Bone marrow aspiration and biopsy from the iliac crest • Oncolex

Bone marrow aspiration and biopsy from the iliac crest • Oncolex

The procedure starts by finding the correct level for the biopsy. The biopsies are taken from the upper iliac crest with access via the ventral spine. The midline of the spineous process is
identified, and the iliac crest is located by
palpation. When the correct point is found, the puncture point is marked using a straw. This is to avoid losing the marking
after washing. The area around the puncture point is washed with colored chlorhexidine. The procedure is carried out asepticly, but without sterile drapes. The area around the puncture point must
remain sterile during the whole procedure. Correct placement of local anasthesia is important for how the patient experiences the procedure. Ten milliliters of Xylocain, with 10 milligrams per milliliter of adrenaline is normally used. When the needle reaches the periosteum
the anesthesia is given time to work before the number area is expanded by
angling the needle in four directions. To avoid unnecessary trauma to the skin
from the aspiration needle, a small incision is made in the skin
with a scalpel blade. Disposable and reusable aspiration
needles are available. A reusable needle is used in this video. The needle is pushed toward the
posterior iliac spine and rotated with careful pressure until
it goes through the cortex. When the needle is in the spongy tissue
the trocar is removed, and a five milliliter syringe is connected
to the needle. .2 to 2 milliliters is quickly
aspirated for a regular bone marrow smear. Three small ad seven larger smears are placed on slides the slides are tilted and the blood
which collects in the lower edge of the smear is removed before it coagulates. We then use another slide to make a few regular smears, and some which are squeezed. The smears are dried with the fan before
fixation and staining. A new aspiration needle is used for aspiration for flow cytometry. .5 milliliters of Aminopyrin
is placed in the syringe in advance to stop the aspirate coagulating. 4 to 5 millilitres is aspirated with the
syringe The aspirate is quickly moved to a
specimen glass. Finally a punch biopsy is taken. A disposable needle is used. The needle is inserted in the same
puncture wound and pushed toward the posterior crest. The needle is rotated with constant
pressure until it penetrates the iliac crest. Care is taken to ensure that the needle
does not slide into an area that is not anesthetized. The trocar is removed from the needle the rotation of the needle is continued
until it has penetrated deep enough into the bone marrow. The spoon is inserted into the needle The biopsy needle is rotated, without
pressure, in both directions to cut the biopsy loose. The needle ,with spoon and biopsy, is
pulled out. The spoon is carefully removed from the needle and the biopsy is put in fixation fluid using a
blunt trocar. The incision is closed with strips and covered with an adhesive bandage.

100 thoughts on “Bone marrow aspiration and biopsy from the iliac crest • Oncolex

  1. You gonna have to knock me out before they do that I go in screaming and kicking I'll punch too and I will cuss like a sailor

  2. I'm close to vomiting. I have a high pain tolerance. I want to donate to someone I know and will. But my God this is 🤮

  3. Man this has always been my worst nightmare… Last time I saw my senior doing it and I literally jumped watching him do it.

  4. Oh my God this makes me cry please God heal everyone with this problem God willing this goes away forever

  5. I am scared coz my right supraclavicular lymph nodes is swelling so bad for 4weeks now. =( I don't want to undergo this process. I am a bit scared. My Bf last year passed away of brain cancer. So I know how hard n depressing it is. Hayyysss =(

  6. Had this eight days ago , not pleasant. But not too bad, Around 10-12 min. Duration for four biopsy’s.

  7. I got this done just last week and it was very painful that I screamed and held my own hair tight with one hand while my knees (so that they don't move while the procedure is going on) in the other, while taking deep breaths. I don't understand how this patient is so calm. May be they put him to sleep. But, thankfully within 2 hours I was able to get up and walk again and I'm normal now, Although I get small pain there some times.

  8. I’ve had this done twice last year, my first time was without IV sedation. 10/10 do NOT recommend, it hurts so bad. It’s an incredibly odd feeling haha

  9. i am so scared i am only eleven and a bone is stickingg out of my leg please please Give me some advice i am tearing up i really dont know what happened i was just sleeping i woke up this morning and i saw a tiny bump i am

  10. Basically a procedure to try and save your life if you have Lymphoma. It hurts. Ask for the drill not the needle. Local anaesthetic doesn't work it just numbs the skin, the needle in the bone seriously hurts, buts its all quick. if you can do this under sedation do it, but remember the big picture, this is to save your life.

  11. Just gad one yesterday due to Sickle Cell. Man was it nerve racking but the doctors were great! Praying no one should have to go through this but if you do, you got this 💪🏾

  12. Cancer is already curable by Indian Scientist Dr.Dhaniram Baruah. FRCS Glasgow. (Worlds First Human Genetic Engineer)
    you can google it

  13. Just got this done yesterday it was so painful the anesthesia for some reason it did work a little but I felt the whole time how they were digging and moving that was one of the most painful thing I ever felt

  14. I went through this procedure one my right and then my left side immediately. It was FUCKING PAINFUL for someone who has been exposed to plenty of long scratches by an angry cat on my arm

  15. I had this done today and I feel just a little sore tonight. but not enough to take any pain meds. The procedure is not as painful as people are saying in these comments. There is a little sharp pain in the beginning when they numb the skin and that goes away in a few seconds. And when they are sucking out the bone marrow there is a weird feeling down your leg for a few seconds, not really painful, just a different feeling you probably never felt before. And when they pull out the needle you might say ouch but it's no big deal and the tiny pain lasts a second. Then it's over and the nurse bandages you up and tells you to keep band aid on for 72 hours and don't wet it at all. I sat for 5 minutes and went home and rested an hour and did my normal activity but didn't pick up anything heavy. The doctor offers for you to take a pill to calm you if you wish to be taken a couple hours before the biopsy if you want but I didn't take anything. It looks scary on the video but it's not bad at all.

  16. So uh.. my dad just got this done. He's about 67 but after the operation, he's limping and in super pain apparently. I read that it shouldnt hurt and that they should be able to walk and work immediately the next day.. is his acting skills top level or does it actually make him limp like a 90 yr old

  17. I hv gone through this. My doctor in india done this with a highly trained hand , only local anaesthesia ,10mins, minor pain.
    No need to worry for this procedure.

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