Outpatient Surgery Magazine - Subscribers

Clear Cut - July 2015 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://magazine.outpatientsurgery.net/i/539497

Contents of this Issue

Navigation

Page 119 of 132

1 2 0 O U T P A T I E N T S U R G E R Y M A G A Z I N E O N L I N E | J U LY 2 0 1 5 It Pays to Irrigate the Abdominal Cavity It's an often overlooked, highly effective way to prevent infection. T here are myriad important steps when it comes to preventing surgical site infections, but as a gener- al surgeon, I've identified a critical step that wasn't part of my training. With abdominal surgery, it's absolutely vital to irrigate the abdominal cavity, including and even more importantly the subcuta- neous layer, to remove loose fat and possibly contaminated peritoneal fluid. It's a step we need to add to all the other well- known important steps, such as timely and appro- priate prophylactic antibi- otic administration, clip- ping rather than shaving of hair, core temperature control, timeliness of the procedure, correct non-tension anastomosis, glucose control and oxygenation. I've used this technique in all wound closures of the abdomen for the past 40 years, essentially handling all wounds in a similar manner, I N F E C T I O N P R E V E N T I O N Gary Biesecker, MD, FACS F. Douglas Blazek, MD, FACS z BEFORE CLOSING Use 2 to 5 liters of saline and vigorously massage the wound margins.

Articles in this issue

Archives of this issue

view archives of Outpatient Surgery Magazine - Subscribers - Clear Cut - July 2015 - Outpatient Surgery Magazine