Bajpai Minu, Goel Prabudh, Gupta Alisha, Varshney Abhimanyu
Department of Pediatric Surgery, All India Institute of Medical Sciences, Room No. 4002, 4th Floor, Teaching Block, New Delhi, PIN: 110029 India.
Indian J Otolaryngol Head Neck Surg. 2019 Oct;71(Suppl 1):933-938. doi: 10.1007/s12070-019-01598-x. Epub 2019 Feb 7.
Removal of sharp foreign bodies in the aero-digestive tract may inflict iatrogenic damage to the esophagus, trachea or other vital structures in case of impalement. We describe the '' for safe and effective removal of sharp objects from the upper aero-digestive tracts. Index Case 1: 1-year old boy presented to us with . The technique of removal of the pin by the along-with the mechanics of en-pouching the has been described. Index Case 2: 8 years old boy presented with accidental . The removal of the blade from his trachea was executed by the Kangaroo technique. The Kangaroo technique is described for safe endoscopic extraction of sharp foreign body from the aero-digestive tract while protecting the surrounding tissues, to maintain control of the object during extraction and to avoid causing iatrogenic damage by enclosing the foreign body in a 'kangaroo pouch'. The advantages and limitations of the technique have been discussed. The Kangaroo technique is safe, effective and reproducible way to effect removal of sharp object from the aerodigestive tract while preventing iatrogenic injury to the surrounding organs.
在呼吸道和消化道中取出尖锐异物时，如果发生刺入情况，可能会对食管、气管或其他重要结构造成医源性损伤。我们描述了一种从呼吸道和消化道上段安全有效地取出尖锐物体的“袋鼠技术”。索引病例1：一名1岁男孩因……前来就诊。文中描述了使用“袋鼠技术”取出大头针以及将大头针装入袋中的操作方法。索引病例2：一名8岁男孩因意外……前来就诊。通过“袋鼠技术”从他的气管中取出了刀片。“袋鼠技术”被描述为一种安全的内镜技术，用于从呼吸道和消化道中取出尖锐异物，同时保护周围组织，在取出过程中保持对异物的控制，并通过将异物装入“袋鼠袋”来避免造成医源性损伤。文中讨论了该技术的优点和局限性。“袋鼠技术”是一种安全、有效且可重复的方法，可用于从呼吸道和消化道中取出尖锐异物，同时防止对周围器官造成医源性损伤。
