The patient was followed for about 3 months and was pain-free with no limitations of motion. Informed consent was obtained from all individuals included in this study. Magnetic force have been used for many years to remove metallic foreign bodies from eye, respiratory tract, and alimentary tract and so on.
However the use of this agency to remove metallic foreign bodies from soft tissues is reported less in the literature. Related research reports were as follows [ 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 ]: Table 1. Characteristics of 8 studies related to retrieval of foreign bodies from the soft tissue with the help of magnet.
To our knowledge, there are only a few other published reports of foreign body injuries to the sacrum. Gul et al. Lorraine et al. Some surgeons [ 11 , 12 , 13 ] believe that simple extraction of the foreign body, such as the nail or needle, could be done in most cases, unless there was gross contamination, joint penetration, or neurological compromise, and emphasized that these cases should be explored further if the foreign body is near neurovascular structures or if the foreign body is a nail with barbs.
In the case of broken needle injuries to the sacrum, we believe that a meticulous neurological examination and prophylactic antibiotic administration are essential prior to surgery to manage the penetrating intra-spinal injuries. Preoperative localization of foreign body is the most important task.
We use the coincidence of the broken sewing needle and a cross made of the needles of two mL syringes as the center of the incision. We extended the permanent magnet 3 cm up and down from the cross to find the broken sewing needle.
The proximity of the foreign body to important neurological structures and the potential for a cerebrospinal fluid leak should be noted during the retrieval of foreign bodies, especially at the superior aspect of the sacrum. In addition, the broken sewing needle was very light, weighing little more than 1 g, and we noted that the magnet attracted a g metal vascular clamp from 1 cm away.
All in all, we believe that magnets can only play a supplementary role in the surgical removal of foreign bodies, especially metallic foreign bodies, but surgeons should not completely depend on the way to remove the foreign body. Preoperative localization is one of the most important parts of the operation; if positioning errors occur, aiding methods are futile. When necessary, preoperative ultrasonography or three-dimensional computed tomography should be performed.
In addition, the incision sometimes should be appropriately extended. Foreign body removal with the use of a magnet should be performed within 1 week of when the foreign body entered the body; otherwise, the foreign body will be soon be enclosed by fiber and granulation tissue. Application of this method may have unexpected effects; however it can help surgeons avoid radiation overexposure.
Moreover, it can also help to remove the small, broken pieces of foreign bodies when they fracture. We think that accurate preoperative localization and application of a permanent magnet [ 7 ] combined with an incision that is sometimes appropriately extended during the removal of iron foreign body operation will produce the same result with less effort. Patients with metallic foreign bodies are sometimes very difficult to manage, largely due to radiation overexposure and a long operation time.
Removals of metallic foreign bodies with the help of the permanent magnet can reduce radiation overexposure and the operation time, thereby reducing the risk of harm to the patient and potential infection. We believe that all emergency physicians should learn to apply this method in order to remove metallic foreign bodies from patients, which can play an unexpected effect during the operation. Conflict of interest : The authors have declared that there are no conflicts of interest.
National Center for Biotechnology Information , U. Journal List Open Med Wars v. Open Med Wars. Published online Dec Author information Article notes Copyright and License information Disclaimer. Received Dec 2; Accepted Oct Abstract Penetrating sacral injuries are very rare, but foreign bodies that penetrate the sacrum often cause pain, cerebrospinal fluid leakage, and neurological symptoms.
Keywords: Broken needle, Magnet, Sacrum. If the fragment is visible, retrieve it with a haemostat. Tell the patient what has happened and try to reassure them. Ask the patient to avoid excessive jaw movements and arrange immediate referral to your local oral and maxillofacial surgery unit for consultation. Make a full and contemporaneous record of what has happened and how the situation has been or will be remedied.
If you manage to retrieve the needle fragment retain it for your records. Inform your defence union of the incident. At the oral and maxillofacial surgery department, an assessment will be made of the patient and the position of the retained needle fragment.
Treatment options will be discussed and arrangements made for monitoring or surgery. In this video we examine the duties set out by the GMC and GDC for raising concerns and review commonly raised issues. This practical risk assessment tool can be applied to a whole range of medical and dental, clinical and non-clinical activities.
In this minute tutorial we focus on repeat prescription requests. Mr Aubrey Craig, head of dental division with MDDUS, discusses the importance of good record keeping in the light of revised and extended guidance for dentists from the General Dental Council. In this episode we examine some of the common areas where dentists can find themselves as the subject of complaints, GDC scrutiny and negligence claims.
For registration, or any login issues, please visit our login page. Global estimates of prevalence of HCV infection among injecting drug users. Int J Drug Policy. Global epidemiology of hepatitis B and hepatitis C in people who inject drugs: results of systematic reviews. Global policy and access to new hepatitis C therapies for people who inject drugs.
Intravenous drug users and broken needles--a hidden risk? Association between beta-arrestin2 genetic polymorphism and response to methadone maintenance treatment in heroin-dependent patients in Han population in Hunan province. Methadone maintenance treatment programme reduces criminal activity and improves social well-being of drug users in China: a systematic review and meta-analysis. BMJ Open. National Working Group on methadone maintenance treatment program. Retention and its predictors among methadone maintenance treatment clients in China: a six-year cohort study.
Drug Alcohol Depend. Download references. The datasets during and analyzed during the current study available from the corresponding author on reasonable request. You can also search for this author in PubMed Google Scholar. XMF conceived and analyzed the data. All authors read and approved the final manuscript.
Correspondence to Kangjun Shen. The investigation conforms to the principles approved by the ethics committee of the Second Xiangya Hospital. We obtained written informed consent from the patient. The patient gives him consent for the information about himself to appear in the journal and associated publications. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Reprints and Permissions. Fu, X. Case report: surgical removal of a migrated needle in right ventricle of an intravenous drug user. Subst Abuse Treat Prev Policy 12, 51 Download citation.
Received : 06 May Accepted : 14 November Published : 08 December Anyone you share the following link with will be able to read this content:. Sorry, a shareable link is not currently available for this article. Provided by the Springer Nature SharedIt content-sharing initiative.
Skip to main content. Search all BMC articles Search. Download PDF. Abstract Background Illicit drug use has become an increasing public health and social concern in the past decades worldwide.
Method We reported a rare case of an intravenous drug user which a retained broken needle fragments in the inferior wall of the right ventricle. Results We performed a successful surgery and give our comments and recommendations for illicit drug use worldwide and in China. Conclusions Illicit Drug use becomes a global problem because of its health and social harmfulness. Background Illicit drug use has attracted more social concern and become a public health concern in the past decades worldwide.
Methods and results A year-old man presented to the emergency department after a needle broke in his right groin while taking heroin intravenously 20 days ago.
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