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HAIR CLIPPING VERSUS SHAVING: INCIDENCE OF SURGICAL SITE INFECTION- A PROSPECTIVE CASE CONTROL STUDY IN TERTIARY CARE CENTRE

Chintamani ., Megha Tandon, Nikhil Narayan, Nitisha Narayan, Rohan Khandelwal, Rahul Bamal

Abstract


Background: Surgical Site Infection (SSI) is one of the most common post-operative complications and is a nightmare for every surgeon.

Objectives: To determine the impact of pre-operative shaving versus peri-operative clipping of hair on the incidence of SSIs

Study Design: Prospective Case Control trial.

Study Duration: This study was done over a period of one year in Department of surgery, VMMC and SJH including 200 patients undergoing open hernia surgery (Lichenstein Mesh Hernioplasty).

Material and Methods: 200 ASA class I patients undergoing open hernia surgery (lichenstein mesh repair were randomized into 2 groups by closed envelope method. In Group 1 patients part preparation was done by the conventional method followed of pre-operative part preparation one day before by razor. In group 2 patients only hair clipping was done per-operatively by clipper.

Observation and Results: Incidence rate of SSI in hernia surgery at our institute is 4 %. The incidence of SSI reduces substantially by using clipper as method of part preparation just prior to the surgery.


Keywords


Hair clipping, Hair shaving, Surgical site infection, Case control study, Surgical site infection hair shaving, Surgical site infection hair clipping.

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References


Balthazar ER, Colt JD, and Nichold RL. (1982). “Preoperative hair removal: a random prospective study of shaving versus clipping”, South Med J, Vol.75, pp.799-801.

Cruse PJE, and Foord R. (1973). “A five year prospective study of 23,649 surgical wounds”, Arch Surg, Vol.107, pp.206-209.

Cruse PJE, and Foord R. (1980). “The epidemiology of wound infection, a ten year prospective study of 62,939 wounds”, Surg Clin North Am., Vol.80, pp.27-40.

Hamilton WH, Lone FJ, et al. (1977). “Preioperative hair removal”, Can J Surg., Vol.20, pp.269-275.

Seropian R, and Reynolds BM. (1971). “Wound infections after preoperative depilatory versus razor preparation”, Am J Surg, Vol.121, pp.251-254.


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