This article has been cited by other articles in PMC.
Customary hair removal in the preoperative phase is a practice thought to offset the increased risk for post-surgical infections especially that hair removal was discovered to be a significant risk contributor toward developing infections.
The act of shaving causes skin abrasions or microscopic nicks which can provide a favorable avenue for bacterial colonization, allowing skin-dwelling microorganisms to collect and multiply. Aside from this it was noted that the hair would interfere with proper wound closure and healing.
There are three choices for removing hair: It was believed that razor shaving increases the risk of infection through the creation of microabrasions in the skin while clipping hair using electric shavers or trimmers does not damage the skin thereby lower infection rates.
Preoperative shaving of the surgical site which is done the night before the operation is associated with significantly higher risks of surgical site infections ; Preventing surgical site infection is a health care intervention which is based on scientific evidence. Surgical site infection is one of the most common types of adverse events occurring in hospitalized patients.
As such, infections are identified to increase preoperative mortality, re-admission rate, length of stay and incurred cost for patients. The care components of surgical site infection include the day of surgery admission, the appropriate use of prophylactic antibiotics, appropriate hair removal and compliant with local surgical wound dressing protocol.
It was believed that when these care components are implemented together, substantial improvement will be achieved. The prevention is perceived to improve patient care and prevent avoidable deaths during the preoperative period that is why the intervention is strongly advocated.
Generally, the term preoperative refers to the three phases of surgery namely preoperative, intraoperative and postoperative. Surgical site infection, on the other hand, refers to the infection at the site of an operation caused by the operation. As debatable as it is, the question remains to be about the best method to be used given that appropriate removal of hair does help prevent surgical site infections.
Surgical site infections remain a major source of postoperative morbidity in patients undergoing surgery with complications that compromises patient outcomes while also increasing the cost of healthcare delivery Thereby, the requirement is to prevent nosocomial infection after surgery through appropriate patient skin preparation.
Anderson and Millard believed that the results of research have been so overwhelming in favor of clipping that several healthcare organizations recommend a procedural change from shaving to clipping. As stated by the Association of preoperative Registered Nurses AORNwhen hair removal is necessary, an electric or battery powered clipper with a disposable or reusable head that can be disinfected between patients should be used, if possible.
However, evaluation has been a practice which lacks recognition in literature and research. Given that, there are no concrete and updated guidelines about the best practices in implementing surgical devices, the findings of this evaluation will be important.
As such, the results of the evaluation will be a significant development of evidence-based benchmark practices. This evaluation will be significant for practitioners and service managers as well as policy makers and purchasers of the health service.
Such evaluation will be also an important area of study for the academia towards the establishment of benchmark practices when it comes to proper hair removal using the most appropriate medium. Several studies were conducted during that time. One is that of which reported that preoperative clipping immediately before operation is a safe and well-tolerated procedure.
The researchers conducted the study through patients while adhering to strict hospital protocols. The problem, however, in this research is evidently on the generalisability of the findings.
The researchers used a relatively small sample and that their findings are almost close to perfect. The research is also conducted during skin hair removal and does not provide a significant amount of time for subsequent occurrences.
The influence of preoperative shaving versus clipping was conducted with the contributions of 1, patients whom will undergo elective operation the following day at a single hospital.
The AM clipper method was used and was associated with significantly fewer infections than were the other methods as evidenced by scrutiny at discharge and after 30 days. The authors also noted that in every 1, patients treated a saving of 0, could be realized.
Admittedly, however, the greatest benefit was in the group with clean wounds. This study has a clear implication for the responsibilities and competence of nurses with respect to preoperative preparation. A separated study after at least 13 years established this point.
They have included cases which were divided into two groups. The first group is treated with traditional method of preoperative skin preparation, employing routine shaving and using centralize and chlorhexidine in alcohol for cleansing, while the second group was treated with an alternative method — without preoperative shaving.
They have discovered that routine shaving has no advantage in reducing wound infection rate as evident by the 5. Even so, the study is clearly one-sided as it only examined the before aspect of the operation.
The question lies in the fact that the necessity of hair removal also applies in the condition after the operation. In lieu with this, another study offers a different perspective.Preoperative Hair Removal * Postoperative care should be carried out per negative pressure wound therapy manufacturer's recommendations or per the physician's orders.
Digison M. (). A review of anti-septic agents for pre-operative skin preparation. Plastic Surgery Nursing, 27(4), Preoperative Hair Removal Carried Out As Skin Preparation Nursing Essay 0 Traditionally preoperative hair remotion has been carried out as skin readying method to cut down exposure to bacteriums which may take to surgical site infections (SSI) (Gottrup et al ).
Skin prep aids in preventing SSIs by removing debris from, and cleansing, the skin, bringing the resident and transient microbes to an irreducible preoperative hair removal; (b) if hair removal must be an alternative for keeping the hair out of the surgical wound for cranial procedures is to apply a non-flammable gel to the hair K.
Routine Shaving of the Surgical Site Preparation of patients prior to surgery traditionally entails the routine shaving or removal of hair from the surgical site. The shaving procedure is believed to lower the risks of surgical site infection. The three main ways through which hair removal procedure is carried out include clipping by use of .
Dec 07, · However, there are studies which claim that pre-operative hair removal is deleterious to patients, perhaps it causes SSIs, and should not be carried out. The use of depilatory cream produces clean, intact skin without the .
Preoperative hair removal to reduce surgical site infection. Veterinary Nursing Journal, 22, 20 However, it was carried out over a shorter time period than Boyd’s longer study, reducing the accuracy of the results. As Boyd’s PIVCCs were more successful over a longer time period, it could be possible to improve Hancill’s experiment.