Subject(s)
Colectomy/methods , Colon, Sigmoid/pathology , Colostomy/methods , Ileum/pathology , Mesenteric Vascular Occlusion , Rectal Prolapse , Venous Thrombosis , Aged, 80 and over , Colon, Sigmoid/blood supply , Colon, Sigmoid/surgery , Female , Humans , Ileum/blood supply , Ileum/surgery , Mesenteric Vascular Occlusion/diagnosis , Mesenteric Vascular Occlusion/etiology , Mesenteric Vascular Occlusion/surgery , Mesenteric Veins/pathology , Mesenteric Veins/physiopathology , Necrosis , Rectal Prolapse/complications , Rectal Prolapse/diagnosis , Rectal Prolapse/physiopathology , Rectal Prolapse/surgery , Regional Blood Flow , Treatment Outcome , Venous Thrombosis/etiology , Venous Thrombosis/physiopathology , Venous Thrombosis/surgeryABSTRACT
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.
