Sterility of the surgical site marking between the ink and the epidermis.

Abstract:

BACKGROUND:To prevent wrong-site surgery, multiple organizations have endorsed the practice of signing the operative site with an indelible marker. Potential contamination of the surgical field and the inability to prepare the area under the ink film raises concerns. The purpose of this study was to determine if the use of preoperative site marking affects the sterility of the surgical field. STUDY DESIGN:After institutional review board approval, 30 consecutive patients scheduled to undergo elective upper extremity surgery by the same surgeon were included. For each patient, surgical marking according to Joint Commission on Accreditation of Healthcare Organizations guidelines were placed on more than half of the planned incision site, and the other half was left unmarked. The patients then underwent routine surgical preparation. The skin was incised, starting from the unmarked side and continuing to the marked aspect. Cultures were obtained by swabbing the skin edges: one from the unmarked side and one from the marked side. After blood agar plating, cultures were incubated for 72 hours and analyzed by a blinded observer. RESULTS:All cultures were negative, regardless of swab site (unmarked or marked location). CONCLUSIONS:The practice of surgical site marking does not increase the risk of operative field contamination.

journal_name

J Am Coll Surg

authors

Cullan DB 2nd,Wongworawat MD

doi

10.1016/j.jamcollsurg.2007.02.029

subject

Has Abstract

pub_date

2007-08-01 00:00:00

pages

319-21

issue

2

eissn

1072-7515

issn

1879-1190

pii

S1072-7515(07)00249-9

journal_volume

205

pub_type

杂志文章
  • Digital fecal occult blood testing in the ambulatory urology clinic.

    abstract:BACKGROUND:This study was designed to evaluate the use and yield of fecal occult blood testing (FOBT) in an ambulatory urology clinic. STUDY DESIGN:Patients seen in the ambulatory urology clinic were prospectively evaluated with FOBT. The test was performed only on patients when a rectal examination was indicated as p...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2007.06.295

    authors: Goetzl MA,Outman JE,Griebling TL,Holzbeierlein JM,Weigel JW,Thrasher JB

    更新日期:2008-01-01 00:00:00

  • Effect of pre-existing medical conditions on in-hospital mortality: analysis of 20,257 trauma patients in Japan.

    abstract:BACKGROUND:The average life expectancy of Japanese individuals is the longest in the world. The mortality rate from injury is increasing among older people. There have been no detailed reports on the relationship between pre-existing medical conditions (PMCs) and mortality from trauma among elderly people in Japan. ST...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2010.04.010

    authors: Shoko T,Shiraishi A,Kaji M,Otomo Y

    更新日期:2010-09-01 00:00:00

  • Postoperative ileus-related morbidity profile in patients treated with alvimopan after bowel resection.

    abstract:BACKGROUND:Postoperative ileus (POI), an interruption of coordinated bowel motility after operation, is exacerbated by opioids used to manage pain. Alvimopan, a peripherally acting mu-opioid receptor antagonist, accelerated gastrointestinal (GI) recovery after bowel resection in randomized, double-blind, placebo-contro...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.jamcollsurg.2007.01.041

    authors: Wolff BG,Weese JL,Ludwig KA,Delaney CP,Stamos MJ,Michelassi F,Du W,Techner L

    更新日期:2007-04-01 00:00:00

  • Insurance coverage is associated with mortality after gunshot trauma.

    abstract:BACKGROUND:Poor access to adequate health care coverage is associated with poor outcomes for many chronic medical conditions. We hypothesized that insurance coverage is also associated with mortality after gunshot trauma. STUDY DESIGN:The trauma records for gunshot victims and their insurance status were reviewed at o...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2009.12.002

    authors: Dozier KC,Miranda MA Jr,Kwan RO,Cureton EL,Sadjadi J,Victorino GP

    更新日期:2010-03-01 00:00:00

  • Variations in referral patterns to high-volume centers for pancreatic cancer.

