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Foreign bodies in the mouth, pharynx, larynx, trachea, esophagus, stomach and intestines

Foreign bodies can be sharp, damaging and obstructing (clogging) the pharynx, larynx and esophagus.

In case of suffocation, an urgent tracheotomy is necessary. The dog is fixed in the dorsal position, the hair is quickly removed from the ventral surface of the anterior third of the neck, twice the skin is lubricated with a 3% alcohol solution of iodine. Through a needle inserted strictly along the midline of the ventral surface of the neck, subcutaneous tissue in the larynx and trachea is tightly infiltrated with a 1% solution of novocaine. The skin and tracheal fascia are dissected along the midline of the neck to a length of 5-6 cm. Having exposed the trachea and cartilage of the larynx, the cricoid-tracheal ligament is pierced with a pointed scalpel. Turning the scalpel with a blade back cross the first three tracheal rings. The wound of the trachea is expanded with wound hooks. Having discovered a foreign body, they remove it. If it lies in the larynx, you can try to extract it through the mouth, wide open by the yawner.

In this case, the mucous membrane of the pharynx and larynx is impregnated with a cotton swab with a 0.5% solution of Sovcain, 1% solution of dicaine or 1% solution of cocaine. The tampon is fixed with forceps and inserted into the throat and larynx for 1-2 minutes.

3-5 minutes after instillation with a forceps, a foreign body is captured and removed. In case of failure, a completely ring-shaped and half-thyroid cartilage is dissected, the tracheal-laryngeal wound is dilated and a foreign object is removed.

After the operation, drainage, impregnated with a 5% solution of calcium chloride with the addition of furatsilin to a concentration of 1: 5000 or 0.25% solution of novocaine with the addition of 5 ml of gentamicin in 20 ml, is loosely introduced into the surface wound. Drainages are changed daily for 5 days. They should not penetrate the tracheal incision. Then they treat the wound as granulating. With severe swelling of the mucous membrane and shortness of breath before the introduction of drainage, a tracheotube is inserted into the central part of the trachea or, if it is not, a window is made in the trachea, partially excising two tracheal cartilages to the right and left of their dissection line.

Foreign bodies from the mouth and pharynx are removed through the mouth wide open by the yawner, after which the oral cavity is irrigated from the syringe with a warm solution of furacilin (1: 5000) or potassium permanganate (1: 1000).

Foreign bodies can clog the lumen of the esophagus, and sharp objects cause it to perforate. If blocked, swallowing is impaired. Palpating the esophagus, it is easy to find a limited swelling of a solid consistency. If a foreign body cannot be pushed through with an esophageal probe, urgent surgery under anesthesia is necessary. A skin area of ​​10 × 10 cm is shaved in the area of ​​the jugular gutter above the palpable foreign body. It is treated as described above. The surgical field is isolated with a sterile sheet with a cut in the middle. The edges of the incision are fixed to the skin with slippers or hemmed with several knotted seams. The skin is cut directly above the jugular vein or 0.5 cm above it. For better orientation, a vein is pressed before the incision, the skin and superficial fascia are dissected, the vein is pushed down, pushing the loose fiber in a blunt way, they approach the esophagus covered with a deep fascia, dissecting it above the neurovascular bundle. Having determined the boundaries of a foreign object and its hardness by oblique puncture of the wall of the esophagus, it is possible to destroy it. If this is not possible, the esophagus is dissected along, the obturating object is removed. The wound is washed with a solution of furatsilina 1: 5000 or better novocaine-gentamicin and a tight single-row suture M is applied.
With perforated wounds of the esophagus, a deep subfascial phlegmon develops with an acute foreign body. At the same time, intake of food is difficult, salivation, high body temperature, sharp depression are observed. Collateral edema of the left side of the neck develops, especially in the jugular vein above the perforation of the esophagus.

Perform surgery under anesthesia as early as possible. Quick access to the perforation zone is the same as during obturation. Dissection of the deep fascia is usually accompanied by the outflow of pus.

A wound is removed from the esophagus through a perforated wound. When this fails, thoroughly wash the wound with a 2% solution of chloramine or furatsilina 1: 1000 in a 0.25% solution of novocaine and cut the wall of the esophagus transversely, extending the wound; economically excise its edges, giving the wound the correct shape; wash the wound again with novocaintingamicin solution and apply a single-row sealed seam. Gauze drainage is introduced with a 10% solution of calcium chloride and gentamicin or semi-synthetic penicillin with a wide spectrum of action. Then they treat in the same way as with granulating wounds.

