Preoperative Hair Removal—a Systematic Literature Review

Kjønniksen, Inge; Andersen, Bjørg Marit; Søndenaa, Valbjorg G; Segadal, Leidulf

doi:10.1016/s0001-2092(06)61457-9

Cited by 76 publications

(28 citation statements)

References 20 publications

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“…Kjonniksen et al [4] documented that there is no scientific basis to follow the long-established surgical procedure of preoperative shaving of hair-bearing incision sites. Bekar et al [14] and Tanner et al [16] also reported that wound infection rates in unshaven cranial surgeries are not worse than those in shaven cases.…”

Section: Advantage Of Nonshaven Cranial Surgerymentioning

confidence: 99%

Effect of Unshaven Hair with Absorbable Sutures and Early Postoperative Shampoo on Cranial Surgery Site Infection

Yeom

Kim

et al. 2017

Pediatr Neurosurg

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Background: Cranial surgical site infection is a significant cause of morbidity and mortality in hospitals. Preoperative hair shaving for cranial neurosurgical procedures is performed traditionally in an attempt to protect patients against complications from infections at cranial surgical sites. However, preoperative shaving of surgical incision sites using traditional surgical blades without properly washing the head after surgery can cause infections at surgical sites. Therefore, a rapid protocol in which the scalp remains unshaven and absorbable sutures are used for scalp closure with early postoperative shampooing is examined in this study. Methods: A retrospective comparative study was conducted from January 2008 to December 2012. A total of 2,641 patients who underwent unshaven cranial surgery with absorbable sutures for scalp closure were enrolled in this study. Data of 1,882 patients who underwent surgery with the traditional protocol from January 2005 to December 2007 were also analyzed for comparison. Results: Of 2,641 patients who underwent cranial surgery with the rapid protocol, all but 2 (0.07%) patients experienced satisfactory wound healing. Of 1,882 patients who underwent cranial surgery with the traditional protocol, 3 patients (0.15%) had infections. Each infection occurred at the superficial incisional surgical site. Conclusion: Unshaven cranial surgery using absorbable sutures for scalp closure with early postoperative shampooing is safe and effective in the cranial neurosurgery setting. This protocol has a positive psychological effect. It can help patients accept neurosurgical procedures and improve their self-image after the operation.

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Section: Advantage Of Nonshaven Cranial Surgerymentioning

confidence: 99%

Effect of Unshaven Hair with Absorbable Sutures and Early Postoperative Shampoo on Cranial Surgery Site Infection

Yeom

Kim

et al. 2017

Pediatr Neurosurg

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“…The studies suggest bathing with chlorhexidine-containing solutions in the morning on the day of surgery, as part of preoperative preparation, in order to prevent surgical site infections associated with endogenous flora [10,11]. Body hair should be removed using either a clipper or epilator; which both cause minimal skin abrasion [12,13]. On the other hand, there are also studies that suggest not removing body hair [14].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the increase in invasive device associated infections in cardiovascular surgical intensive care unit

Kılıç

Bulut

Çeliköz

et al. 2018

J Infect Dev Ctries

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Introduction: Infections related to the use of invasive instruments leads to the risk of treatment difficulties, prolonged hospitalization, increased health care costs, and increased mortality and morbidity rates. The present study examines the results of an infection surveillance study that showed an increased incidence of infections related to the use of invasive instruments in the cardiovascular surgery intensive care unit of the Ankara Training and Research Hospital and mitigating measures were taken following the surveillance program. Methodology: Compared with previous surveillance data, an increase was observed in the incidence of infections related to the use of invasive instruments in cardiovascular surgery intensive care unit (CVS-ICU) during the first six months of 2014. A research team was formed comprising one infectious diseases and microbiology specialist, one cardiovascular surgeon, and two infection-control nurses. Patient data was collected. The compliance of the surgeons, nurses, and other health care professionals to the infection control measures was evaluated. Results: The rate of ventilator-associated pneumonia was 8.20% and the rate of catheter-associated urinary tract infection was 4.47% in the CVS-ICU. There were missing or inadvertent practices regarding antibiotic prophylaxis, asepsis and antisepsis and isolation measures in patient preparation and patient care before and after the operations. The rate of inappropriate antibiotic as prolonged use was 72%. Conclusions: It is one of the basic tasks to take appropriate measures to prevent outbreaks of hospital infections. It is possible to prevent an outbreak of hospital infections only by the accurate analysis of data and establishing strict infection control procedures.

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“…2 It appears that more than 50% of surgeons questioned still carry out this practice. Hair should only be removed from the operative site if it interferes mechanically with accurate, anatomical approximation of the wound.…”

Section: Discussionmentioning

confidence: 99%

An audit of pre-operative skin preparative methods

McGrath

McCrory²

2005

Ann R Coll Surg Engl

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INTRODUCTION A study into how pre-operative skin preparation varies between surgical units and surgeons.MATERIALS AND METHODS A postal audit of general, vascular and thoracic surgeons in Northern Ireland was conducted together with a literature review to establish best practice.RESULTS Overall, 73 surgeons were contacted, and 63 (86.3%) responded. There was marked variation in shaving of the operative site. A wide range of solutions was used, and 14 different sequences were employed. All surgeons used a swab or sponge to apply the solutions. Several drying methods were employed.CONCLUSIONS There is variation in the method of skin preparation employed between surgical units and surgeons. There is limited evidence-based research on this topic. Recommendations are made as to best practice.

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Preoperative Hair Removal—a Systematic Literature Review

Cited by 76 publications

References 20 publications

Effect of Unshaven Hair with Absorbable Sutures and Early Postoperative Shampoo on Cranial Surgery Site Infection

Effect of Unshaven Hair with Absorbable Sutures and Early Postoperative Shampoo on Cranial Surgery Site Infection

Evaluation of the increase in invasive device associated infections in cardiovascular surgical intensive care unit

An audit of pre-operative skin preparative methods

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