    abstract:BACKGROUND:Multiple reports have demonstrated pancreatic cancer patients undergoing surgery have superior outcomes at high-volume hospitals. This study noted trends in access to high-volume centers for pancreatic resection and identified gaps in improving access. STUDY DESIGN:We performed a retrospective analysis of t...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2009.09.011

    authors: Chang DC,Zhang Y,Mukherjee D,Wolfgang CL,Schulick RD,Cameron JL,Ahuja N

    更新日期:2009-12-01 00:00:00

  • Decision making in palliative surgery.

    abstract:BACKGROUND:Palliative surgery for advanced cancer patients involves complex decision making. Surgeons with a cancer-focused practice were surveyed to determine the extent to which palliative surgery was currently practiced, to identify ethical dilemmas and barriers they faced in performing palliative surgery, and to ev...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(02)01306-6

    authors: McCahill LE,Krouse RS,Chu DZ,Juarez G,Uman GC,Ferrell BR,Wagman LD

    更新日期:2002-09-01 00:00:00

  • Is CT Angiography of the Head Useful in the Management of Traumatic Brain Injury?

    abstract:BACKGROUND:Computed tomography angiography (CTA) has been increasingly used in traumatic brain injury (TBI) patients to uncover vascular lesions that might have preceded the trauma and caused the bleed. This study aims to evaluate the usefulness of head CTA in the initial care of blunt TBI patients. STUDY DESIGN:We co...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2015.03.002

    authors: Naraghi L,Larentzakis A,Chang Y,Duhaime AC,Kaafarani H,Yeh DD,King DR,de Moya MA,Velmahos GC

    更新日期:2015-06-01 00:00:00

  • Laparoscopic liver resection: an examination of our first 300 patients.

    abstract:BACKGROUND:Laparoscopic liver resection is a procedure in evolution. In the last decade it has evolved from a novel procedure to a standard part of the hepatic surgeon's armamentarium. Few data exist on the development of a laparoscopic resection program. STUDY DESIGN:With IRB approval, a retrospective review of 300 c...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2011.04.032

    authors: Cannon RM,Brock GN,Marvin MR,Buell JF

    更新日期:2011-10-01 00:00:00

  • Is the use of prosthetic mesh recommended in severely obese patients undergoing concomitant abdominal wall hernia repair and sleeve gastrectomy?

    abstract:BACKGROUND:The concomitant use of nonabsorbable mesh during stapled bariatric surgery has been discouraged due to potential contamination. The aim of our study was to compare and quantify the extent of bacterial load and gross contamination of the peritoneal cavity in patients undergoing laparoscopic sleeve gastrectomy...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2013.12.008

    authors: Cozacov Y,Szomstein S,Safdie FM,Lo Menzo E,Rosenthal R

    更新日期:2014-03-01 00:00:00

  • Development of intrahepatic cholelithiasis long after primary excision of choledochal cysts.

    abstract:BACKGROUND:Biliary stricture with dilatation is a putative cause of intrahepatic bile duct stones. However, this hypothesis has never been proved. STUDY DESIGN:Fifty-six patients had operative cholangiography, underwent standard excision of a choledochal cyst, and were reviewed at follow-up clinics at a mean follow-up...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:

    authors: Uno K,Tsuchida Y,Kawarasaki H,Ohmiya H,Honna T

    更新日期:1996-12-01 00:00:00

  • Metabolic syndrome predicts restenosis after carotid endarterectomy.

    abstract:BACKGROUND:Carotid endarterectomy (CEA) is an effective surgical option for stroke prophylaxis for most patients. Restenosis after CEA can lead to additional interventions and adverse outcomes, but the factors that predict restenosis are poorly understood. This study examined which risk factors, such as metabolic syndr...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2014.04.014

    authors: Williams WT,Assi R,Hall MR,Protack CD,Lu DY,Wong DJ,Vasilas P,Dardik A

    更新日期:2014-10-01 00:00:00

  • Getting a head start: high-fidelity, simulation-based operating room team training of interprofessional students.

