27087 Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular)

Name of the Procedure:

Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular)

Summary

This surgical procedure involves the extraction of a foreign object that has penetrated deeply into the pelvic or hip region, specifically beneath the fascia (a connective tissue layer) or within the muscle. It is typically performed under anesthesia to ensure patient comfort and safety.

Purpose

The procedure addresses the presence of foreign objects such as metal fragments, splinters, or other materials that have become lodged deep within the pelvis or hip. The primary goals are to alleviate pain, prevent infection, and restore normal function to the affected area.

Indications

• Severe pain or discomfort in the pelvic or hip region
• Evidence of a foreign body through imaging studies (X-ray, MRI)
• Signs of infection or inflammation
• Loss of function or mobility due to the embedded object
• A foreign body that cannot be removed through less invasive means

Preparation

• Fasting for at least 8 hours prior to the procedure
• Discontinuation of certain medications as advised by the doctor
• Preoperative imaging tests to locate the foreign body
• Blood tests to assess overall health and readiness for surgery

Procedure Description

1. Administration of anesthesia (general or regional).
2. A surgical incision is made over the affected area.
3. Dissection through tissues to reach the deep, subfascial, or intramuscular location of the foreign body.
4. Careful removal of the object using specialized tools.
5. Irrigation of the wound to prevent infection.
6. Closure of the incision with sutures or staples.
7. Application of a sterile dressing over the surgical site.

Duration

The procedure typically takes between 1 to 2 hours, depending on the complexity and location of the foreign body.

Setting

The procedure is usually performed in a hospital operating room or a surgical center.

Personnel

• Orthopedic or general surgeon
• Anesthesiologist
• Surgical nurses
• Surgical technologists

Risks and Complications

• Infection at the surgical site
• Bleeding or hematoma formation
• Damage to surrounding tissues or structures
• Pain or discomfort post-operation
• Anesthetic complications
• Rare risks include blood clots or deep vein thrombosis.

Benefits

The primary benefits include relief from pain, prevention of infection, and restoration of normal function to the pelvis or hip area. Patients usually begin to feel the benefits shortly after recovery from anesthesia.

Recovery

• Post-procedure monitoring in a recovery room.
• Pain management with prescribed medications.
• Instructions on wound care and signs of infection to watch for.
• Gradual return to regular activities as advised by the surgeon.
• Follow-up appointments to monitor healing, typically within 1-2 weeks.

Alternatives

• Non-surgical management, such as observation or antibiotics if infection is suspected but the foreign body is not causing severe symptoms.
• Less invasive extraction techniques using imaging guidance.
• Pros and cons of alternatives include less immediate relief and potential for incomplete removal versus lower risk of surgical complications.

Patient Experience

During the procedure, the patient is under anesthesia and should not feel pain. Post-procedure may involve some pain or discomfort, managed with medications. Patients should follow care instructions to ensure smooth recovery and will likely see significant improvement in symptoms as they heal.