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Abstract
Boyko V.V., Makarov V.V., Sochnieva A.L., Kritsak V.V.
Residual foreign bodies in soft tissues are one of the main causes of chronical infection lesions and decrease in life quality. Surgical treatment is the most common way to relieve the patient from a foreign body. Often there is a question whether to remove a foreign body? On the one hand, all foreign bodies that are in the human body must be removed. On the other hand, in the absence of symptoms, the risk of surgery performed for the purpose of removal exceeds the risk associated with finding the foreign body. We would like to describe a practical case of removing a foreign body (Kirschner`s wires) from the left supraclavicular region. The young patient lived with a fragment of Kirschner's wire left after the osteosynthesis of the fractured clavicle for 5 years. Surgery to remove the residual foreign body was successful. On the 7th postoperative day the patient was discharged from the hospital under the supervision of surgeons at the place of residence.
Key words: foreign body in soft tissue, Kirschner`s wire, surgical treatment.
КЛІНІЧНИЙ ВИПАДОК ВИДАЛЕННЯ ЗАЛИШКОВ СТОРОННЬОГО ТІЛА З ЛІВОЇ НАДКЛЮЧИЧНОЇ ОБЛАСТІ
Бойко В.В., Макаров В.В., Сочнева А.Л., Крицак В.В.
Залишкові чужорідні тіла м'яких тканин залишаються однією з основних причин виникнення вогнища хронічної інфекції та зниження рівня якості життя. Хірургічне лікування основний спосіб позбавити хворого від наявності чужорідного агента. Часто виникає питання чи видаляти чужорідне тіло. З одного боку, усі сторонні тіла, що знаходяться в тілі людини, підлягають видаленню, з іншого боку при відсутності симптомів ризик операції, проводимої з метою видалення, перевищує ризик, пов'язаний з перебуванням чужорідного тіла. Ми хотіли б поділитися випадком видалення залишкового стороннього тіла (спиці Кіршнера) лівої надключичної ділянки із власної практики. Молода пацієнтка прожила з уламком спиці Кіршнера, залишеної після металлоостеосинтезу поламаної ключиці протягом 5 років. Операція з видалення залишкового стороннього тіла пройшла успішно. На 7 післяопераційну добу пацієнтка була виписана зі стаціонару під спостереження хірурги за місцем проживання.
Ключові слова: чужорідне тіло м'яких тканин, спиця Кіршнера, хірургічне лікування.
кЛИНИЧЕСКИЙ СЛУЧАЙ УДАЛЕНИЯ ОСТАТКОВ ИНОРОДНОГО ТЕЛА ИЗ ЛЕВОЙ ПОДКЛЮЧИЧНОЙ ОБЛАСТИ
Бойко В.В., Макаров В.В., Сочнева А.Л., Крицак В.В.
Остаточные инородные тела мягких тканей остаются одной из основных причин возникновения очага хронической инфекции и снижения уровня качества жизни. Хирургическое лечение основной способ избавить больного от наличия чужеродного агента. Часто возникает вопрос удалять ли инородное тело? С одной стороны, все инородные тела, находящиеся в теле человека, подлежат удалению, с другой стороны при отсутствии симптомов риск операции, производимой с целью удаления, превышает риск, связанный с нахождением инородного тела. Мы хотели бы поделится случаем удаления остаточного инородного тела (спицы Киршнера) левой надключичной области из собственной практики. Молодая пациентка прожила с обломком спицы Киршнера, оставленной после металлоостеосинтеза поломанной ключицы в течении 5 лет. Операция по удалению остаточного инородного тела прошла успешно. На 7 послеоперационные сутки пациентка была выписана из стационара под наблюдение хирурги по месту жительства.
Ключевые слова: инородное тело мягких тканей, спица Киршнера, оперативное лечение.
References
Vavrik Zh.M., Zelenskij R.G. (1992) Inorodnye tela organizma. Vestnik hirurgii. 4-6. 342-344; [Vavrik Zh.M., Zelenskij R.G. Foreign bodies of the organism // Herald of surgery.1992. №.4-6. S.342-344];
Evdokimova E.Ju., Zhestovskaja S.I. (2000) Rol' CDK v diagnostike stadij ranevogo processa mjagkih tkanej u bol'nyh s hirurgicheskoj patologiej. Materialy kraev. nauch.-prakt. konferencii, posvjashhennoj 50-letiju obshhestva rentgenologov i radiologov. Krasnojarsk. 37 – 38; [Evdokimova E.YU., Zhestovskaya S.I. The Role of the Central Cancer Center in Diagnostics of the Wound Soft Wound Stage in Patients with Surgical Pathology Materials of the margins. Scientific-practical. Conference dedicated to the 50th anniversary of the Society of Radiologists and Radiologists. Krasnoyarsk. 2000; 37 - 38];
Hedrick W.R., Hykes L., Starchman D. E. (1995) Static imaging principles and instrumentation. Ultrasound physics and instrumentation. St. Louis (MO): Mosby. 71 -87;
Lavoipierre A.M., Kremer S. (1999) The expanding role of ultrasound in medicine. Aust. Fam. Physician. 28 (11). 7;
Elizarovskij S.I., Kalashnikov R.N. (1979) Operativnaja hirurgija i topograficheskaja anatomija. M.: Medicina 510 s.; [Elizarovskij S.I., Kalashnikov R.N. Operative surgery and topographic anatomy. M.: Medicine. 1979. P.510];
Kuznetsov V.A. (1963) Inorodnye tela, ostavlennye v rane pri operacii. Hirurgija. 3. 93-98; [Kuznetsov V.A. (1963) Foreign bodies left in the wound during surgery. Surgery. 3. 93-98];
Shaposhnikov Ju.G. (1984) Diagnostika i lechenie ranenij. Moskva. 343 s.; [Shaposhnikov Yu.G. (1984) Diagnosis and treatment of wounds. Moscow. 343 p.];
Shljapnikov S.A. (2003) Hirurgicheskie infekcii mjagkih tkanej - staraja problema v novom svete. Infekcii v hirurgii. 1(1). 14 – 21; [Shlyapnikov S.A. (2003) Surgical infections of soft tissues are an old problem in a new light. Infections in surgery. 1 (1). 14 to 21];
Florikjan A.K. (1998) Hirurgija povrezhdenij grudi (patofiziologija, klinika, diagnostika, lechenie): izbrannye lekcii; Har'kov. Osnova. S.510 (S.192); [Florikyan A.K. (1998) Surgery of breast lesions (pathophysiology, clinic, diagnosis, treatment): selected lectures; Kharkiv. The basis. P.510 (P.192)];
Hedrick W.R., Hykes L., Starchman D.E. (1995) Static imaging principles and instrumentation. Ultrasound physics and instrumentation. St. Louis (MO): Mosby. 71 -87.
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