Remove foreign objects in the small intestine with laparoscopic surgery

Gastrointestinal foreign objects of various types. The most common are coins, bones from food,… Rarer are toothpicks, spring segments, pen caps, beer bottle caps, iron pins, paper clips,…

Foreign bodies in the small intestine can cause bleeding, intestinal obstruction, perforation of the intestines, causing pericarditis. Pericarditis is an infectious disease – very severe intoxication, premature death if not diagnosed, timely emergency surgery.

Laparoscopic surgery has the advantages of reducing complications, reducing pain and reducing hospital stays for patients compared to traditional open surgery.

2.1 Contrain specify/contrain specify

Specify

Usually, 80-90% of foreign objects will be eliminated in feces under the action of intestinal persis. Therefore, in cases of foreign objects in the small intestine, the patient is monitored for X-rays and stool properties. Laparoscopic surgery is in place in case of:

• Perforation of the intestines causes peritonitis;
• There are symptoms of intestinal obstruction but the abdomen is not too enlarged.

Contrainatrained

• Patients in poor health, shock due to infection or respiratory failure do not allow abdominal inflatables;
• People with a history of abdominal surgery multiple times.

2.2 Preparation of surgery

• Personnel: Surgeon specializing in digestion, anesthesiist, assistant;
• Technical means: The operating room is eligible for laparoscopic surgery through the abdomen; set of abdominal endoscopic devices (light source, monitor, camera, CO2 source); monopolar and bipolar electrolycilla dao systems; pumping system, washing abdominal volume; intestinal clamping tools, liver lifts, pans, clamps and abdominal endoscopic scissors;
• Patients: Discussed about surgery (purpose, procedure, risk of accident); fasting; gastric informs; hygiene; urination; perform basic tests, electrocardiary, lung scans; early adjustment if there is a disorder of water balance and electrolyses;
• Medical records: Complete in accordance with regulations.

2.3 Performing surgery

• Check medical records and patients, ensure the right people and the right diseases;
• Insymity: Conduct in-administration anesthesia;
• Patient position: Lying on your back, closing your legs;
• Ekip surgery, anesthesia stands in a position suitable for convenient operation;
• Place trocar: Place 1 trocar 10mm along the navel for the camera to enter, 2 5mm trocar placed in the left pelvic pit and the right pelvic pit for the inserting of the tool; abdominal inflatable with pressure level of 10 – 15mmHg;
• Abdominal evaluation: Use abdominal CCTV to check if the patient has a blockage or perforation of the small intestine. Signs of intestinal obstruction are upper dilated and flattened intestinal jaws under the blockage. Signs of perforation of the small intestine are the appearance of digestive diseases in the abdomen;
• Find foreign objects: For patients with low head on the right, use 2 intestinal grips to flip the colon horizontally, each time the small intestine to the ileum valve to find the location of the foreign body. Usually, if the intestinal obstruction is in the position of the connection between the upper dilated intestinal quaim and the lower flattened intestine. If perforating the intestines, it is easy to find holes, foreign objects that come out of the intestinal wall. The surgeon needs to find the entire small intestine to avoid missing many foreign objects;
• Treatment of foreign objects: After rinsing the abdomen thoroughly with a warm solution of water in case the foreign body punctures the small intestine, the doctor opens the abdomen about 2-3cm under the navel, removes the intestinal cord, cuts it vertically and removes the foreign body, then stitches it horizontally. Next, return the intestines to the abdomen, which conducts the abdomen out through the trocar hole 5mm of the right pelvic cavity if perforated;
• Withdraw the tools, close the trocar holes in the abdominal wall.

2.4 Post-surgery monitoring

• Monitor total survival figures including pulse, blood pressure, respiration, temperature,…;
• Monitoring of postocterial progress, the use of antibiotics in combination with peritonitis;
• Drainage when translation is no longer seen;
• Drain the urine immediately after surgery, gastric circulation sucks stagnant water for about 3 days. When the signs of normal peredm or patients are mediatic or ate, gastric bypass is withdrawn;
• Monitor the functioning of the digestive system, if the patient does not have abdominal distension, it is possible to feed early.

2.5 Accidents and handling

Complications in surgery:

• Intestinaleal tearing during manipulation: When the operation is too strong, the retina or intestine may be punctured. The remedy is to take the needle stitched back into the intestinal wall with separate noses;
• Bleeding, hematoma due to tearing of the small intestine mesenterosis: Handle by sucking out bleeding, immediately clamping blood vessels and hengbleeds with sutures, fastening or with other tools.

Post-surgical complications:

• Bleeding in the abdomen: It is recommended to re-operate early to check and handle he stop the bleeding;
• Podium at the site of stitches or mouth: It is recommended to re-operate early for handling;
• Narrowing of the stitches or mouth: Perform a re-operation to solve the cause of narrowing.

Foreign bodies in the small intestine can be fatal if not detected, treated early. Therefore, each person needs to be careful when eating, babysitting young children, the elderly, people with mental illness to avoid the risk of swallowing foreign objects. In case of accidental ingestion of foreign objects, it is recommended to take the patient for an early examination for timely treatment intervention.

Any questions that need to be answered by a specialist as well as customers wishing to see and treat at Share99 International Health Hub, you can contact Share99 Health System nationwide or register online HERE.