Ultrasound-Guided Percutaneous Removal of Wooden Foreign Bodies in the Extremities with Hydro-Dissection Technique
- Author(s)
- Hee Jin Park; Sung Moon Lee; So Yeon Lee; Eun Seok Son; Eun Chul Chung; Myung Ho Rho; Sun Joo Lee
- Keimyung Author(s)
- Son, Eun Seok; Lee, 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
- Ultrasound; Intervention; Foreign bodies; Surgery
- 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.
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