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July 1, 1939

THE REMOVAL OF FOREIGN BODIES: A MODIFIED INCISION

Author Affiliations

San Diego, Calif.

From the Rees-Stealy Clinic.

JAMA. 1939;113(1):35-36. doi:10.1001/jama.1939.72800260001011

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Abstract

The removal of foreign bodies such as needles, thorns and splinters which break off under the dermis at nearly right angles to the surface of the skin is sometimes complicated by difficulty in locating the object. This difficulty is due to the normal mobility of the underlying fat in which the foreign body is embedded and is made greater by the increased mobility of the fat when the incision is extended into it. As a result, the incision passes to one side of the foreign body so that the search must be extended into the walls of the incision instead of immediately beneath the cutaneous puncture where the object of the search should lie. Thus an incision into the fat immediately distorts the relationship between the puncture wound and the foreign body (fig. 1). Furthermore, in such mobile fat the exploring forceps may merely push the object ahead of them

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