A Novel Use for the Rigid Cystoscope: The Removal of Sacral Tacks after a Coloanal Anastamosis Dehiscence
2009
Removing Sacral Tacks with a Cystoscope
Sample size: 1
publication
Evidence: low
Author Information
Author(s): W. Mahmalji, H. Mackenzie, A. Chopada, A. Raza
Primary Institution: Ealing Hospital NHS Trust
Conclusion
The use of a rigid cystoscope to remove sacral tacks is a viable alternative for patients unfit for major surgery.
Supporting Evidence
- The patient had a history of atrial fibrillation and rectal bleeding.
- CT scans revealed a presacral fluid collection and anastamotic dehiscence.
- The patient was unfit for major surgery due to her health condition.
Takeaway
Doctors found a new way to take out metal pins from a patient's back without needing big surgery, which helped her get better.
Methodology
The sacral tacks were removed using a rigid cystoscope and cold cup biopsy forceps under spinal anaesthesia.
Limitations
The procedure was complicated by the patient's poor health and the presence of inflammatory tissue.
Participant Demographics
A 69-year-old Caucasian female.
Digital Object Identifier (DOI)
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