Name of the Procedure:

Removal of foreign body, shoulder; subcutaneous

Summary

This procedure involves the removal of a foreign object that has become lodged just beneath the skin of the shoulder. It is typically done through a small incision to extract the object.

Purpose

The main goal of this procedure is to remove any foreign material from the subcutaneous tissue of the shoulder to prevent infection, inflammation, or other complications.

Indications

• Presence of a foreign object beneath the skin in the shoulder area.
• Symptoms such as pain, swelling, redness, or infection around the site.
• Difficulty in moving the shoulder or persistent discomfort.

Preparation

• Patients might be asked to refrain from eating or drinking for a specific period before the procedure.
• Certain medications may need to be adjusted or paused.
• A physical examination and imaging tests, such as X-rays or ultrasounds, may be conducted to determine the precise location of the foreign body.

Procedure Description

1. The patient is positioned to give the surgeon easy access to the shoulder.
2. Local anesthesia is administered to numb the area.
3. A small incision is made over the site of the foreign body.
4. Surgical tools are used to carefully extract the foreign object.
5. The wound is then cleaned and closed with sutures or surgical adhesive.
6. A sterile dressing is applied to the site.

Duration

The procedure typically takes about 30 minutes to an hour, depending on the complexity and location of the foreign body.

Setting

It is usually performed in an outpatient clinic or a minor procedures room within a hospital.

Personnel

• A surgeon or physician.
• A nurse or medical assistant.
• An anesthesiologist or nurse trained in administering local anesthesia (if needed).

Risks and Complications

• Bleeding
• Infection
• Pain at the incision site
• Scarring
• In rare cases, damage to surrounding tissues or nerves

Benefits

• Relief from pain and discomfort caused by the foreign body.
• Prevention of potential infections or complications.
• Quick recovery and return to normal activities.

Recovery

• Patients are usually observed for a short period post-procedure to monitor for immediate complications.
• Instructions will be given for wound care, including keeping the site clean and dry.
• Pain management usually involves over-the-counter pain relievers.
• Follow-up appointment may be scheduled to ensure proper healing and to remove any stitches if necessary.
• Recovery time is typically short, ranging from a few days to a week.

Alternatives

• Observation: In some cases, small or non-problematic foreign bodies can be left in place and monitored.
• Minimally invasive techniques: Depending on the object’s nature and location, less invasive approaches might be used.
• Each alternative has its own risks and benefits which should be discussed with the healthcare provider.

Patient Experience

• During the procedure, the patient may feel pressure or slight discomfort but should not feel pain due to anesthesia.
• Post-procedure, some soreness and swelling are normal and usually managed with pain relievers and ice packs.
• Patients can generally resume normal activities within a few days, following their healthcare provider’s guidelines.