Hickson Craig, Momin Sheikh Muktadir Bin, Asnani Kusum, Neumann Codruta
Otolaryngology, William Harvey Hospital, East Kent Hospitals University NHS (National Health Service) Foundation Trust, Ashford, GBR.
Cureus. 2022 Dec 26;14(12):e32945. doi: 10.7759/cureus.32945. eCollection 2022 Dec.
Preparing and maintaining a clean operative field is the standard of care in all surgical fields globally. Major ear surgery has its own challenges such as the long surgical procedure time and the tricky local anatomical landscape. A waterproof method of draping for major ear surgery is described in this technical report. This method allows for the collection of irrigation fluid in a reservoir while maintaining continued isolation of the operative field during surgery. We discuss the advantages of using a 3M Steri-Drape Aperture Pouch Drape to square the surgical site and create a pouch dedicated to irrigation fluid. Following that, running locking stitches are performed for further reinforcement of the adhesion to the skin, often done in longer procedures. We have identified a technique to ensure better draping. In over 150 cases draped in this method, we have not witnessed drape edge lift, water ingress, or skin avulsion/injury.
在全球所有外科领域，准备并维持一个清洁的手术区域是护理标准。耳部大手术有其自身的挑战，比如手术时间长以及局部解剖结构复杂。本技术报告描述了一种用于耳部大手术的防水铺巾方法。这种方法能够在手术过程中，将冲洗液收集到一个储液器中，同时保持手术区域的持续隔离。我们讨论了使用3M无菌手术巾带孔袋形手术单来使手术部位方正并创建一个专门用于冲洗液的袋形区域的优点。随后，进行连续锁边缝合以进一步加强与皮肤的粘连，这在较长手术中经常进行。我们确定了一种确保更好铺巾的技术。在采用这种方法铺巾的150多例手术中，我们从未目睹过手术巾边缘翘起、进水或皮肤撕脱/损伤的情况。
