Clinical Utility and Pitfalls of Ultrasound Guided Foreign Body Removal in War Fighters

Abstract

Part 1 of the 3 part study was conducted on 13 May 2009 at Nationwide Children s Hospital. This was a cadaver cohort study with video comparison between radiologists with percutaneous USFBR, conventional surgical foreign body removal, and surgical foreign body removal with wire localization comparing incision size, time of procedure, wound closure (number of sutures), overall removal success and procedural differences. In this component, comparison data was collected using human cadaver thighs for testing differences between the surgical and percutaneous techniques. Part 1 was completed with success in year 1 using the tasks described in the approved SOW. The hypothesis for part 1 was proven partially correct. The hypothesis was that ultrasound guided foreign body removal (USFBR) is faster and more effective than open surgical removal, with smaller incisions. The results found that USFBR is more effective than open surgical removal, with smaller incisions. However the results also showed that the surgical method was faster. No progress was made in year 2 so year 3 we will proceed with part 2 training and part 3 clinical implementation as described in the approved SOW.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2010
Accession Number
ADA620121

Entities

People

  • William E. Shiels Ii

Organizations

  • Nationwide Children's Hospital

Tags

DTIC Thesaurus Topics

  • Department Of Defense
  • Health Care
  • Health Services
  • Hospitals
  • Medical Personnel
  • Physicians
  • Recognition
  • Soft Tissues
  • Surgery
  • Tissues
  • Training
  • Ultrasounds
  • Wound Healing
  • Wounds And Injuries

Fields of Study

  • Medicine

Readers

  • Software Engineering
  • Trauma Surgery or Emergency Medicine.