This is an automatically translated article.
There are two main causes of rectal foreign bodies, which are foreign bodies swallowed into the digestive tract or foreign bodies pierced from the outside. Patients often present with sudden and severe pain during defecation, possibly due to a foreign body impinging on the rectal wall. Rectal foreign bodies should be removed immediately to prevent complications caused by foreign bodies.
1. Rectal foreign body
Foreign bodies we may encounter such as toothpicks, animal bones, urinary tract stones, IUDs, surgical gauze, or other instruments can erode into the rectum. Sometimes, it can be strange things related to sex toys (sex toys),... Foreign bodies in the rectum from the outside in are often accompanied by perineal wounds. Rectal foreign body removal is often accompanied by perineal wound management.
2. Indications and contraindications for rectal foreign body removal
Indications and contraindications to rectal foreign body removal include:
Indications: Indications: Indications for rectal lesions caused by foreign bodies. Contraindications: There are no contraindications.
Khi cặp các tổn thương tại trực tràng xác định do dị vật gây ra thì bác sĩ sẽ chỉ định phẫu thuật lấy dị vật trong trực tràng
3. Instructions for rectal foreign body removal
3.1. Preparation Performer: Gastrointestinal or general surgery. Patients: Usually come to the hospital in an emergency situation and are prescribed for prophylactic antibiotics, intravenous fluids. Equipment: Anal valve, preferably van Hill Ferguson and central surgery kit. Estimated surgery time: 90 minutes. 3.2. Implementation steps Position: Place the patient in the gynecological position, possibly prone. Anesthesia: Administer general anesthesia to the patient, regional anesthesia or local anesthesia. Rectal foreign body removal technique: Remove foreign objects in the wound (stones, stones, pieces of bamboo,...). Clean the wound with solutions including: Hydrogen peroxide, betadine,... Carefully check the lesions in the rectum and sphincter. If a foreign body in the rectum penetrates the rectal wall and damages the sphincter, it should be treated like a complex perineal wound.
Phẫu thuật lấy dị vật trong trực tràng thường kéo dài khoảng 90 phút
4. Monitoring and handling of accidents
4.1. Follow-up Issues to monitor the patient after removing a foreign body in the rectum include:
Monitoring the patient's whole body condition and in the surgical area: Pulse, breathing rate, blood pressure, temperature and consciousness. Monitor at the incision for problems such as: Pain, bleeding, discharge. During surgery with spinal anesthesia, patients often have urinary retention on the first day, which may require bladder catheterization. Use antibiotics, pain relievers if needed, laxatives, evening tranquilizers. Infusion is usually in the range of 500ml - 1000ml after surgery. Give the patient a light meal when having a bowel movement, and exercise early. Care of the incision: It is necessary to change the dressing daily, when there is an abnormal phenomenon such as bleeding, the bandage is soaked with a lot of fluid, the incision must be examined. Soak the patient's anus in warm water during certain surgeries as prescribed by the surgeon. Usually use antibiotics, pain relievers for 3-5 days with pain relievers metronidazol, paracetamol. The first day is indicated for injection, from the second day for oral administration. Patients can take more laxatives, avoid constipation, stool in the rectum, stimulate defecation, causing prolonged pain. Start feeding the patient again 12 hours after surgery. Local wound care: Keep the incision clean by rinsing the anus after defecation and patting it dry. 4.2. Management of complications Postoperative bleeding: This is a common complication and can be managed by stitching to stop the bleeding. Wound infection: Necrotizing tissue should be removed, in some cases, colostomy is required. Above is some information about rectal foreign bodies and how to handle them. If you encounter this situation, you should go to reputable medical centers and facilities for timely and proper treatment.
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Reference source: kcb.vn
