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Type: Journal article
Title: Simplified technique for retrieval of large trichobezoars in children
Author: Cundy, T.
Brownlee, E.
Goh, D.
Khurana, S.
Citation: BMJ Case Reports, 2015; 2015(May 24):bcr2015210472-1-bcr2015210472=3
Publisher: BMJ Publishing Group
Issue Date: 2015
ISSN: 1757-790X
Statement of
Thomas P Cundy, Ewan M Brownlee, Day Way Goh, Sanjeev Khurana
Abstract: Trichobezoars are concentrations of indigestible hair or hair-like fibres within the proximal intestinal tract. In children, delayed presentation with large bezoar masses is not unusual as bezoar formation is an indolent process that takes many months or years before becoming symptomatic. Surgical management is challenging and becomes inevitable once a trichobezoar becomes more established. The standard approach involves a sizeable transverse or midline laparotomy. We describe a less invasive technique for extraction of large gastric trichobezoars via a mini-laparotomy. The key aspect to this technique involves insertion of an Alexis O Wound Protector/Retractor (Applied Medical, Rancho Santa Margarita, California, USA) into the stomach following creation of a secure temporary gastrostomy by hitching gastrotomy edges to the abdominal wall. This simplified approach has advantages of (1) secure and excellent direct intragastric access, (2) shorter operating time and (3) reliable protection of both the wound edges and peritoneal cavity from bezoar contamination.
Keywords: Stomach
Description: Published 24 May 2015
Rights: Copyright 2015 BMJ Publishing Group. All rights reserved.
DOI: 10.1136/bcr-2015-210472
Appears in Collections:Aurora harvest 3
Surgery publications

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