After operations on the esophagus during the first day, the dog is kept on a hungry diet, water supply is limited. On the second day they are fed with liquid feed (milk). From the third day they give semi-liquid cereal, minced meat. After a week, they switch to normal feeding, they do not give only bones.

Foreign bodies in the stomach and intestines are diagnosed radiologically. Remove them in an operational way. The day before the operation, hair is shaved on the abdomen, the animal is washed with soap. The operation site is wiped with a 0.5% alcohol solution of ammonia, dried with tampons and twice lubricated with a 5% alcohol solution of iodine or treated with a 0.5% solution of chlorhexidine for 1-2 minutes. The surgical field is isolated with a sterile sheet. The operation is performed under general anesthesia.

With the localization of a foreign body in the stomach, the abdominal cavity is opened along the white line in the pre-umbilical region. If a foreign body is in the intestine, access is through the same incision or made below the navel along the white line of the abdomen. Less commonly, paramedian cut through the rectus abdominis muscle.

After opening the abdominal cavity, a large curvature of the stomach or intestinal loop with a foreign body is removed, it is displaced to the periphery and intestinal pulp is applied to the extracted organ, this part of the organ is isolated with sterile wipes, the stomach is cut along the curvature, and the small intestine crosswise. The foreign body is removed, and the liquid contents of the organ are removed with a swab moistened with a solution of furatsilin 1: 1000 or novocai-ngentamicin, and a single or double row submersible serous-muscular suture is applied (see Fig. 50).

Before suturing the abdominal wall, it is irrigated a second time with disinfectant, pouring 3-4 ml of it into the abdominal cavity. Powder the wound with a complex powder and, having applied skin sutures, protect with an antiseptic bandage.
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Foreign bodies in the mouth, pharynx, larynx, trachea, esophagus, stomach and intestines

