Clinical Utility and Pitfalls of Ultrasound Guided Foreign Body Removal in War Fighters
Annual rept. 29 Sep 2012-28 Sep 2013
NATIONWIDE CHILDREN'S HOSPITAL COLUMBUS OH RESEARCH INST
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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 or year 3. A no cost extension NCE for future years 4, 5 and 6 were approved. No progress was made in year 4. Part 2 was approved and four of the Part 2 trainings occurred in year 5. One research training class was conducted at each of the participating MTFs TAMC, BAMC, MAMC, and WRNMMC. A second training for each site has been scheduled for year 6. The continuing review has been submitted to NCH IRB. We are currently working on the continuing reviews for TAMC, BAMC, MAMC, and WRNMMC. Part 3 is still being reviewed by TAMC. Once approved we will submit site specific documents to each MTF for local IRB approval and deferral to TAMC IRB and final approval form ORP HRPO.
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