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Year : 2016  |  Volume : 1  |  Issue : 1  |  Page : 18-20

Successful laparoscopic removal of ingested fork

1 Department of Surgery, Tbilisi State Medical University; Department of Surgery, Kipshidze Central University Hospital, Tbilisi, Georgia
2 Department of Surgery, Kipshidze Central University Hospital, Tbilisi, Georgia
3 Department of Surgery, Tbilisi State Medical University, Tbilisi, Georgia

Correspondence Address:
Zaza Demetrashvili
Department of Surgery, Tbilisi State Medical University, 33 Vazha-Pshavela ave, Tbilisi 0177
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2468-5585.179565

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Most ingested foreign bodies (FBs) pass through the gastrointestinal tract without any problems, although their passage depends on shape and size. When a FB is relatively large, endoscopic removal may be utilized in most cases (the success rate was 95%), but sometimes surgery is required. We present a case report of a 27-year-old woman with epilepsy who had swallowed a fork in a suicide attempt. A plain abdominal radiograph confirmed a FB (fork) in the stomach with no visible pneumoperitoneum. On objective examination, the abdomen was soft and nontender with no peritoneal irritation. After a failed attempt at endoscopic removal, the laparoscopic intervention was undertaken. The operation was performed under general anesthesia utilizing open laparoscopy (Hasson's technique). As a result, the fork was successfully removed without further complications. After 72 h, she was discharged from the hospital without any complications. The patient was followed up after 4 weeks and made a full recovery.

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