    abstract:BACKGROUND:Effective teamwork in the operating room (OR) is often undermined by the "silo mentality" of the differing professions. Such thinking is formed early in one's professional experience and is fostered by undergraduate medical and nursing curricula lacking interprofessional education. We investigated the immedi...

    journal_title:Journal of the American College of Surgeons

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jamcollsurg.2013.09.006

    authors: Paige JT,Garbee DD,Kozmenko V,Yu Q,Kozmenko L,Yang T,Bonanno L,Swartz W

    更新日期:2014-01-01 00:00:00

  • Clinical outcomes and apomucin expression of intrahepatic cholangiocarcinoma according to gross morphology.

    abstract:BACKGROUND:The clinicopathologic characteristics and the expression of apomucin (MUC) in intrahepatic cholangiocarcinoma (ICC) with respect to gross morphology have not been comprehensively examined. STUDY DESIGN:We reviewed the clinical data of 98 patients with ICC who underwent resection at Seoul National University...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(02)01343-1

    authors: Suh KS,Chang SH,Lee HJ,Roh HR,Kim SH,Lee KU

    更新日期:2002-12-01 00:00:00

  • Crohn's colitis: experience with segmental resections; results in a series of 84 patients.

    abstract:BACKGROUND:Colonic Crohn's disease can be treated surgically by total colonic resection or by segmental colonic resection. The aim of this study was to analyze the outcomes of patients treated by segmental colectomy for colonic Crohn's disease. STUDY DESIGN:Among 413 patients undergoing operations for Crohn's disease,...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(02)01122-5

    authors: Martel P,Betton PO,Gallot D,Malafosse M

    更新日期:2002-04-01 00:00:00

  • In-hospital mortality after pancreatic resection for chronic pancreatitis: population-based estimates from the nationwide inpatient sample.

    abstract:BACKGROUND:Pancreatic resection can be performed to ameliorate the sequelae of chronic pancreatitis in selected patients. The perceived risk of pancreatectomy may limit its use. Using a national database, this study compared mortality after pancreatic resections for chronic pancreatitis with those performed for neoplas...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2009.05.030

    authors: Hill JS,McPhee JT,Whalen GF,Sullivan ME,Warshaw AL,Tseng JF

    更新日期:2009-10-01 00:00:00

  • Impact of Autologous Blood Transfusion on Survival and Recurrence among Patients Undergoing Partial Hepatectomy for Colorectal Cancer Liver Metastases.

    abstract:BACKGROUND:Autologous transfusion (AT) has long been considered unsafe in major oncologic operations due to a theoretic risk of spreading metastatic disease, however, few data support this assumption. STUDY DESIGN:We conducted a retrospective analysis of 147 patients who underwent partial hepatectomy for colorectal ca...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2018.10.020

    authors: Kang R,Seath BE,Huang V,Barth RJ Jr

    更新日期:2019-06-01 00:00:00

  • The SAVE review: sonographic analysis versus excision for axillary staging in breast cancer.

    abstract:BACKGROUND:Health care reform goals involve more cost-effective methods of delivering health care. The cost-effectiveness of axillary ultrasound-guided core needle biopsy (AUS-CNB) was compared with sentinel lymph node biopsy (SLNB) when evaluating the status of the axilla in operable invasive breast cancer. STUDY DES...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2014.12.033

    authors: Henry-Tillman R,Glover-Collins K,Preston M,Gallagher K,Tummel E,Robertson YV,Ochoa D,Korourian S,Westbrook K,Klimberg VS

    更新日期:2015-04-01 00:00:00

  • Inhibition of NF-KB does not induce c-Jun N-terminal kinase-mediated apoptosis in reperfusion injury.

