Colotomy for Colonic Foreign Body Retrieval: How to Finish the Operation?
The study is devoted to the analysis of complications in patients with foreign objects in the colon (FOC) who underwent surgical treatment to remove the foreign body. The aim of the work is to evaluate postoperative complications in patients who underwent surgical removal of FOC by laparotomy and colotomy, depending on whether the operation ended with the creation of a colostomy or not. Materials and methods. A retrospective study from 2014 to 2024 included 32 patients with FOC. Inclusion criteria: the presence of FOC in the patient; patients with FOC who underwent inpatient treatment in the proctology department; absence of surgical complications (peritonitis, intestinal obstruction, profuse bleeding) in the victim upon admission to a medical facility in the presence of FOC; patients with FOC who underwent laparotomy and colotomy to remove a foreign object. Results. When analyzing the results, no significant difference was found in the number of postoperative wound complications between stoma patients and those who had their colotomy incision sutured (χ2 = 0.2576; р = 0.6117). Conclusion. Emergency surgical intervention in the form of laparotomy and colotomy remains the option of choice for the extraction of FOC if less invasive techniques cannot be used. The development of clear indications for the creation of a colostomy during surgical removal of FOC by colotomy is necessary to unify the surgeon's actions.
Sergatskiy K.I., Logachev D.A., Nikolsky V.I., Mitroshin A.N., Feoktistov Ya.E., Koshelkova D.A. 2025. Colotomy for Colonic Foreign Body Retrieval: How to Finish the Operation? Challenges in Modern Medicine, 48(4): 536–544 (in Russian). DOI: 10.52575/2687-0940-2025-48-4-536-544. EDN: YIBLCI
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Bereshchenko V.V., Lazarevich D.V., Goncharov N.N., Khodanovich P.V. 2022. Endoscopic Removal of an Intrauterine Device from the Sigmoid Colon Lumen. Health and Ecology Issues. 19(1): 145–150 (in Russian). doi: 10.51523/2708-6011.2022-19-1-19
Butyrsky A.G., Sherendak S.A., Ametov A.U., Novodranov V.V. 2022. A Rare Case of a Foreign Body in the Colon. Tavrichesky Medico-Biological Bulletin. 25(1): 70–74 (in Russian). doi: 10.37279/2070-8092-2022-25-1-70-74
Davidov M.I. 2023. Foreign Body of the Colon (Clinical Observation). Coloproctology. 22(4): 99–103 (in Russian). doi: 10.33878/2073-7556-2023-22-4-99-103
Egorkin M.A., Bolkvadze E.E., Obukhov V.K., Gorbunov I.N., Evloev M.Ya. 2024. Foreign Bodies of the Rectum. Diagnostic Program and Emergency Care. Coloproctology. 4(23): 124–131 (in Russian). doi: 10.33878/2073-7556-2024-23-4-124-131
Ilkanich A.Ya., Markaryan D.R., Garmanova T.N., Korzhenevsky V.K., Asutaev Sh.D., Botsula O.N., Surin V.V. 2024. Foreign Bodies of the Rectum: Clinical Experience. Surgical Practice. 9(3): 78–91 (in Russian). doi: 10.5922/2223-2427-2024-9-3-7
Korolev M.P., Antipova M.V., Drobyazgin E.A., Zakharenko A.A., Meshkov A.V., Mikhin A.I., Panfilova V.N., Pinigin A.G., Sinitsyn V.E., Razumovsky A.Yu., Fedorov E.D., Shavrov A.A., Shchegolev A.A. 2022. Foreign Body in the Digestive Tract. Age Group: Adults and Children. The Main Positions of National Clinical Guidelines Approved by the Ministry of Health in December 2021. Endoscopic Surgery. 28(3): 5–21 (in Russian). doi: 10.17116/endoskop2022280315
Khubezov D.A., Trushin S.N., Puchkov K.V., Puchkov D.A., Ogoreltsev A.Yu. 2016. Treatment Tactics for Patients with Foreign Bodies in the Rectum. Surgery. Journal named after N.I. Pirogov. (9): 57–63 (in Russian). doi: 10.17116/hirurgia2016957-63
Bhasin S., Williams J.G. 2021. Rectal Foreign Body Removal: Increasing Incidence and Cost to the NHS. Ann R Coll Surg Engl. 103(10): 734–737. doi: 10.1308/rcsann.2020.7129
Borges Chaves C., Santos L., Mendes S., Figueiredo P. 2024. A Long Rectal Foreign Body Successfully Removed after Colonoscopy. Rev Esp Enferm Dig. Published online. doi: 10.17235/reed.2024.10251/2024
Cawich S.O., Thomas D.A., Mohammed F., Bobb N.J., Williams D., Naraynsingh V. 2017. A Management Algorithm for Retained Rectal Foreign Bodies. Am J Mens Health. 11(3): 684–692. doi: 10.1177/1557988316680929
Clarke D.L., Buccimazza I., Anderson F.A., Thomson S.R. 2005. Colorectal Foreign Bodies. Colorectal Dis. (7): 98–103. doi: 10.1111/j.1463-1318.2004.00699.x
Fritz S., Killguss H., Schaudt A., Sommer C.M., Richter G.M., Belle S., Reissfelder C., Loff S., Köninger J. 2022. Proposal of an Algorithm for the Management of Rectally Inserted Foreign Bodies: A Surgical Single-Center Experience with Review of the Literature. Langenbecks Arch Surg. 407(6): 2499–2508. doi: 10.1007/s00423-022-02571-z
Huang C., Long Q., Li J. 2021. The Removal of a Foreign Body from the Rectum using a Condom. Asian J Surg. 44(6): 881–882. doi: 10.1016/j.asjsur.2021.03.041
Lian C., Hou J.G., Wang J., Liu X.J., Li X.L. 2023. An Unusual Rectal Foreign Body: A Sundried Corn-Stick. Trop Doct. 53(2): 307–308. doi: 10.1177/00494755231159758
Mullen K.M., Regier P.J., Fox-Alvarez W.A., Portela D., Londoño L., Colee J. 2023. A Quantitative Evaluation of the Effect of Foreign Body Obstruction and Enterectomy Technique on Canine Small Intestinal Microvascular Health. Vet Surg. 52(4): 554–563. doi: 10.1111/vsu.13949
Ngu N.L.Y., Karp J., Taylor K. 2023. Patient Characteristics, Outcomes and Hospital-Level Healthcare Costs of Foreign Body Ingestion from an Australian, Non-Prison Referral Centre. BMJ Open Gastroenterol. 10(1): e001087. doi: 10.1136/bmjgast-2022-001087
Simbila A.N., Suphian A., Ngowi N.J., Mfinanga R.J., Kilindimo S., Sawe H.R. 2021. Colon Perforation by Foreign Body Insertion for Sexual Gratification: A Case Report. Pan Afr Med J. 40: 188. doi: 10.11604/pamj.2021.40.188.32087
Zhao B., Roper M.T., Tomassi M.J., Wenger S.J., Klaristenfeld D. 2021. Techniques for the Extraction of High Rectal Foreign Bodies by Transanal Minimally Invasive Surgery. Tech Coloproctol. 25(3): 339–342. doi: 10.1007/s10151-020-02396-2