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Minimally invasive search for a missing vibrator

Obstetrics & Gynecology Science 2020년 63권 5호 p.679 ~ 681
Marchand Greg J., Azadi Ali, Brar Akarshi Kaue, Sainz Katelyn, Anderson Sienna, Ruther Stacy, Ware Kelly, Hopewell Sophia, Brazil Giovanna, Meassick Katerina,
소속 상세정보
 ( Marchand Greg J. ) - Marchand Institute for Minimally Invasive Surgery
 ( Azadi Ali ) - Star Urogynecology
 ( Brar Akarshi Kaue ) - Star Urogynecology
 ( Sainz Katelyn ) - Marchand Institute for Minimally Invasive Surgery
 ( Anderson Sienna ) - Marchand Institute for Minimally Invasive Surgery
 ( Ruther Stacy ) - Marchand Institute for Minimally Invasive Surgery
 ( Ware Kelly ) - Marchand Institute for Minimally Invasive Surgery
 ( Hopewell Sophia ) - Marchand Institute for Minimally Invasive Surgery
 ( Brazil Giovanna ) - Marchand Institute for Minimally Invasive Surgery
 ( Meassick Katerina ) - Washington University of Health and Science

Abstract


Objective: To report a unique surgical procedure that was utilized to locate a missing vibrator in the pelvis of a patient. Emergency room admissions and surgery secondary to the malfunctioning of devices intended for sexual stimulation are extremely common. Emergency room staff of hospitals in the United States usually are skilled in the detection and removal of these devices. Occasionally, surgical intervention is warranted if the device enters a cavity that cannot safely be explored in the emergency room setting. We report a case of a vibrator that was lost during sexual activity. A flat plate X-ray showed it to be in the abdominal cavity. Careful questioning of the patient revealed that the device had an unusually small diameter. Surgical intervention showed that the device ultimately ended up in the bladder without causing traumatic injury.

Methods: We created a narrated video to demonstrate the surgical procedure (Canadian Task Force Classification III).

Results: Laparoscopy and cystoscopy were used to visualize and successfully remove the device. The patient recovered uneventfully.

Conclusion: Following laparoscopic confirmation of the location of the device, it was removed via cystoscopy. This case demonstrates how background information, such as the size of the missing device in this case, can be critical to providing high quality patient care.

키워드

Cystoscopy; Laparoscopy; Foreign bodies; Vibrator

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