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Foreign Body Removal Surgery in Bhubaneswar

Foreign Body Removal

Foreign Body Removal Surgery in Bhubaneswar

A foreign object is defined medically as something that is inside the body but doesn't belong there. Intentional or unintentional insertion of foreign objects into the body is possible. Occasionally, they are also swallowed. Foreign body removal surgery in Bhubaneswar involves taking out materials or things that have unintentionally entered the body. The ear, nose, throat, airway, and gastrointestinal tract are common locations for the foreign body to get lodged. The removal technique depends on the location and type of foreign object, which might range from Straightforward Hand Extraction to Endoscopic or Surgical treatments. Timely removal is crucial to prevent repercussions such as tissue injury, infection, and obstruction of the airway. The healthcare professionals of the Paediatric and Child Care Department at Manipal Hospitals, Bhubaneswar, assure safe and efficient removal by using specialised instruments and techniques, frequently while sedated or under anaesthesia. Creating awareness and education among parents plays a crucial role in lowering the incidence of accidents and injuries among children. 

FAQ's

While adults most frequently visit the emergency department (ED) due to health issues resulting from ingesting radiolucent foreign bodies (primarily food) or typically swallowing radiopaque things by children like coins, screws, pins, buttons, batteries, or toy parts. 

The signs and symptoms shown by children are as follows: 

  • Asphyxia or regurgitation, particularly when the foreign body becomes trapped in the throat

  • Breathing difficulties, wheezing, or coughing if the object is in the airway

  • Drooling or difficulty swallowing

  • There is prolonged coughing or hoarseness if the item is in the respiratory tract

  • If the object is in the gastrointestinal tract, symptoms may include vomiting, abdominal pain, or refusal to eat

  • Trouble speaking or tonal changes in voice

  • Anger or discomfort

  • Evident anguish or suffering

  • Depending on where the foreign body is located, it may be bleeding from the mouth, nose, or rectum

  • Respiratory discomfort or fever without explanation

Clinical assessment and imaging studies are usually used in conjunction to diagnose the ingestion of foreign bodies in children. Signs such as respiratory distress, abdominal pain, or irregular bowel sounds may be detected during a physical examination. Imaging techniques, including CT scans, ultrasounds, and X-rays aid in locating and identifying foreign objects. In some situations, endoscopic treatments could be required for visualisation and removal. The diagnosis and treatment plan is determined by the patient's symptoms, medical history, and imaging results. 

Before the procedure: 

  • To have the object removed, your child's physician will get in touch with an interventional radiologist.

  • Before your child sees an interventional radiologist, they might have an ultrasound or X-ray. This will display the object's precise location for removal.

  • If the removal cannot be performed on the same day as the ultrasound or X-ray, keep a close eye out for any infection-related symptoms, such as redness, swelling, pus, or a temperature of 101 degrees Fahrenheit. If you observe any of these symptoms in your child, contact their healthcare provider immediately.

  • If the child will be given anaesthesia (given a medication that will keep him asleep) while the object is removed, then he or she should not eat or drink anything for eight hours before this treatment.

The techniques used for removal are as follows: 

  • Non-invasive methods include using gravity to help remove things stuck in the nose or ears.

  • Visualisation and manual removal of foreign bodies that are accessible, with the use of specialised instruments like forceps or suction.

  • Endoscopic treatments for foreign bodies stuck in the throat, gastrointestinal tract, or airways.

  • Surgery is needed in more complicated cases or in cases where less intrusive measures don't work.

  • Giving patients medicine to help them relax or induce vomiting under a doctor's supervision for specific ingestions.

Surgical removal of foreign bodies in children is considered when less invasive methods are unsuccessful or in cases of severe complications. The procedure involves several key steps: 

  • Pre-operative assessment: To plan the surgical approach, the child's medical history, imaging results, and physical examination are evaluated.

  • Anaesthesia induction: Giving a child a general anaesthetic to keep them unconscious and pain-free throughout the surgery.

  • Surgical access: Making an incision or entering the foreign body site with minimally invasive methods.

  • Exploration and removal: Using surgical instruments to carefully inspect the area to find the foreign object and remove it.

  • Closure: If required, repair the location of the incision and maintain hemostasis to stop bleeding.

  • Post-operative care: Keeping a close eye out for any complications, managing discomfort, and supporting the child as they heal.

Children undergoing Foreign Body Surgery may have an infection, haemorrhage, harm to neighbouring tissues or organs, and hazards associated with anaesthesia, such as cardiovascular or respiratory disorders. Scarring or leftover particles may appear in certain situations. Timely detection and handling of difficulties are crucial to providing the best possible results for the child.

To avoid unintentional consumption, parents should: 

  • Keep a close eye on your kids, especially when they are playing and eating.

  • Make sure toys are age-appropriate and store little items out of reach.

  • Teach kids about possible risks and how to utilise things properly.

  • Promote healthy eating practices, such as chewing food well and sitting down to eat.

The following parenting skills should be taught: 

  • Recognise choking hazards

  • First aid for choking

  • Build childproof environments

  • Regularly check toys and household items for small parts

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