Yaralanma Sonrası Ekstremitelerin Yumuşak Dokusunda Gözlenen Yabancı Cisimlere Cerrahi Yaklaşım.

Objective: Although foreign body injuries are common in the extremities, there is little information about treatment approaches in the literature. In this study, an epidemiological study of patients who underwent surgical treatment for foreign body ingestion in soft tissue was aimed. Methods: Between 2012 and 2015, a total of 109 patients (52 males and 57 females) who underwent surgical treatment for soft tissue foreign body injuries, received radiological images from the hospital archives and radiology PACS. Demographic data of the patients, type of foreign bodies sinking and submerged media, tetanus and antibiotic prophylaxis, anesthesia types, length of stay and complications were determined. Results: The mean age of 109 patients was 28 (3-68) years. In 62 (56.9%) patients, the injury occurred in the home environment and in 47 (43.1%) patients, foreign body sank in the external environment. Sinking foreign bodies were detected by needle in 43 patients, glass in 28 patients, metal body in 21 patients, metal foreign body as a result of gunshot injury in 12 patients and injury due to wooden component in 5 patients. The injuries were seen in 58.7% of the lower extremities and 41.3% in the upper extremity. While local anesthesia was applied to 78 (71.6%) patients who underwent surgery to remove foreign bodies, regional or general anesthesia was applied to the other patients. The patients who underwent local anesthesia were discharged on the same day, and general and regional anesthesia patients were discharged on the 1st postoperative day. No complications were observed during follow-up. Conclusion: Foreign bodies are mostly injuries in the home environment. Direct radiography is very useful in most of the foreign bodies, but ultrasonography and / or magnetic resonance imaging should be used to identify non-metallic foreign bodies. The type of anesthesia for surgical intervention should be based on the age of the patient and the localization of the foreign body. [ABSTRACT FROM AUTHOR]