SURGICAL DISEASES, TRAUMATOLOGY, ORTHOPEDICS, UROLOGY : FOREIGN BODY IN SOFT TISSUE - etiology, pathogenesis, symptoms and course of, recognition, prediction and prevention
Etiology. Foreign bodies fall into the soft tissue under a variety of conditions, on the war - at gunshot wounds.
The pathogenesis. Together with a foreign body in the tissues can get pieces of clothes, shoes, hair, etc. that creates a threat of infection. Foreign body (especially splinter) can cause the formation of abscess or phlegmon, encapsulated. Some foreign bodies, especially small or with a smooth surface (needles), can remain for many years in the tissues, surrounded by a dense connective tissue sheath.
Symptoms. History, presence of wounds in fresh cases, soreness, proschupyvayutsya infiltrate or foreign body, chest x-ray with metallic foreign bodies, fistula, going in depth to the foreign body.
Infection around a foreign body under General weakening of the patient or in violation of local resistance of fabrics (trauma, cooling) can cause flash (abscess, cellulitis, gas phlegmon). When purulent fistula obstruction Department of pus causes leakages. Being near vessels, foreign body can cause bleeding, near nerves is impaired function of the latter. A foreign body may shift, but the shift is usually not large and large does not matter.
In all cases, you need x-ray examination.
In recent cases the foreign body is removed in primary treatment of wounds. As prevention requires the introduction of tetanus toxoid or toxoid. Subject to removal foreign body, accompanied by an infectious process in the circle, giving fistula causing functional impairment or likely to cause them in the future. Very small foreign body or located so deep that removing them may result in complications, not deleted. Removal of foreign body, even apparently easy, can be difficult, because after the introduction of novocaine foreign body often becomes produmyvatsya. After removal of any foreign body must enter tetanus serum and toxoid.