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Thoracoscopic removal of impacted denture: Report of a case with review of literature.

Dalvi AN, Thapar VK, Jagtap S, Barve DJ, Savarkar DP, Garle MN, Shukla AP - J Minim Access Surg (2010)

Bottom Line: Impacted foreign bodies in the oesophagus are common.Traditional thoracotomy for retrieval of impacted foreign bodies in the thoracic oesophagus is associated with significant morbidity.We present a case of impacted denture in the mid-oesophagus successfully removed using minimal access thoracoscopic procedure.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Seth G S Medical College and King Edward VII Memorial Hospital, Mumbai, India.

ABSTRACT
Impacted foreign bodies in the oesophagus are common. Because of their large size, rigidity and pointed edges, dentures get frequently impacted in the oesophagus and are difficult for endoscopic retrieval. Traditional thoracotomy for retrieval of impacted foreign bodies in the thoracic oesophagus is associated with significant morbidity. We present a case of impacted denture in the mid-oesophagus successfully removed using minimal access thoracoscopic procedure.

No MeSH data available.


Related in: MedlinePlus

The denture being extracted. Note the ligature and clip on the azygous vein.
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Figure 0002: The denture being extracted. Note the ligature and clip on the azygous vein.

Mentions: The patient was placed in 90° left lateral position. Four ports were used: 10-mm optical port in the 5th intercostal space (ICS) in the posterior axillary line, 5-mm port in the 4th ICS in the mid-axillary line, 10-mm port in the 7th ICS in the mid-axillary line and 5-mm port in the 7th ICS in the anterior axillary line for the fan-shaped retractor to retract the lung anteriorly. The denture was located just behind and above the azygous vein. The azygous vein was ligated and divided. The pleura was incised over the oesophagus, and a 5-cm segment of the involved oesophagus was freed. A small incision was made on the oesophagus at the level of impacted denture, which was removed with blunt forceps [Figure 2]. The defect in the oesophagus was closed with interrupted 3-0 mersilk sutures. The ryles tube was positioned in the oesophagus with its holes at the level of the perforation. The denture was removed through one of the ports after dividing it into two pieces. A 24-french intercostal drain was placed through one port, and the ports were closed. A feeding jejunostomy was done. The patient had a minor localised leak postoperatively, which settled with conservative management.


Thoracoscopic removal of impacted denture: Report of a case with review of literature.

Dalvi AN, Thapar VK, Jagtap S, Barve DJ, Savarkar DP, Garle MN, Shukla AP - J Minim Access Surg (2010)

The denture being extracted. Note the ligature and clip on the azygous vein.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2992662&req=5

Figure 0002: The denture being extracted. Note the ligature and clip on the azygous vein.
Mentions: The patient was placed in 90° left lateral position. Four ports were used: 10-mm optical port in the 5th intercostal space (ICS) in the posterior axillary line, 5-mm port in the 4th ICS in the mid-axillary line, 10-mm port in the 7th ICS in the mid-axillary line and 5-mm port in the 7th ICS in the anterior axillary line for the fan-shaped retractor to retract the lung anteriorly. The denture was located just behind and above the azygous vein. The azygous vein was ligated and divided. The pleura was incised over the oesophagus, and a 5-cm segment of the involved oesophagus was freed. A small incision was made on the oesophagus at the level of impacted denture, which was removed with blunt forceps [Figure 2]. The defect in the oesophagus was closed with interrupted 3-0 mersilk sutures. The ryles tube was positioned in the oesophagus with its holes at the level of the perforation. The denture was removed through one of the ports after dividing it into two pieces. A 24-french intercostal drain was placed through one port, and the ports were closed. A feeding jejunostomy was done. The patient had a minor localised leak postoperatively, which settled with conservative management.

Bottom Line: Impacted foreign bodies in the oesophagus are common.Traditional thoracotomy for retrieval of impacted foreign bodies in the thoracic oesophagus is associated with significant morbidity.We present a case of impacted denture in the mid-oesophagus successfully removed using minimal access thoracoscopic procedure.

View Article: PubMed Central - PubMed

Affiliation: Department of Surgery, Seth G S Medical College and King Edward VII Memorial Hospital, Mumbai, India.

ABSTRACT
Impacted foreign bodies in the oesophagus are common. Because of their large size, rigidity and pointed edges, dentures get frequently impacted in the oesophagus and are difficult for endoscopic retrieval. Traditional thoracotomy for retrieval of impacted foreign bodies in the thoracic oesophagus is associated with significant morbidity. We present a case of impacted denture in the mid-oesophagus successfully removed using minimal access thoracoscopic procedure.

No MeSH data available.


Related in: MedlinePlus