Login or e-mail Password   

Shaving versus no hair removal

Preoperative hair removal with a razor blade became awidely established practice based on the assumption that it would prevent postoperative surgical site infections.
Views: 587 Created 03/20/2010

Preoperative hair removal with a razor blade became awidely established practice based on the assumption that it would prevent postoperative surgical site infections. This has remained routine practice until relatively recent times. One randomized study of approximately 400 patients compared wet shaving with no hair removal. The authors found no statistically significant decrease in the incidence of surgical site infection in the unshaved study group. Other studies comparing shaving with no hair removal used different preoperative skin preparation solutions.

 

Therefore the study results are not a reliable representation of the effects of hair removal. Studies using large samples, (60,000 wounds and 10 year follow up) with less rigorous designs favored no hair removal and demonstrated statistical significance. These findings are weakened by the lack of controls, and by the use of different treatments between study groups. The results suggest an association between shaving and infection, but do not demonstrate a reliable effect.

 

In summary, shaving has been found to increase the incidence of surgical site infection in low quality studies, while higher quality studies suggest, but have not conclusively demonstrated, a benefit associated with no hair removal.

 

Clean: An uninfected operative wound in which no inflammation is encountered and the respiratory, alimentary, genital, or uninfected urinary tract is not entered. In addition, clean wounds are primarily closed and, if necessary, drained with closed drainage. Operative incisional wounds that follow non-penetrating (blunt) trauma should be included in this category if they meet the criteria.

 

Clean-Contaminated: An operative wound in which the respiratory, alimentary, genital, or urinary tracts are entered under controlled conditions and without unusual contamination. Specifically, operations involving the biliary tract, appendix, vagina, and oropharynx are included in this category, provided no evidence of infection or major break in technique is encountered.

 

Contaminated: Open, fresh, accidental wounds. In addition, operations with major breaks in sterile technique (e.g. open cardiac massage) or gross spillage from the gastrointestinal tract, and incisions in which acute, non-purulent inflammation is encountered are included in this category.

Similar articles


47
comments: 11 | views: 105108
24
comments: 4 | views: 19905
21
comments: 3 | views: 201391
14
comments: 8 | views: 1173205
12
comments: 5 | views: 200548
11
comments: 4 | views: 15069
10
comments: 2 | views: 27514
 
Author
Article

Related topics






No messages


Add your opinion
You must be logged in to write a comment. If you're not a registered member, please register. It takes only few seconds, and you get an access to additional functions .
 


About EIOBA
Articles
Explore
Publish
Community
Statistics
Users online: 150
Registered: 107.587
Comments: 1.486
Articles: 7.219
© 2005-2018 EIOBA group.