微创技术作为年轻男性低位与高位自体残留直肠异物的辅助手段:印度两例对比性病例报告的定制管理算法。

Journal of Trauma and Injury Pub Date : 2024-09-01 Epub Date: 2024-09-30 DOI:10.20408/jti.2024.0003
Shubham Kumar Gupta, Vivek Kumar Katiyar, Sumit Sharma, Shashi Prakash Mishra, Satyanam Kumar Bhartiya
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引用次数: 0

摘要

自发性直肠异物(RFB)是一种新出现的罕见外科急症,给外科医生带来了敏感的挑战。直肠异物的表现多种多样,需要不同的处理方法,不同病例选择的治疗方式也不尽相同。最近,微创技术已被用于取出 RFB。2021 年,世界急诊外科协会和美国创伤外科协会发布了肛门直肠急诊指南,强调了这些技术作为诊断和排除相关并发症的辅助工具的作用。在本报告中,我们描述了两例值得注意的男性病例,他们因异物塞入直肠而到创伤急诊科就诊。我们还强调了微创技术在 "阶梯式 "处理滞留异物中的潜在作用。
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Minimally invasive techniques as adjuncts in low- versus high-lying retained rectal foreign bodies of autoerotic nature in young men: a tailored management algorithm with two contrasting case reports from India.

Retained rectal foreign bodies (RFBs) of an autoerotic nature represent an emerging and rare surgical emergency, posing a sensitive challenge for surgeons. RFBs exhibit a wide range of presentations and require varied management approaches, with the choice of treatment modality differing from case to case. Recently, minimally invasive techniques have been employed for the retrieval of RFBs. In 2021, the World Society of Emergency Surgery and the American Association for the Surgery of Trauma released guidelines on anorectal emergencies, highlighting the usefulness of these techniques as adjunctive tools for both diagnosis and ruling out associated complications. In this report, we describe two noteworthy cases of men who presented to the trauma emergency department with foreign bodies lodged in their rectums. We also highlight the potential role of minimally invasive techniques within a "step-up" approach for the management of retained RFBs.

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审稿时长
11 weeks
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