Browse > Article
http://dx.doi.org/10.15596/ARMS.2014.23.2.93

Diagnosing Micro Foreign Bodies with the Microscope  

Kwon, Chan (Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Dongguk University School of Medicine)
Rhee, Seung Chul (Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Dongguk University School of Medicine)
Bahk, Su Jin (Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Dongguk University School of Medicine)
Cho, Sang Hun (Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Dongguk University School of Medicine)
Eo, Su Rak (Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Dongguk University School of Medicine)
Publication Information
Archives of Reconstructive Microsurgery / v.23, no.2, 2014 , pp. 93-96 More about this Journal
Abstract
The microscope is a surgical instrument with wide use in plastic surgeries more often than other departments due to the high rate of microscopic surgeries. Unfortunately, because the microscope is used mainly for digital replantations and free flaps, the utilization rate is low compared to the price and usability of the microscope itself. From September 2013 to March 2014, a foreign body which was untraceable with radiology in a patient who desired surgical exploration (one case), and a foreign body which was detected but was smaller than 3 mm (two cases) were removed using the microscope. All foreign bodies, which were fish bone, thin metals, or wooden objects, matching the history of the patients, were completely removed without damage. There were no complications and patient satisfaction was high through follow-up. We have described the microscope as the last and optimal examination tool in removal of micro foreign bodies. A simple change of thought, so that the microscope can be used as a second diagnostic tool will decrease complications by foreign bodies.
Keywords
Microscopy; Foreign bodies; Disgnosis;
Citations & Related Records
연도 인용수 순위
  • Reference
1 McNicholl BP, Martin J, McAleese P. Subclinical injuries in lacerations to the forearm and hand. Br J Surg 1992;79:765-7.   DOI
2 Salati SA, Rather A. Missed foreign bodies in the hand: an experience from a center in Kashmir. Libyan J Med 2010;5. doi:10.3402/ljm.v5i0.5083.
3 Courter BJ. Radiographic screening for glass foreign bodies: what does a "negative" foreign body series really mean? Ann Emerg Med 1990;19:997-1000.   DOI   ScienceOn
4 Lamb DW, Kuczynski K. FBs in the hand. In: Lamb DW, Kuczynski K, editors. The practice of hand surgery. 1st ed. Oxford: Blackwell Scientific Publications; 1981. p. 486.
5 Humzah D, Moss AL. Delayed digital nerve transection as a result of a retained foreign body. J Accid Emerg Med 1994;11:261-2.   DOI
6 Kurtulmus T, Saglam N, Saka G, Imam M, Akpinar F. Tips and tricks in the diagnostic workup and the removal of foreign bodies in extremities. Acta Orthop Traumatol Turc 2013;47:387-92.   DOI
7 Steele MT, Tran LV, Watson WA, Muelleman RL. Retained glass foreign bodies in wounds: predictive value of wound characteristics, patient perception, and wound exploration. Am J Emerg Med 1998;16:627-30.   DOI
8 Anderson MA, Newmeyer WL 3rd, Kilgore ES Jr. Diagnosis and treatment of retained foreign bodies in the hand. Am J Surg 1982;144:63-7.   DOI   ScienceOn
9 Dürr HR, Stabler A, Muller PE, Refior HJ. Thorn-induced pseudotumor of the metatarsal. A case report. J Bone Joint Surg Am 2001;83:580-5.   DOI
10 Mardel SN. Removal of foreign bodies from the foot, a technique using high elevation and local anaesthesia. Arch Emerg Med 1990;7:111-3.   DOI