{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T02:16:28Z","timestamp":1783476988968,"version":"3.55.0"},"reference-count":12,"publisher":"American Academy of Pediatrics (AAP)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2004,9,1]]},"abstract":"<jats:p>Background. Navel piercings are becoming increasingly popular among adolescents. Body piercing jewelry must be removed before surgery, because electrical burns can occur with electrocauterization. Also, piercing jewelry creates artifacts during magnetic resonance imaging. Even temporary piercing jewelry removal may lead to closure of the subcutaneous tract; therefore, temporary replacement with a nonmetallic spacer is indicated.<\/jats:p>\n               <jats:p>Objective. This report describes a simple, safe, effective method for perioperative temporary replacement of navel piercing jewelry with a universally available, nonmetallic, sterile, intravenous catheter.<\/jats:p>\n               <jats:p>Methods. The umbilical piercing jewelry of 5 adolescent female patients was removed before surgical or radiologic interventions by using the following technique: 1) disinfecting the piercing and umbilical area with 70% isopropyl alcohol, 2) opening the piercing jewelry by removing the bead from the bar, 3) placing the tip of a tight-fitting intravenous catheter (14 or 16 gauge, without the needle) over the threaded tip of the bar, 4) advancing the intravenous catheter caudally, pushing the piercing out of the skin tract, and 5) removing the jewelry and leaving the intravenous catheter in the subcutaneous skin tract as a spacer. After the intervention, the piercing jewelry was reinserted by following the described steps in reverse order. The patients were evaluated after 1 week, for assessment of any adverse effects, including infection.<\/jats:p>\n               <jats:p>Results. With this method, piercing jewelry removal and reinsertion required &amp;lt;2 minutes for all patients. No procedural complications were noted. All jewelry was reinserted successfully after the procedure. The intravenous catheter left in situ did not interfere with surgery, and it did not produce any artifacts or adverse effects during magnetic resonance imaging. Follow-up evaluations at 1 week demonstrated no signs of irritation, infection, or other side effects of the procedure for any of the patients.<\/jats:p>\n               <jats:p>Conclusions. Periprocedural removal of navel piercing jewelry with this new technique proved to be quick, feasible, and safe. Piercings in other locations on the body may be replaced for surgery or imaging studies in the same way, with minor modifications.<\/jats:p>","DOI":"10.1542\/peds.2004-0130","type":"journal-article","created":{"date-parts":[[2004,11,5]],"date-time":"2004-11-05T17:23:17Z","timestamp":1099675397000},"page":"e384-e386","source":"Crossref","is-referenced-by-count":23,"title":["Temporary Removal of Navel Piercing Jewelry for Surgery and Imaging Studies"],"prefix":"10.1542","volume":"114","author":[{"given":"Oliver J.","family":"Muensterer","sequence":"first","affiliation":[{"name":"From the Department of Pediatric Surgery, Dr von Hauner Children's Hospital, University of Munich, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2004,9,1]]},"reference":[{"key":"2021121021564681300_R1","doi-asserted-by":"crossref","unstructured":"Mayers LB, Judelson DA, Moriarty BW, Rundell KW. Prevalence of body art (body piercing and tattooing) in university undergraduates and incidence of medical complications. Mayo Clin Proc.\u20082002;77:29\u201334","DOI":"10.4065\/77.1.29"},{"key":"2021121021564681300_R2","doi-asserted-by":"crossref","unstructured":"Stirn A. Body piercing: medical consequences and psychological motivations. Lancet.\u20082003;361:1205\u20131215","DOI":"10.1016\/S0140-6736(03)12955-8"},{"key":"2021121021564681300_R3","doi-asserted-by":"crossref","unstructured":"Guermazi A, Miaux Y, Zaim S, Peterfy CG, White D, Genant HK. Metallic artefacts in MR imaging: effects of main field orientation and strength. Clin Radiol.\u20082003;58:322\u2013328","DOI":"10.1016\/S0009-9260(02)00540-8"},{"key":"2021121021564681300_R4","doi-asserted-by":"crossref","unstructured":"Shellock FG. MR imaging of metallic implants and materials: a compilation of the literature. AJR Am J Roentgenol.\u20081988;151:811\u2013814","DOI":"10.2214\/ajr.151.4.811"},{"key":"2021121021564681300_R5","doi-asserted-by":"crossref","unstructured":"Khanna R, Kumar SS, Raju BS, Kumar AV. Body piercing in the accident and emergency department. J Accid Emerg Med.\u20081999;16:418\u2013421","DOI":"10.1136\/emj.16.6.418"},{"key":"2021121021564681300_R6","unstructured":"Association of Professional Piercers. Body and Facial Piercing Aftercare Guidelines. Chamblee, GA: Association of Professional Piercers; 2000. Available at: www.safepiercing.org\/bodyAftercare.html. Last accessed March 15, 2004"},{"key":"2021121021564681300_R7","doi-asserted-by":"crossref","unstructured":"Marenzi B. Body piercing: a patient safety issue. J Perianesth Nurs.\u20082004;19:4\u201310","DOI":"10.1016\/j.jopan.2003.11.002"},{"key":"2021121021564681300_R8","doi-asserted-by":"crossref","unstructured":"Larkin BG. Home study program: the ins and outs of body piercing. AORN J.\u20082004;79:333\u2013342","DOI":"10.1016\/S0001-2092(06)60609-1"},{"key":"2021121021564681300_R9","doi-asserted-by":"crossref","unstructured":"Peticolas T, Tilliss TS, Cross-Poline GN. Oral and perioral piercing: a unique form of self-expression. J Contemp Dent Pract.\u20082000;1:30\u201346","DOI":"10.5005\/jcdp-1-3-45"},{"key":"2021121021564681300_R10","unstructured":"MRI and x-ray piercing retainer. Available at: http:\/\/shop.store.yahoo.com\/mypiercing\/c83-tmb17pf.html. Last accessed March 15, 2004"},{"key":"2021121021564681300_R11","doi-asserted-by":"crossref","unstructured":"Weinberg JB, Blackwood RA. Case report of Staphylococcus aureus endocarditis after navel piercing. Pediatr Infect Dis J.\u20082003;22:94\u201396","DOI":"10.1097\/00006454-200301000-00025"},{"key":"2021121021564681300_R12","doi-asserted-by":"crossref","unstructured":"Cetta F, Graham LC, Lichtenberg RC, Warnes CA. 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