  1. Foreign bodies in the throat and esophagus
    Sometimes not only kittens, but also excessively curious adult cats swallow foreign objects. Some of these items are so small that they easily slip through the throat and esophagus, and then safely pass the stomach and intestines, and go out naturally, while others can get stuck. Often, for example, fish bones are stuck between the teeth, or stuck in the back of the throat
    The reasons for the entry of foreign bodies into the esophagus in dogs may be the habit of playing various objects and, hasty food, accidentally swallowing toys. In cats, the cause of foreign bodies (most often these are sewing needles with or without thread) is the special structure of the villi of the tongue. When trying to free itself from a randomly captured foreign body, the cat pushes it with the tongue movements
  3. Foreign bodies of the pharynx
    Foreign bodies of the pharynx often come with food (fish and meat bones, glass fragments, pieces of wire, pieces of meat, lard). Foreign bodies can also be objects that accidentally fall into the mouth (pins, nails, buttons), dentures. Less common are living foreign bodies (leeches, roundworms). The ingestion of foreign bodies in the throat can be caused by such predisposing moments as fast food,
    Foreign bodies fall into the throat when breathing or when swallowing and are countless diverse objects. The outcomes of a foreign body staying in the pharynx are different: it can be coughed up, expelled with an exhalation, spit out, lie freely in the pharynx without injuring the mucous membrane, advance further and become a foreign body of the larynx, trachea and bronchi, the esophagus, and finally, injure the mucous membrane and
  5. Foreign bodies of the larynx
    Meat and fish bones, needles, pins, buttons, eggshells, dentures, coins, small parts of toys usually enter the larynx from the mouth, less often from the stomach when vomiting. Such foreign bodies are much less common, such as parts of broken surgical instruments, tissue removed during surgery (adenoids, palatine tonsil, polyp), as well as living foreign bodies (leeches, roundworms,
  6. Foreign bodies of the pharynx
    Foreign bodies of the pharynx are quite common. They can be of various nature and shape: fish bones, metal objects (nails, pins), pieces of wood, shells of cereals, pieces of fruit, etc. Often in the throat pieces of unhealed food get stuck, dentures, etc. The reasons for the ingestion of foreign bodies in the throat are inattentive food intake, conversation, laughter with food. Children left
  7. Foreign bodies of the esophagus
    The ingress of foreign bodies into the esophagus is random and the predisposing moments are considered in the description of the physiology of the esophagus. Foreign bodies linger in places of physiological constriction, most often (50 - 60%) - in the area of ​​cricopharyngeal constriction, which has powerful striated muscles. The second place in the frequency of fixation of foreign bodies is in the thoracic region -
  8. Foreign bodies of the larynx
    Objects that can be foreign bodies of the larynx are very diverse - from a fallen tooth and food items to small metal objects. They can lie freely or penetrate the soft tissue of the larynx. There are differences in the clinic of foreign bodies depending on their location. Foreign bodies of the upper floor of the larynx, including the vestibular folds and organisms of the ventricle, mainly result
  9. Foreign bodies of the larynx
    Foreign bodies of the larynx, trachea and bronchi are more common in children. They enter the respiratory tract if the child inadvertently eats and adults do not control the behavior of children. Among foreign bodies, sunflower seeds, watermelon, pumpkin, pieces of carrots, coins, pins, parts of fountain pens, toys, etc. are more common. In adults, foreign bodies enter the respiratory tract with careless and inattentive
  10. Damage and foreign bodies of the esophagus
    Damage to the esophagus is external and internal. External, rarer ones include a breakthrough in the esophagus of abscesses of the lymph nodes, a tumor growing in it. Military injuries and incised wounds of the esophagus are possible in combination with damage to the pharynx and trachea. Internal damage - all cases of damage to the mucous membrane or the entire wall of the esophagus by foreign bodies, chemical agents,
  11. Diseases of the pharynx, esophagus and stomach
    Among the diseases of the pharynx and pharynx, angina, the infectious disease with the pronounced inflammatory changes in the lymphadenoid tissue of the pharynx and palatine tonsils, has the greatest clinical significance. The following forms of acute angina are distinguished: catarrhal, lacunar, follicular, fibrinous, purulent, necrotic and gangrenous. In chronic tonsillitis, hyperplasia and lymphoid sclerosis occur.
  12. Injuries, foreign bodies of the esophagus, trachea and bronchus
    Injuries, foreign bodies of the esophagus, trachea and
  13. Alien bodies of the digestive tract
    Foreign bodies of the pharynx Foreign bodies almost always enter the pharynx with food. Hasty food, lack of teeth, diseases of the masticatory apparatus, sudden cough, laughter, talking with food contributes to their ingestion. In addition, foreign bodies can enter the pharynx through the nose, as well as from the larynx and esophagus. Of particular danger are large foreign bodies. They are stuck in the larynx.
  14. Foreign bodies
    Foreign bodies of the ear, nose, pharynx, and less commonly, the larynx, trachea, and bronchi, are more common. Foreign bodies of the ear are more common in children (paper, pencils, fruit bones), in adults - foreign bodies with sharp edges (fragments of matches) and insects. Rinsing with water is contraindicated during perforation of the tympanic membrane and complete obstruction of the lumen by a foreign body. Insects are killed before removal,
  15. Foreign bodies
    Foreign bodies in the throat Cause Foreign bodies often fall into the throat with food. It can be fish and meat bones, glass fragments, pieces of plastic, large pieces of food. Foreign objects can also get into the mouth - pins, nails, buttons, dentures. Foreign bodies enter the mouth as a result of rapid absorption of food, sudden laughter or coughing during meals, and
  16. Foreign bodies in the airways
    When a foreign body enters the respiratory tract of a child, a cough immediately appears, which is an effective means of removing a foreign body, an attempt to stimulate it is a first aid. In the absence of cough and its inefficiency with complete obstruction of the respiratory tract, asphyxia quickly develops and urgent measures are needed to evacuate a foreign body. DIAGNOSTICS Basic
  17. Foreign bodies of the trachea and bronchi
    Most often, foreign bodies of the respiratory tract are found in young children. This is because children, learning the world around them, take various objects into their mouths, and their protective reflexes are not sufficiently developed. The frequency of predominant localization of foreign bodies in the respiratory tract is as follows: in the larynx - 13%, in the trachea - 22%, in the bronchi - 65% (Rokitsky M.R., 1978). Other authors
  18. Burns of the pharynx and esophagus
    Burns distinguish between thermal, chemical, electrical and radiation. Thermal burns of the oral cavity, pharynx and esophagus (often at the same time) usually occur when swallowing hot food, often liquid, sometimes when hot air, gas or steam gets into these cavities. In rare cases, only one organ is affected, which is associated with the duration of the contact of the damaging agent with the mucosa
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