A new method for the removal of safety pins ingested by children.
BACKGROUND
Foreign body ingestion is a common problem in children. Safety pin ingestion is common in Turkey. We describe a new method of removal for safety pins in our 2 cases.


METHODS
A 9-month-old girl and a 6-month-old boy had each ingested a safety pin. Abdominal X-rays detected the safety pins in their stomachs. At the end of 3 months, the foreign bodies still remained in their stomachs and laparotomy was indicated.


RESULTS
This technique consists of a limited midline upper laparotomy with vertical incision. Without the utilisation of a gastrotomy, an orogastric tube was inserted into the stomach and the open end of the safety pin was pinned to the tube from outside the stomach. The orogastric tube was gently pulled out to remove the safety pin.


CONCLUSIONS
This method provides shorter hospitalisation time and fewer complications.
Türkyilmaz
Zafer
Z
Gazi University Faculty of Medicine, Department of Pediatric Surgery, Ankara, Turkey. zafertrk@yahoo.com
Karabulut
Ramazan
R
Sönmez
Kaan
K
Basaklar
Abdullah Can
AC
Kale
Nuri
N
D005260:Female; D005547:Foreign Bodies / Q000601:surgery; D006801:Humans; D007223:Infant; D007813:Laparotomy / Q000379:methods*; D007902:Length of Stay; D013270:Stomach