Endoscopic sling with the fragment of a glass bottle. The therapeutic measures to remove the<unk> <unk>  can be as diverse as the objects inside the rectum. In many instances, the<unk>  bodies consist of fragile materials, such as glass. Most patients wait for several hours or even days until they visit a doctor. Before they do, they often repeatedly try to remove the object themselves or by a layperson. This often worsens the situation for a successful extraction. In most cases, the<unk> <unk>  can be removed endoscopically. Vibrators, for example, can be often removed using a large sling usually used to remove polyps during coloscopy. A flexible endoscope can be of no help with large and jammed objects. It may be preferable to use rigid tools in those cases. There have been several cases where instruments used in child birth have proven their worth for the removal of those<unk>  bodies, such as the forceps and suction cups. Wooden objects have been retrieved with corkscrews and drinking glasses after filling them with plaster. A spoon can be used as an "anchor" by leaving it inside the glass during the plaster filling, removing it together with the glass. Light bulbs are encased in a gauze shroud, shattered inside the rectum and extracted. There have been successful cases using argon-plasma coagulation. The object in question was a green apple wrapped in cellophane inside the rectum of a 44-year-old patient. The argon-beam coagulation shrunk the apple by more than 50%, enabling its removal. Previous extraction attempts using endoscopic tools failed due to the flat surface of the object. If the object is too far up, in the area of the colon sigmoideum, and cannot be removed using one of the above methods, bed rest and sedation can cause the object to descend back into the rectum, where retrieval and extraction are easier. In difficult cases, a laparotomy may be necessary. Statistically, this is the case in about 10 percent of patients. The large intestine can be manipulated inside the abdominal cavity, making it possible for it to wander in the direction of the anus and be grabbed there. A surgical opening of the large intestines can be indication in very difficult cases, especially if the manipulation of the object may pose a serious health risk. This may be the case with a jammed drug condom. Anaesthesia Mild cases may need a sedation at most. Local and spinal anaesthesia find common use. Difficult interventions may need general anaesthesia; surgical opening of the abdominal cavity or the colon require it. General anaesthesia can be beneficial for the relaxation of the sphincter. Aftercare After the surgery, a sigmoidoscopy – a colonoscopy focused on the first 60 cm of the colon – is good practice in order to rule out possible perforation and injury of the rectum and the colon sigmoideum. Stationary aftercare may be indicated. Examples Object Procedure Anaesthesia Source Ball pen Polypectomy sling N.A. Water-filled balloon Punction N.A. Chicken bone Polypectomy sling N.A. Toothpick Polypectomy sling N.A. Apple in cellophane Defragmentation using APC none Glass bottle Biopsy forceps General anaesthesia Vibrator Polypectomy sling none Vial Sengstaken–Blakemore tube N.A. Vial Polypectomy sling N.A. Enema tip Polypectomy sling N.A. Vibrator Biopsy forceps N.A. Pencil Polypectomy sling N.A. Iron rod Two-channel endoscope and wires N.A. Bottleneck Foley catheter General anaesthesia Spray tank Achalasy balloon None Sponge-like toy ball Suction cup General anaesthesia Vibrator Forceps and anal dilation Local anaesthesia Vibrator Hooked tongs Local anaesthesia Bottle of aftershave Bone holding forceps with rubber feet Spinal anaesthesia Chicken bone Fingers None Aerosol-can cap Grasping forceps and anal dilation General anaesthesia Vase Filling with plaster General anaesthesia Glass container Extraction using plaster Spinal anaesthesia Glass container Tracheal tube Local anaesthesia Apple Two-handed manipulation Local anaesthesia Glass container Foley catheter General anaesthesia Glass bottle Suction cup General anaesthesia 100-watt electric bulb Three Foley catheters N.A. Thermometer Biopsy forceps General anaesthesia Vibrator transanal Kocher's forceps Local anaesthesia Bowling bottle (Bottle in the shape of a pin) Forceps General anaesthesia Perfume bottle manual Spinal anaesthesia Piece of wood manual General anaesthesia Toothbrush container Fogarty catheter N.A. Oven mitt Forceps, after anal dilation General anaesthesia Drainpipe forceps in childbirth General anaesthesia Pétanque ball Electromagnet General anaesthesia Carrot Myoma lifter N.A. Glass object Suction cup Spinal anaesthesia Rubber ball manual extraction after anal dilation General anaesthesia Wooden staff Two-handed anal dilation Spinal anaesthesia Bottle manual after anal dilation General anaesthesia Dildo Myoma lifter N.A. Light bulb Abdominal compression Spinal anaesthesia : APC = Argon beam-coagulation : N.A. = Not available (Source:)
Rectal foreign body
Anal plug
Vesicointestinal fistula
Anal fissure
Punctal plug
Ileosigmoid knot
Perianal hematoma
Anal fistula