    abstract:BACKGROUND:The role of C-Jun N-terminal Kinase (c-Jun Kinase) in apoptosis is unclear. It is likely that c-Jun Kinase activation is cell type and stimulus dependent. c-Jun Kinase promotes tumor necrosis factor (TNF)-alpha mediated apoptosis in nuclear factor (NF)-KB deficient cells. Minimal NF-KB expression may be enou...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2007.01.029

    authors: Rushing GD,Britt LD

    更新日期:2007-05-01 00:00:00

  • The utility of venous lactate to triage injured patients in the trauma center.

    abstract:BACKGROUND:Field triage criteria for trauma patients results in over-triage rates of 30% to 50% to achieve under-triage rates of 10%. This large number of patients may stress trauma center resources. Elevated arterial lactate (ALAC) levels have been shown to be a marker of serious injury but the need for arterial sampl...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/s1072-7515(00)00271-4

    authors: Lavery RF,Livingston DH,Tortella BJ,Sambol JT,Slomovitz BM,Siegel JH

    更新日期:2000-06-01 00:00:00

  • Predicting risk-adjusted mortality for trauma patients: logistic versus multilevel logistic models.

    abstract:BACKGROUND:Theoretical advantages of random-intercept multilevel (ML) logistic regression (LR) modeling over standard LR include separating variability due to patient-level and hospital-level predictors, shrinkage of estimates for lower-volume hospitals toward the overall mean, and fewer hospitals falsely identified as...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jamcollsurg.2010.03.033

    authors: Clark DE,Hannan EL,Wu C

    更新日期:2010-08-01 00:00:00

  • Patient characteristics associated with end-of-life decision making in critically ill surgical patients.

    abstract:BACKGROUND:Palliative care is an important and necessary humanistic facet of ICU care. Wide variations exist in selection and implementation of palliative care decisions. Understanding patient factors associated with these decisions is crucial. STUDY DESIGN:Consecutive deaths (n = 151 patients) in a tertiary care surg...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2011.09.003

    authors: Lissauer ME,Naranjo LS,Kirchoffner J,Scalea TM,Johnson SB

    更新日期:2011-12-01 00:00:00

  • Hospital costs by cost center of inpatient hospitalization for medicare patients undergoing major abdominal surgery.

    abstract:BACKGROUND:This study aims to describe the magnitude of hospital costs among patients undergoing elective colectomy, cholecystectomy, and pancreatectomy, determine whether these costs relate as expected to duration of care, patient case-mix severity and comorbidities, and whether risk-adjusted costs vary significantly ...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2014.10.021

    authors: Stey AM,Brook RH,Needleman J,Hall BL,Zingmond DS,Lawson EH,Ko CY

    更新日期:2015-02-01 00:00:00

  • Perioperative risk factors for posterior ischemic optic neuropathy.

    abstract:BACKGROUND:Infarction of the optic nerve posterior to the lamina cribrosa, called posterior ischemic optic neuropathy (PION), is a condition that can result in profound bilateral blindness. Cases of PION treated at this institution and those described in the literature were analyzed to identify clinical features that p...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章,评审

    doi:10.1016/s1072-7515(02)01210-3

    authors: Dunker S,Hsu HY,Sebag J,Sadun AA

    更新日期:2002-06-01 00:00:00

  • Locoregional recurrences are frequent after radiofrequency ablation for hepatocellular carcinoma.

    abstract:BACKGROUND:Enthusiasm for radiofrequency ablation (RFA) therapy for patients with unresectable hepatocellular carcinoma (HCC) has increased. The data for recurrence after RFA for patients with HCC is not well documented. The purpose of this study was to evaluate tumor recurrence patterns after RFA in patients with unre...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/S1072-7515(03)00750-6

    authors: Harrison LE,Koneru B,Baramipour P,Fisher A,Barone A,Wilson D,Dela Torre A,Cho KC,Contractor D,Korogodsky M

