Magnets in Paediatric Surgery.

Abstract

Magnetism, recognized in ancient Greece and China, is a fundamental physical force influencing numerous domains, including medicine and surgery. Historically, the medical use of magnets dates back over two millennia. As proof, the ancient Sanskrit medical textbook Sushruta Samhita describes the removal of a metallic arrow lodged in the flesh with a magnet. Modern uses span from diagnostic to therapeutic applications, including in paediatric surgery. High-field magnetism, utilized in Magnetic Resonance Imaging and Transcranial Magnetic Stimulation (TMS), shows promise for various medical conditions, including depression and neurodegenerative diseases. Despite controversy surrounding low-field magnetism, its potential remains a topic of interest. One of the applications in paediatric surgery that has been evaluated in a randomized controlled trial is magnetic acupuncture for supplementary treatment of postoperative pain. As most paediatric surgeons are well aware, the use of magnets also poses risks, particularly in children, where ingested magnets can cause severe gastrointestinal complications. Regulations have tightened in response to increasing cases of magnet ingestion-related injuries but more needs to be done to avoid injury. Currently, magnets play crucial roles in a variety of medical applications, including magnetic cell sorting and therapeutic devices. Notably, magnetic compression anastomosis, which uses magnets to facilitate luminal tissue joining, have seen significant advancements. Innovations include devices for oesophageal atresia repair, with recent studies showing promising results in animal models and early clinical trials. Future research should focus on optimizing magnetic devices, expanding their applications, and ensuring safety. The continued exploration of magnetism's effects on living tissues and the development of new magnetic technologies could revolutionize medical and surgical practices, particularly in paediatric care.