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Ultrasound-Guided Percutaneous Removal of Foreign Body Using Hydrodissection and Serial Dilators

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Author(s)
Sung Moon LeeChul-Hyun Cho
Keimyung Author(s)
Cho, Chul HyunLee, Sung Mun
Department
Dept. of Orthopedic Surgery (정형외과학)
Dept. of Radiology (영상의학)
Journal Title
대한정형외과학회지
Issued Date
2012
Volume
47
Issue
2
Keyword
Foreign bodiesPercutaneous removalUltrasound
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.
4개월간의 좌측 후족부 동통 및 종창을 주소로 내원한 54세 남자에서 고해상도 초음파 검사상 좌측 후족부에 나무 양상의 이물이 관
찰되었다. 국소 마취제를 투여하고 5 mm 가량의 피부 절개 후 실시간 초음파하에 1% lidocaine 용액을 이용하여 이물과 주위 연부
조직을 박리하기 위해 hydrodissection을 시행하였다. 그 후 18-gauge spinal needle과 guide-wire를 삽입한 다음 needle을 빼내고,
이물을 쉽게 빼내기 위해 7에서 12 French의 guide-wire를 차례로 삽입한 다음 mosquito forceps를 이용하여 이물을 제거하였다.
Hydrodissection 및 serial dilator를 이용한 초음파하 경피적 이물 제거술은 빠르고 안전한 방법이라 생각한다.
Alternative Title
Hydrodissection 및 Serial Dilator를 이용한 초음파하 경피적 이물 제거술
Keimyung Author(s)(Kor)
조철현
이성문
Publisher
School of Medicine
Citation
Sung Moon Lee and Chul-Hyun Cho. (2012). Ultrasound-Guided Percutaneous Removal of Foreign Body Using Hydrodissection and Serial Dilators. 대한정형외과학회지, 47(2), 150–155. doi: 10.4055/jkoa.2012.47.2.150
Type
Article
ISSN
1226-2102
DOI
10.4055/jkoa.2012.47.2.150
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39490
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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