    更新日期:2003-11-01 00:00:00

  • Partial and complete internal hemipelvectomy: complications and long-term follow-up.

    abstract:BACKGROUND:The complications and long-term follow-up results of internal hemipelvectomy are not well documented. STUDY DESIGN:We reviewed 32 internal hemipelvectomies performed between 1976 and 1994. RESULTS:The pathologic diagnoses were soft tissue sarcoma in 15 cases, bone tumor in 14 cases, melanoma in two cases, ...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:

    authors: Apffelstaedt JP,Driscoll DL,Karakousis CP

    更新日期:1995-07-01 00:00:00

  • Retained surgical items: a problem yet to be solved.

    abstract:BACKGROUND:Retained surgical items (RSI) continue to occur. Large RSI studies are few due to low RSI frequency in single institutions and the medicolegal implications. Consequently, RSI risks are not fully defined, with discrepancies persisting among published studies. The goals of this study were to better define risk...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jamcollsurg.2012.08.026

    authors: Stawicki SP,Moffatt-Bruce SD,Ahmed HM,Anderson HL 3rd,Balija TM,Bernescu I,Chan L,Chowayou L,Cipolla J,Coyle SM,Gracias VH,Gunter OL,Marchigiani R,Martin ND,Patel J,Seamon MJ,Vagedes E,Ellison EC,Steinberg SM,Cook C

    更新日期:2013-01-01 00:00:00

  • A prospective evaluation of a simulator-based laparoscopic training program for gynecology residents.

    abstract:BACKGROUND:To determine prospectively if simulator-based laparoscopic training could improve laparoscopic skills of gynecology residents. STUDY DESIGN:Twenty-six gynecology residents were enrolled in a laparoscopy training curriculum involving didactics, self-paced learning modules, and graded simulator-based laparosc...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2007.08.005

    authors: Kirby TO,Numnum TM,Kilgore LC,Straughn JM

    更新日期:2008-02-01 00:00:00

  • Consequences of targeted parathyroidectomy guided by localization studies without intraoperative parathyroid hormone monitoring.

    abstract:BACKGROUND:After excision of an abnormal gland, the dynamics of intraoperative parathyroid hormone (PTH) levels signal whether or not more hypersecreting tissue is present. This quantitative assurance of operative success has led to targeted exploration of the hyperfunctioning gland(s). Some have questioned the need fo...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2006.02.003

    authors: Carneiro-Pla DM,Solorzano CC,Irvin GL 3rd

    更新日期:2006-05-01 00:00:00

  • Discontinuous, staccato growth of abdominal aortic aneurysms.

    abstract:BACKGROUND:To evaluate whether abdominal aortic aneurysm (AAA) growth in individual patients can be characterized as continuous or discontinuous (staccato). STUDY DESIGN:From 1996 to 2002, 609 patients presented with unruptured AAAs. Of these, 278 underwent prompt repair and 331 were observed. In this study, we includ...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2004.07.031

    authors: Kurvers H,Veith FJ,Lipsitz EC,Ohki T,Gargiulo NJ,Cayne NS,Suggs WD,Timaran CH,Kwon GY,Rhee SJ,Santiago C

    更新日期:2004-11-01 00:00:00

  • Maximizing the Calm before the Storm: Tiered Surgical Response Plan for Novel Coronavirus (COVID-19).

    abstract::The novel coronavirus (COVID-19) was first diagnosed in Wuhan, China in December 2019 and has now spread throughout the world, being verified by the World Health Organization as a pandemic on March 11. This had led to the calling of a national emergency on March 13 in the US. Many hospitals, healthcare networks, and s...

    journal_title:Journal of the American College of Surgeons

    pub_type: 杂志文章

    doi:10.1016/j.jamcollsurg.2020.03.019

    authors: Ross SW,Lauer CW,Miles WS,Green JM,Christmas AB,May AK,Matthews BD

    更新日期:2020-06-01 00:00:00