Outpatient Surgery Magazine

Would You Operate On This Patient? - October 2015 - Subscribe to 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/584946

Contents of this Issue

Navigation

Page 144 of 196

Shorstein. He says that's where wound construction and stromal hydration have been shown to increase the stability of the wound. Plus, he adds, leaving the eye at an increased pressure is an effective way to keep the clear corneal flap opposed at the end of surgery. Dr. Shorstein says cornea sealant has value if there's a posterior cap- sular rupture. "Although the wound was competent, you want to make sure, given the rupture, that it's well sealed in the hours after surgery," he explains. "Surgeons who might have thrown in a stitch to secure the wound can now use the sealant." At the end of every case, before he removes the lid speculum, Dr. Boyd thoroughly checks the wound and adds a suture if there is a slight leak, which he says is a rare incident that occurs in less than 1% of cases. He's never used a liquid sealant, but acknowledges that it could seal the wound effectively. Still, he hasn't felt the need to try it because he says it's an expensive option and currently unproven to perform better than a suture. Positive results All 21 centers in Kaiser's Northern California region have adopted antibiotic injections, which have resulted in an endophthalmitis rate between 1 in 7,000 cases and 1 in 10,000 cases. Dr. Shorstein says the health system will publish research in an upcoming issue of the Journal of Ophthalmology that shows a 6% decrease in infection rates over time based on a retrospective review of the centers in Kaiser's northern and southern regions. He explains, "We also think that's because of a greater awareness of the importance of wound construc- tion and management during and after the procedure." OSM E-mail dcook@outpatientsurgery.net. 1 4 5 O C T O B E R 2 0 1 5 | O U T P A T I E N TS U R G E R Y. N E T

Articles in this issue

Links on this page

Archives of this issue

view archives of Outpatient Surgery Magazine - Would You Operate On This Patient? - October 2015 - Subscribe to Outpatient Surgery Magazine