Ultrasound-Guided Percutaneous Removal of Foreign Body Using Hydrodissection and Serial Dilators / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 150-155, 2012.
Article
in Korean
| WPRIM
| ID: wpr-656959
ABSTRACT
High-resolution ultrasound of the painful, swollen left heel of a 54-year-old man, who reported that his symptoms had lasted 4 months, showed retention of a wooden foreign body in the heel. After administering local anesthesia and making a 5-mm skin incision, we performed hydrodissection of the foreign body from the adjacent soft tissue under real-time ultrasound guidance, using a 1% lidocaine solution. Then, we introduced an 18-gauge spinal needle and inserted a guide-wire through the needle. After we removed the needle, we introduced serial dilators in sizes ranging from 7 French to 12 French along the guide-wire to create a tract for mosquito forceps. Then, we introduced the mosquito forceps and removed the wooden foreign body. Ultrasound-guided percutaneous removal of foreign bodies is quick and safe. We believe that hydrodissection makes removal easier and that use of serial dilators minimizes soft-tissue injury and makes it easier to introduce mosquito forceps.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Retention, Psychology
/
Skin
/
Surgical Instruments
/
Heel
/
Foreign Bodies
/
Anesthesia, Local
/
Lidocaine
/
Culicidae
/
Needles
Type of study:
Diagnostic study
Limits:
Humans
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2012
Type:
Article
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