MANAGEMENT OF FOREIGN BODIES IN SOFT TISSUES PRESENTED AT ACCIDENT & EMERGENCY DEPARTMENT OF A TERTIARY CARE HOSPITAL
Keywords:
Foreign body, Needle, Bullets, glass, soft tissue, Injury, extremityAbstract
Objectives: To know the management of foreign bodies in soft tissues of the body.
Material and Methods: Study was conducted in Khyber Teaching Hospital from January 2010 to December 2014. All cases confirmed to have foreign bodies in soft tissue were included. Exploration for removal was performed in Casualty under Local anesthesia. Name, gender, time since injury, type of foreign body, region of body, detection of foreign body on X-ray and removal were all recorded.
Results: Total 113 cases, 74(65.5%) male and 39 (34.5%) female were observed in five years. Mean age was 26.85±1.35 years. Fifty nine (52.2%) cases presented within 24 hours. Sewing needles 25(22.1%) and bullets/pellets 25(22.1%) were commonest followed by glass 22(19.46%), metallic fragments 21(18.5%), wood etc 10(8.84%), rubber/plastic 4(3.53%) and others 6(5.3%). Extremities were involved in two third of cases. X-rays were done in 102(90.3%) cases; foreign body was visible on X-Ray in 82(80.4%) cases. Nine cases(7.96%) needed aid of image intensifier for preoperative
localization and 5(4.42%) needed General anesthesia.
Conclusions: Foreign body embedded in soft tissue is challenging in management and at times may need image intensifier and general anesthesia for removal.
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