Name of the Procedure:

Incision and removal of foreign body, subcutaneous tissues; simple

Summary

This is a minor surgical procedure where a healthcare provider makes a small incision in the skin to remove a foreign object that has lodged under the skin.

Purpose

The procedure is performed to remove objects like splinters, glass, metal fragments, or other materials that have penetrated the subcutaneous tissues. Removing the foreign body prevents infection, relieves pain, and allows the tissue to heal properly.

Indications

• Sharp pain at the site of foreign body entry
• Visible or palpable foreign object under the skin
• Redness, swelling, or signs of infection around the area
• Difficulty with movement or function due to the foreign object

Preparation

• Clean the area where the foreign body is located
• Confirm through diagnostic imaging (e.g., X-ray) if necessary
• Follow any pre-procedure instructions provided by the healthcare provider, which may include avoiding certain medications that could increase bleeding

Procedure Description

1. The patient is positioned to allow easy access to the area.
2. The area is cleaned with an antiseptic solution.
3. Local anesthesia is administered to numb the site.
4. A small incision is made directly over the foreign body.
5. The foreign body is carefully extracted using forceps or another appropriate tool.
6. The incision site is then cleaned again and closed with stitches or adhesive strips if necessary.
7. A sterile dressing is applied over the wound.

Duration

The procedure typically takes about 15-30 minutes.

Setting

This procedure is usually performed in an outpatient clinic or a hospital.

Personnel

• A general surgeon or primary care physician
• Nurse or medical assistant to assist with the procedure
• Anesthesiologist, if more extensive anesthesia is required (usually not necessary for simple cases)

Risks and Complications

• Infection at the incision site
• Bleeding
• Scarring
• Incomplete removal of the foreign body
• Damage to surrounding tissues

Benefits

• Relief from pain and discomfort caused by the foreign body
• Prevention of infection and other complications
• Quick return to normal function and activity
• Minor procedure with minimal recovery time

Recovery

• Keep the wound clean and dry.
• Follow instructions regarding wound care and changing dressings.
• Be mindful of any signs of infection (redness, swelling, increased pain) and report them to your healthcare provider.
• Avoid strenuous activities until the wound has healed.
• Typically, full recovery is expected within a few days to a week.

Alternatives

• Non-surgical methods such as soaking the area or using tweezers for superficial foreign bodies.
• Watchful waiting if the foreign object is not causing significant discomfort (though this risks infection).
• Pros: Less invasive, no surgical risks.
• Cons: Potential for incomplete removal, increased risk of infection or complications.

Patient Experience

During the procedure, the patient will feel minimal to mild discomfort due to the local anesthesia. Post-procedure, there may be some soreness or tenderness at the site, but this can usually be managed with over-the-counter pain relief. Full instructions on wound care and signs to monitor for complications will be provided to ensure a smooth recovery.