Document Detail


Quality improvement: single-field sterile scrub, prep, and dwell for laparoscopic hysterectomy.
MedLine Citation:
PMID:  23622826     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The vulva and vaginal interior are considered a contaminated surgical area, and current OR guidelines require surgeons who are gloved and gowned at the abdominal field to avoid contact with the urethral catheter, the uterine manipulator, and the introitus or to change their gloves and even regown if contact occurs. It is our belief that the perception of the vaginal field as contaminated reflects a lack of specific standards for the preoperative cleansing of the deeper vagina and a lack of preoperative prep instructions for the combined fields. We developed a comprehensive single-field prep technique designed to improve surgical efficiency and prevent contamination of the sterile field. Combining a methodical scrub, prep, and dwell, this technique allows the entire abdomino-perineovaginal field to be treated as a single sterile field for laparoscopic procedures. Our surgical site infection rate of 1.8% when using this single-field prep technique and the subsequent surgical treatment of the abdominal, vaginal, and perineal fields as a single sterile field is well within reported norms.
Authors:
Katherine A O'Hanlan; Stacey Paris McCutcheon; John G McCutcheon; Beth E Charvonia
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AORN journal     Volume:  97     ISSN:  1878-0369     ISO Abbreviation:  AORN J     Publication Date:  2013 May 
Date Detail:
Created Date:  2013-04-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372403     Medline TA:  AORN J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  539-46     Citation Subset:  IM; N    
Copyright Information:
Copyright © 2013 AORN, Inc. Published by Elsevier Inc. All rights reserved.
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