Name of the Procedure:

Removal of foreign body, foot; subcutaneous
Common Name(s): Removal of foreign object from foot, Subcutaneous foreign body removal from foot

Summary

In this procedure, a healthcare provider removes an object that has accidentally entered the foot's subcutaneous tissue (beneath the skin). This might be something like a splinter, piece of glass, or metal fragment that needs to be carefully extracted to avoid infection or further injury.

Purpose

The procedure addresses the issue of foreign objects embedded in the foot's subcutaneous tissue, potentially causing pain, inflammation, or infection. The goal is to safely remove the object to alleviate symptoms and prevent complications.

Indications

• Persistent pain
• Swelling, redness, or signs of infection at the insertion site
• Difficulty walking or using the foot
• Previous failure to remove the object using conservative methods

Preparation

• Clean the foot thoroughly.
• Fasting is usually not required.
• Adjustment of medications, particularly anticoagulants, might be necessary.
• A physical examination and potentially imaging studies like X-rays to locate the foreign object.

Procedure Description

1. Local Anesthesia: The procedure typically starts with the administration of local anesthesia to numb the area.
2. Incision: A small incision is made over the site of the foreign body.
3. Extraction: Using sterile instruments (such as forceps, tweezers, or a needle), the healthcare provider carefully removes the object.
4. Cleaning: The area is then cleaned to ensure no debris or fragments remain.
5. Closure: The incision may be closed with sterile strips or sutures, depending on its size.
6. Dressing: A clean dressing is applied to protect the site and promote healing.

Duration

The procedure generally takes 15 to 30 minutes, depending on the complexity and size of the foreign object.

Setting

The procedure is commonly performed in an outpatient clinic, emergency room, or urgent care center.

Personnel

• Physician or a trained healthcare provider (such as a podiatrist or surgeon)
• Nurse or medical assistant
• Anesthesiologist or nurse anesthetist (if sedation beyond local anesthesia is needed)

Risks and Complications

• Infection
• Bleeding
• Scarring
• Potential damage to nearby structures
• Incomplete removal, necessitating further procedures

Benefits

• Relief from pain and discomfort
• Prevention of infection and other complications
• Improved function and mobility of the foot
• Quick return to normal activities

Recovery

• Keep the foot clean and dry.
• Follow any specific wound care instructions provided.
• Avoid strenuous activities or putting excessive weight on the foot until it heals.
• Monitor for signs of infection, such as increased redness, swelling, or discharge.
• Follow-up appointment may be necessary to check on healing.

Alternatives

• Conservative measures such as using tweezers, warm soaks, or minor home interventions
• Observation if the object is small and not causing significant symptoms
• More invasive surgical removal if the object is deeply embedded or complicated

Patient Experience

During the procedure, the patient will feel the initial prick and sting of the local anesthetic, followed by numbness in the area. Some pressure or mild discomfort might be felt during the removal process. Post-procedure, there may be mild soreness or tenderness, which can be managed with over-the-counter pain medications and proper wound care.