Nonshaved cranial neurosurgery

Ratanalert, Sanguansin; Saehaeng, Sakchai; Sripairojkul, B; Liewchanpattana, Kriengsak; Phuenpathom, Nakornchai

doi:10.1016/s0090-3019(98)00132-3

Cited by 42 publications

(49 citation statements)

References 10 publications

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“…Indeed, no statistically significant difference between the development of skin reaction and the method of hair removal was demonstrated (p = 0.576). The experience in this study was, therefore, in keeping with the findings of previous studies using depilatory cream for preoperative hair removal [5,18].…”

Section: Discussionsupporting

confidence: 76%

“…This observation emphasizes the need for preliminary training of personnel involved in the use of the cream for hair depilation in order to assure its maximum benefit for complete hair removal. The findings of some earlier studies did not justify the use of preoperative hair removal because the conventional preoperative shave was often associated with epidermal injuries and predisposed the patient to wound infection by causing the normal skin flora to contaminate the operative field [3][4][5]7,20]. In this study, more than one-quarter (27.9%) of the shaved patients had skin injuries of various degrees which is much higher when compared to the 3.8% of those who had depilatory cream application for hair removal.…”

Section: Discussionmentioning

confidence: 99%

“…In the United Kingdom, it is estimated that postoperative wound infections cost the National Health Scheme about one billion pounds annually [2]. As part of the antiseptic steps taken to reduce postoperative wound infection, different methods of hair removal are employed when preparing patients for operations and many of these have been previously evaluated [3][4][5]. The most popular methods are the use of razor blade, clippers, and depilatory creams [6].…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of two methods of preoperative hair removal and their relationship to postoperative wound infection

Adisa

Lawal

Adejuyigbe

2011

J Infect Dev Ctries

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Introduction: When a surgical operation is to be conducted through a hair bearing part of the body, hair removal is often performed. This study aimed to evaluate the relationship of two methods of preoperative hair removal to postoperative wound infection in a developing country where razor shaving is very popular. Methodology: Consecutive consenting patients scheduled to have such operations were randomized into two groups. One group had hair removal by shaving with a razor blade while the other had hair removed by depilatory cream. Adequacy of hair removal and presence of skin injuries and/or reactions were noted preoperatively. Details of the procedures were recorded and patients were then assessed for postoperative wound infection. Results: A total of 165 patients were studied. Of the 79 patients who had hair removal by depilatory cream, hair was completely removed in 70 (88.6%) compared to 53 (61.6%) of the 86 patients who had razor hair shaving (p < 0.0001). Skin injuries were noted in 24 (27.9%) of the razor group and 3 (3.8%) of patients who had depilatory cream, (p = 0.001). Thirteen patients (7.9%) had postoperative wound infection including 2 (2.5%) in the depilatory cream group and 11 (12.8%) of the razor group. A significant association was found between preoperative skin injuries and postoperative wound infections. Conclusion: Preoperative hair removal with razor shaving predisposes to skin injuries which in turn significantly influence postoperative wound infection rates. Such injuries and resultant wound infection are fewer when depilatory cream is used for hair removal.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluation of two methods of preoperative hair removal and their relationship to postoperative wound infection

Adisa

Lawal

Adejuyigbe

2011

J Infect Dev Ctries

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“…However, research shows that neurosurgeries performed without tricotomy have similar results to those performed with tricotomy (1,(4)(5)(6)(7) . A study of 638 patients who underwent different types of surgery without tricotomy found infection in 7 (1.1%) cases, supporting the fact that tricotomy does not reduce the risk of infection in the surgical wound (1) .…”

Section: Introductionmentioning

confidence: 99%

“…However, it was observed that, by preserving the hair, both psychological stress and changes in the patients' self-esteem were avoided (1,(4)(5)(6)(7) Certainly, preserving the hair plays a fundamental role in the patient's psychological condition in the post-surgery period, since the hair reflects the body image of an individual, not only for himself, but for society as a whole. In addition, hair contributes to the individual's self-esteem because it is related to appearance, physical attraction and even with health.…”

Section: Introductionmentioning

confidence: 99%

Repercussões na auto-estima provocadas pela tricotomia em craniotomia

Diccini

Yoshinaga

Marcolan

2009

Rev. esc. enferm. USP

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Portuguese / English: www.scielo.br/reeusp RESUMO O objetivo do estudo foi avaliar a repercussão da tricotomia na autoestima do paciente no pós-operatório de craniotomia. Estudo quantitativo do tipo prospectivo. Os dados mostram que a maioria dos pacientes referiu não ter sua autoestima alterada em função da tricotomia; predomina a manutenção da autoestima entre os pacientes que receberam orientação sobre a tricotomia; a maioria fez uso de acessórios como estratégia para ocultar a área raspada, e acredita que a tricotomia não prejudica a qualidade de vida nem interfere nas relações sociais. Conclui-se que os sentimentos relacionados à diminuição da autoestima são a perda da atração, a insegurança e a vergonha; há a necessidade de uso de acessórios para melhorar a autoimagem, e os profissionais da saúde devem trabalhar com os aspectos psicossociais dos pacientes no pré e pós-operatórios. DESCRITORES ABSTRACTThis quantitative-based, prospective-oriented study aims to evaluate the repercussion of hair removal in post-craniotomy's patient self-esteem. Data show that the majority of patients mentioned not having an altered self-esteem due to hair removal; self-esteem was kept the same among patients that were instructed about the hair removal process. The major part of patients made use of accessories as a strategy to hide shaved areas and believed that hair removal damaged neither their quality of life nor their social relationships. We conclude that the feelings directly related to the decrease of self-esteem are loss of physical attraction, insecurity and shame. The employment of accessories is made necessary towards improving self-esteem, and healthcare professionals must work with the psychosocial aspects of pre and post-surgery patients. KEY WORDSCraniotomy. Hair removal. Self concept. Nursing care. RESUMENEl objetivo del estudio fue evaluar la repercusión de la tricotomía en la auto estima del paciente en el posoperatorio de craneotomía. Estudio cuantitativo del tipo prospectivo. Los datos muestran que la mayoría de los pacientes refirió no tener su auto estima alterada en función de la tricotomía; predomina el mantenimiento de la auto estima entre los pacientes que recibieron orientación sobre la tricotomía; la mayoría hizo uso de accesorios como estrategia para ocultar el área raspada y piensa que la tricotomía no perjudica la calidad de vida y no interfiere en las relaciones sociales. Se concluye que los sentimientos relacionados a la disminución de la auto estima son la pérdida de la atracción, la inseguridad y la vergüenza; hay necesidad de usar de accesorios para mejorar la auto imagen y los profesionales de la salud deben trabajar con los aspectos psicosociales de los pacientes en el pre y pos operatorio. DESCRIPTORES

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Preoperative hair removal to reduce surgical site infection

Tanner¹,

Woodings²,

Moncaster³

2006

Cochrane Database of Systematic Reviews

177

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The evidence finds no difference in SSIs among patients who have had hair removed prior to surgery and those who have not. If it is necessary to remove hair then clipping results in fewer SSIs than shaving using a razor. There is insufficient evidence regarding depilatory cream compared with shaving using a razor. There is no difference in SSIs when patients are shaved or clipped one day before surgery or on the day of surgery.

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Nonshaved cranial neurosurgery

Cited by 42 publications

References 10 publications

Evaluation of two methods of preoperative hair removal and their relationship to postoperative wound infection

Evaluation of two methods of preoperative hair removal and their relationship to postoperative wound infection

Repercussões na auto-estima provocadas pela tricotomia em craniotomia

Preoperative hair removal to reduce surgical site infection

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