Rapid Communication| Volume 48, ISSUE 3, e13-e15, March 2013

Laparoscopic-assisted removal of gastric trichobezoar; a novel technique to reduce operative complications and time


      Trichobezoar complicates trichophagia. It can provide a diagnostic challenge due to the variety of presenting features. Surgical removal is usually required for relief of symptoms and prevention of further complications. We describe 2 cases of gastric trichobezoar, and present a novel laparoscopic-assisted technique of removal of large trichobezoars involving the use of an Alexis wound retractor. This is advantageous as it keeps peritoneal cavity and skin clean and the gastric wound is protected from trauma by repeated instrumentation. Excellent access to the stomach is provided. A larger foramen means the bezoar could be removed quicker than through a port, reducing operative time.

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        • Palanivelu C.
        • Rangarajan M.
        • Senthilkuma
        • et al.
        Trichobezoars in the stomach and ileum and their laparoscopy-assisted removal: a bizarre case.
        Singapore Med J. 2007; 42: e37-e42
        • Sharma D.
        • Srivastave M.
        • Babu R.
        • et al.
        Laparoscopic treatment of gastric bezoar.
        J Soc Laparoendosc Surg. 2010; 14: 263-267
        • Gorter R.R.
        • Kneepkens C.M.F.
        • Mattens E.C.J.L.
        • et al.
        Management of trichobezoar: a case report and literature review.
        Pediatr Surg Int. 2010; 26: 457-463
        • Wai C.T.
        • Lau G.
        • Sutedja D.S.
        Clinics in diagnostic imaging (104).
        Singapore Med J. 2005; 46: 359-361
        • Shami S.B.
        • Jararaa A.A.M.
        • Hamade A.
        • et al.
        Laparoscopic removal of a huge gastric trichobezoar in a patient with trichotillomania.
        Surg Laparosc Endosc Percutan Tech. 2007; 17: 197-200
        • Cintolo J.
        • Telem D.A.
        • Divino C.M.
        • et al.
        Laparoscopic removal of a large gastric trichobezoar in a 4-year-old girl.
        J Soc Laparoendosc Surg. 2009; 13: 608-611
        • Meyer-Rochow G.Y.
        • Grunewald B.
        Laparoscopic removal of a gastric trichobezoar in a pregnant woman.
        Surg Laparosc Endosc Percutan Tech. 2007; 17: 129-132
        • Nirasawa Y.
        • Mori T.
        • Ito Y.
        • et al.
        Laparoscopic removal of a large gastric trichobezoar.
        J Pediatr Surg. 1998; 33: 663-665
        • Dorn H.F.
        • Gillick J.L.
        • Stringel G.
        Laparoscopic intragastric removal of giant trichobezoar.
        J Soc Laparoendosc Surg. 2010; 14: 259-262