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操作显微镜的无菌罩在无乳腺膜和手术部位感染中
Julian K Marable1, Daisy L Spoer, Varsha Harish1
1From the Georgetown University School of Medicine, Washington, DC.
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概括
切换到无菌显微镜手柄盖在乳房自由手术显著减少浪费和成本,而不会增加感染率. 这种可持续的做法与"精益绿色"的外科手术原则保持一致,以改善环境影响.
科学领域:
- 微手术 微手术是一种微手术.
- 手术瘤学手术瘤学
- 整形外科 整形外科 整形外科
背景情况:
- 传统的手术显微镜使用一次性塑料窗,引发了人们对预防感染的必要性和乳房自由手术中的废物产生的担忧.
- 替代无菌手柄包装提供了一种潜在的更具成本效益和环境可持续的方法来保持无菌性.
研究的目的:
- 评估不同操作显微镜罩技术 (全罩与手柄盖) 对腹部自由板 (Ab-FF) 手术部位感染 (SSI) 率的影响.
- 评估从传统的显微镜窗切换到处理盖的环境和成本影响.
主要方法:
- 对2017年3月至2022年8月期间连续进行的281次Ab-FF程序的回顾性审查.
- 收集的数据包括患者人口统计学,并发症,术后细节和术后并发症,重点关注接受者的乳房和腹部供体部位的SSI.
- 显微镜窗和手柄盖之间的感染率和环境影响 (碳排放,成本) 的比较.
主要成果:
- 显微镜罩 (9.3%) 和手柄罩 (9.1%) 组之间没有观察到术后感染率的显著差异.
- 放射治疗被确定为术后感染的唯一独立预测因素;双边重建是独立的保护.
- 将显微镜窗替换为手柄盖,减少了1276g的二氧化碳排放,每件直接成本降低了7.84美元.
结论:
- 在Ab-FF手术中,从全显微镜罩转换为手柄包装与感染风险的增加无关.
- 采用显微镜手柄包装协议显著降低了碳足迹和运营成本,支持"精益绿色"的手术原则.
- 这项研究提供了证据,证明在微手术乳房重建中采用务实,成本效益和可持续的做法.
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