INDICATIONS: This young man has a history of stepping on some glass many years ago. He feels that a piece of glass has remained embedded in the foot. An MRI scan did not demonstrate any obvious glass or metallic material, however, a foreign body granuloma reaction is noted. He presents now for excision of this mass which is directly on the plantar aspect of his foot and affects his walking.

DESCRIPTION OF PROCEDURE: The patient was brought to the operating room and placed on the operating table in the supine position. After insufflation of successful general anesthesia, the left foot was sterilely prepped and draped. The extremity was exsanguinated with an Esmarch which was used as an ankle tourniquet. The granuloma was noted about the plantar aspect of the foot over the fifth metatarsal head. An elliptical incision was made incorporating the granuloma and completely excising it, into the layer of the subcutaneous tissue. No residual granuloma or foreign body mass was left. The tourniquet was deflated. Hemostasis was obtained. The incision site was thoroughly irrigated. The skin was closed with 4-0 nylon. A light compressive dressing was applied, and a bunion shoe applied. The patient was then awakened from general anesthesia after tolerating the procedure well with no apparent complications. Estimated blood loss was zero. No drains were left.