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Ultrasound-Guided Percutaneous Removal of Wooden Foreign Bodies in the Extremities with Hydro-Dissection Technique

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Author(s)
Hee Jin ParkSung Moon LeeSo Yeon LeeEun Seok SonEun Chul ChungMyung Ho RhoSun Joo Lee
Keimyung Author(s)
Son, Eun SeokLee, Sung Mun
Department
Dept. of Orthopedic Surgery (정형외과학)
Dept. of Radiology (영상의학)
Journal Title
Korean Journal of Radiology
Issued Date
2015
Volume
16
Issue
6
Keyword
UltrasoundInterventionForeign bodiesSurgery
Abstract
Objective: We described the technique of ultrasound (US)-guided percutaneous removal of the foreign bodies (FB) with
hydro-dissection in the radiologic department and presented video files of several cases.
Materials and Methods: Four patients referred to the radiology department for US evaluation and US-guided percutaneous
removal of the FBs in the upper and lower extremities between November, 2006 and November, 2013 were included in this
study. The procedures started with US evaluation for the exact location and shape of the FB. A 5 mm-sized skin incision was
made at the site of the nearest point from the FB where no passing arteries or tendons were present. We adopted a hydrodissection
technique to separate the FB from adjacent tissue using a 2% lidocaine solution. Injected anesthetics detached
the FBs from surrounding tissue and thereby facilitated removal. After the tip of the mosquito forceps reached the FB, the
wooden FBs were removed.
Results: The mean time required for the entire procedure was approximately 20 minutes. There were no significant
complications during the US-guided removal or long-term complications after the procedure. All 4 FBs were successfully
removed from the soft tissue under US guidance.
Conclusion: Ultrasound-guided percutaneous removal of the FBs with hydro-dissection in the radiology department is a less
invasive and safe method over surgical removal in the operating room. Additionally, the use of a guide wire and serial
dilator may help minimize soft tissue injury and facilitate the introduction of forceps.
Keimyung Author(s)(Kor)
손은석
이성문
Publisher
School of Medicine
Citation
Hee Jin Park et al. (2015). Ultrasound-Guided Percutaneous Removal of Wooden Foreign Bodies in the Extremities with Hydro-Dissection Technique. Korean Journal of Radiology, 16(6), 1326–1331. doi: 10.3348/kjr.2015.16.6.1326
Type
Article
ISSN
1229-6929
DOI
10.3348/kjr.2015.16.6.1326
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33075
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
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