American Journal of Public Health Research
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American Journal of Public Health Research. 2015, 3(5A), 186-189
DOI: 10.12691/ajphr-3-5A-39
Open AccessResearch Article

A Comparative Study of Ultrasound Guided Versus Blind Surgical Removal of Foreign Bodies in Western Nepal

Prakash Sharma1, , Prasanna Ghimire2, Amar Gurung3, Chandra Bahadur Mishra4, Subita Lalchan1, Subash KC1, Merina Gyawali1 and Prabhat Kumar Tiwari1

1Department of Radiology, Manipal Teaching Hospital, Pokhara, Nepal

2Department of Radiology, Nepalgunj Medical College Teaching Hospital, Kohalpur, Nepal

3Department of Surgery, Metrocity Hospital, Pokhara, Nepal

4Department of Orthopedics, Metrocity Hospital, Pokhara, Nepal

Pub. Date: October 28, 2015
(This article belongs to the Special Issue Health Scenario 2015; Millennium Development Goals)

Cite this paper:
Prakash Sharma, Prasanna Ghimire, Amar Gurung, Chandra Bahadur Mishra, Subita Lalchan, Subash KC, Merina Gyawali and Prabhat Kumar Tiwari. A Comparative Study of Ultrasound Guided Versus Blind Surgical Removal of Foreign Bodies in Western Nepal. American Journal of Public Health Research. 2015; 3(5A):186-189. doi: 10.12691/ajphr-3-5A-39

Abstract

Ultrasound is effective in localization and removal of foreign body. This study was done to evaluate the role of ultrasonography in localization of foreign body and to compare the ultrasound guided foreign body removal with that of conventional surgical exploration without ultrasound guidance. This prospective study was conducted between September 2013 and July 2015. Patients more than 14 years of age old with clinical suspicion of retained foreign body were included in our study. Ultrasonography was done using 7.5 to 10 MHZ probe in Sonoace X6 and Logiq P3 machines. After exact localization patients were randomly selected into two groups. In the first group, removal was done using ultrasonography guidance by a radiologist using a standard technique. In the second group, removal was done by referring surgeon. Statistical analysis was done using SPSS 18. Age of the patients ranged from 15 to 85 years with the mean age of 37.7±17.7 years. M: F ratio was 2.2:1. Most common location of retained foreign body was foot. Most common type of retained foreign body was wooden piece. Sensitivity of ultrasound in detection of retained foreign body was 96.8%. There was no statistical difference between the length of foreign body as measured by ultrasonography before removal and by scale after removal. Duration required for removal of foreign body under ultrasonography guidance was significantly less. Post-operative scar was smaller in patients with ultrasound guided removal. In conclusion, ultrasound has a sensitivity of 96.8% in localization of foreign body. Ultrasonography guided removal of foreign body reduces the operation time with reduction in the post-operative scar.

Keywords:
foreign body removal ultrasonography

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