures, such as the risk of abdominal compartment syndrome with arthroscopy, in the case of an associated acetabulum fracture.

Small spherical foreign bodies in the genitourinary tract and their management

BackgroundUrogenital small foreign bodies (FBs) have rarely been reported in children, and their management is still challenging. This study aimed to describe the characteristics and treatment of spherical FBs no larger than 0.6 cm in the children’s genitourinary tracts. Methods The clinical data of spherical FBs removed in our hospital from June 2013 to June 2020 were recorded and retrospectively analyzed, including demographics, location, symptoms, imaging examinations and treatment methods. Results A total of 10 patients were enrolled: 6 girls and 4 boys. Their ages ranged from 5.1 to 16.8 years old, with a mean age of 9.2 years. The course of the disease ranged from 3 h to 1 year, and symptoms recurred in some cases. Their imaging characteristics were reviewed and analyzed, 6 patients underwent color Doppler ultrasonography, 1 patient was suspected to have an FB in the vagina, 7 patients underwent an X-ray examination, and FBs were revealed in 6 patients. All FBs were removed under endoscopic minimally invasive surgery. Six vaginal FBs were successfully retrieved via vaginoscopy, and in the other four cases, removal by transurethral cystoscopy failed because of mutual attraction, which was eliminated by laparoscopy under pneumovesicum. Postoperative recovery was uneventful; in a follow-up of 3 months to 2 years, there was no perforation or fistula formation, and there were no urethral strictures in boys. Conclusion Small spherical FBs are clinically rare; they are sometimes difficult to detect by imaging examinations and can be easily overlooked. Minimally invasive endoscopy remains the first-line approach for the diagnosis and removal of genitourinary spherical FBs.

FOREIGN BODY INCIDENCE IN PREGNANT COWS AND BUFFALOS

Clinical study for (105) pregnant and (32) buffalo suffering from reticulopertonitis which are operated for foreign body removal by rumenotomy in different pregnancy stages. 
 Result shown that the late stage pregnancy is the highest inicdence and all operated animals had no any complications and some of them delivered normally after 10 - 16 hr. and other within few days, this indicate that rumenotomy could be done at any stage of pregnancy even within few hours before parturition.

Endoscopic management of intravesical foreign body: A challenging condition.

Background: Unusual genitourinary activity is categorized by the genital deposit of foreign objects. It has been known for centuries and common etiological factors include sexual stimulation. Psychiatric disorders and intoxication may also be associated. Foreign body retrieval and the evaluation of psychosocial factors are involved in management. This study intends to present a 'hair pin' case as a foreign body in the bladder.
 Methodology: A 25-year-old female presented to the urology outpatient clinic in early pregnancy with a history of manually inserting hairpin into the urinary bladder through her urethra four years back. She lost to follow up during pregnancy and then presented again after C-section. A plain abdominal film of the kidneys, ureters, and bladder (KUB) confirmed the location of the hairpin and large stone around it in the urinary bladder.
 Results: The patient underwent endoscopic removal of foreign body and stone. At cystoscopy urethra was normal, but in the urinary bladder, there was a hairpin with stone formation at its proximal end, and distal portion of the hairpin was embedded in the bladder neck. The hairpin was pushed back in the bladder to separate from the bladder neck, followed by stone fragmentation using a stone punch. After complete removal of stones, the hairpin was aligned in the line of the urethra and removed with the help of forceps.
 Conclusion: Depending on the nature of the foreign body and available expertise, methods for removing intravesical foreign bodies are opted. Mostly endoscopic techniques are used for retrieval of intravesical foreign bodies without resorting to open surgery.

Prehospital Pediatric Respiratory Distress and Airway Management Interventions: An NAEMSP Position Statement and Resource Document

Devices and techniques such as bag-valve-mask ventilation, endotracheal intubation, supraglottic airway devices, and noninvasive ventilation offer important tools for airway management in critically ill EMS patients. Over the past decade the tools, technology, and strategies used to assess and manage pediatric respiratory and airway emergencies have evolved, and evidence regarding their use continues to grow. NAEMSP recommends: Methods and tools used to properly size pediatric equipment for ages ranging from newborns to adolescents should be available to all EMS clinicians. All pediatric equipment should be routinely checked and clearly identifiable in EMS equipment supply bags and vehicles. EMS agencies should train and equip their clinicians with age-appropriate pulse oximetry and capnography equipment to aid in the assessment and management of pediatric respiratory distress and airway emergencies. EMS agencies should emphasize noninvasive positive pressure ventilation and effective bag-valve-mask ventilation strategies in children. Supraglottic airways can be used as primary or secondary airway management interventions for pediatric respiratory failure and cardiac arrest in the EMS setting. Pediatric endotracheal intubation has unclear benefit in the EMS setting. Advanced approaches to pediatric ETI including drug-assisted airway management, apneic oxygenation, and use of direct and video laryngoscopy require further research to more clearly define their risks and benefits prior to widespread implementation. If considering the use of pediatric endotracheal intubation, the EMS medical director must ensure the program provides pediatric-specific initial training and ongoing competency and quality management activities to ensure that EMS clinicians attain and maintain mastery of the intervention. Paramedic use of direct laryngoscopy paired with Magill forceps to facilitate foreign body removal in the pediatric patient should be maintained even when pediatric endotracheal intubation is not approved as a local clinical intervention.