Name of the Procedure:

Removal of foreign body, pelvis or hip; subcutaneous tissue

Summary

This procedure involves the surgical removal of an object that has accidentally embedded itself in the subcutaneous tissues (just beneath the skin) of the pelvis or hip area.

Purpose

The purpose of this procedure is to safely remove the foreign object to prevent infection, reduce pain, and restore normal function to the affected area. It can also prevent further complications such as tissue damage or mobility issues.

Indications

• Presence of a palpable foreign object in the pelvis or hip.
• Symptoms such as pain, swelling, redness, or infection at the site.
• Diagnostic imaging confirming the presence of the foreign body.
• No response to conservative treatments like observation or antibiotics.

Preparation

• Fasting may be required for several hours before the procedure, depending on the type of anesthesia used.
• Adjustment or temporary discontinuation of certain medications (such as blood thinners) may be necessary.
• Pre-procedure imaging tests (e.g., X-rays, ultrasounds) to locate the foreign body accurately.

Procedure Description

1. The patient is positioned to allow optimal access to the affected area.
2. Local anesthesia is administered to numb the area, or general anesthesia may be given if necessary.
3. An incision is made in the skin over the foreign body.
4. The foreign object is carefully located and removed using surgical instruments.
5. The area is thoroughly cleaned to prevent infection.
6. The incision is closed with stitches and a sterile dressing is applied.

Duration

The procedure typically takes about 30 minutes to 1 hour, depending on the location and size of the foreign body.

Setting

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

Personnel

• Surgeon or specialized physician
• Surgical nurse
• Anesthesiologist (if general anesthesia is used)
• Operating room technician

Risks and Complications

• Infection at the incision site
• Bleeding or hematoma
• Injury to surrounding tissues
• Scarring
• Rarely, the need for additional surgery if the foreign body is not completely removed

Benefits

• Relief from pain and discomfort
• Prevention of infection and further tissue damage
• Improved function and mobility in the affected area
• Overall better quality of life

Recovery

• Keep the wound clean and dry; follow care instructions provided by the healthcare team.
• Avoid strenuous activities for a few days as advised.
• Pain management with prescribed medications or over-the-counter pain relievers.
• Follow-up appointment to monitor healing and remove stitches if necessary.
• Full recovery is typically expected within a few weeks.

Alternatives

• Observation and monitoring, if the foreign body is not causing significant pain or infection.
• Non-surgical methods, such as using specialized tools or techniques in certain situations.
• Pros and cons: Non-surgical methods may be less invasive but could be less effective in complete removal, leading to potential recurrence.

Patient Experience

• Mild discomfort during and after the procedure can be expected, but pain management options will be available.
• Anesthesia will ensure that there is no pain during the procedure itself.
• Post-procedure: Some soreness and swelling are normal but should subside within a few days.
• Adherence to recovery instructions will help minimize discomfort and promote faster healing.