Ultrasound-Guided Percutaneous Removal of Foreign Body Using Hydrodissection and Serial Dilators / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 150-155, 2012.
Artigo
em Coreano
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Retenção Psicológica
/
Pele
/
Instrumentos Cirúrgicos
/
Calcanhar
/
Corpos Estranhos
/
Anestesia Local
/
Lidocaína
/
Culicidae
/
Agulhas
Tipo de estudo:
Estudo diagnóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
The Journal of the Korean Orthopaedic Association
Ano de publicação:
2012
Tipo de documento:
Artigo
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