التفاصيل البيبلوغرافية
| العنوان: |
Superficial and Deep Skin Preparation with Povidone-Iodine for Ventriculoperitoneal Shunt Surgery: A Technical Note. |
| المؤلفون: |
Craven, Claudia L.1 claudia.craven@gmail.com, Thompson, Simon D.1, Toma, Ahmed K.1, Watkins, Laurence D.1 |
| المصدر: |
Journal of Korean Neurosurgical Society. 2019, Vol. 62 Issue 1, p123-129. 7p. |
| مصطلحات موضوعية: |
*CEREBROSPINAL fluid shunts, *SURGICAL anastomosis, *SKIN care products, *CEREBROSPINAL fluid, *POVIDONE-iodine, *SKIN |
| مستخلص: |
Objective: Ventriculoperitoneal (VP) shunt surgery is a common and effective treatment for hydrocephalus and cerebrospinal fluid disorders. Infection remains a major cause of morbidity and mortality after a VP shunt. There is evidence that a deep skin flora microbiome may have a role to play in post-operative infections. In this technical note, we present a skin preparation technique that addresses the issue of the skin flora beyond the initial incision. Methods: The patient is initially prepped, as standard, with. a single layer of 2% CHG+70% isopropyl alcohol. The novel stage is the 'double incision' whereby an initial superficial incision receives a further application of povidone-iodine prior to completing the full depth incision. Results: Of the 84 shunts inserted using the double-incision method (September 2015 to September 2016), only one developed a shunt infection. Conclusion: The double incision approach to skin preparation is a unique operative stage in VP shunt surgery that may have a role to play in reducing acute shunt infection. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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