Informational Site NetworkInformational Site Network
Privacy
 


Home


Medical Articles


Mother's Remedies


Household Tips


Medicine History


Forgotten Remedies


Search

Medical Articles

Eyes Danger To Sight Of

Where inflammation has gone so far as to lead to suppuration, ...

In Excessive Heat And Continuous Delirium A Half-bath May Be Given

also, every time the packing sheet is changed. The rule is that...

Nerves Troubled

Often a state of the nerves exists, without any apparent unhea...

Nightmare

In serious cases of this trouble, the patient awakes some time...

Spectacles

If the operator has no refractive error he will need two pai...

Cholera Morbus

Keep the patient still as possible on his back. Use A D curre...

Symptoms

In hypertension, as long as the heart, which is probably hyp...

Bile Black

For this take two tablespoonfuls of hot water every five minut...

Prognosis

If the foreign body be not removed, the resulting chronic se...

Mushrooms

Emetic; castor oil and enema. ...

Glands Of Bowels

See Bowels. ...

The Surgical Dissection Of The Axillary And Brachial Regions Displaying The Relative Order Of Their Contained Parts

All surgical regions have only artificial boundaries; and the...

Healing

For healing wounds, burns, ulcers, irritation of mucous membr...

Water-treatment As Used By Currie Reuss Hesse Schoenlein &c

Beside the above modes of treatment _cold_ and _tepid Water_ ...

The Temperature Of The Room However Should Be A Few Degrees

higher than in scarlatina, as none of these other eruptive dise...

Pathology

If the foreign body completely obstructs a main bronchus, pr...

Forceps

Delicacy of touch and manipulation are an absolute necessity...

Renal Calculi Gravel In The Kidneys

Take the A C current, of considerable force. Place N. P. low ...

Cold Cloths

See Towels, Cold Wet. ...

Cold Affusions And Rubbing

After the pack, the patient is placed in an empty bathing or ...



Mechanical Problems Of Esophagoscopic Removal Of Foreign Bodies





Category: ESOPHAGOSCOPY FOR FOREIGN BODY
Source: A Manual Of Peroral Endoscopy And Laryngeal Surgery

The bronchoscopic problems considered in the previous chapter should
be studied.

The extraction of transfixed foreign bodies presents much the same
problem as those in the bronchi, though there is no limit here to the
distance an object may be pushed down to free the point. Thin, sharp
foreign bodies such as bones, dentures, pins, safety-pins, etcetera,
are often found to lie crosswise in the esophagus, and it is
imperative that one end be disengaged and the long axis of the object
be made to correspond to that of the esophagus before traction for
removal is made (Fig. 92). Should the intruder be grasped in the
center and traction exerted, serious and perhaps fatal trauma might
ensue.

[191] [FIG. 92.--The problem of the horizontally transfixed foreign
body in the esophagus. The point, D, had caught as the bone, A, was
being swallowed. The end, E, was forced down to C, by food or by blind
attempts at pushing the bone downward. The wall, F, should be
laterally displaced to J, with the esophagoscope, permitting the
forceps to grasp the end, M, of the bone. Traction in the direction of
the dart will disimpact the bone and permit it to rotate. The rotation
forceps are used as at K.]

[FIG. 93.--Solution of the mechanical problem of the broad foreign
body having a sharp point by version. If withdrawn with plain forceps
as applied at A, the point B, will rip open the esophageal wall. If
grasped at C, the point, D, will rotate in the direction of F and will
trail harmlessly. To permit this version the rotation forceps are used
as at H. On this principle flat foreign bodies with jagged or rough
parts are so turned that the potentially traumatizing parts trail
during withdrawal.]

The extraction of broad, flat foreign bodies having a sharp point or a
rough place on part of their periphery is best accomplished by the
method of rotation as shown in Fig. 93.





Next: Extraction Of Open Safety-pins From The Esophagus

Previous: Esophagoscopic Extraction Of Foreign Bodies



Add to del.icio.us Add to Reddit Add to Digg Add to Del.icio.us Add to Google Add to Twitter Add to Stumble Upon
Add to Informational Site Network
Report
Privacy
SHAREADD TO EBOOK


Viewed 1090