Comparative study between choices of preoperative and post operative dress wear among orthopedics patients

Authors

  • Gunjan Upadhyay Department of Orthopaedic, MAMC, Haryana, India
  • Ashok Kumar Department of Orthopaedic, MAMC, Haryana, India
  • Vikas Rao Department of Orthopaedic, MAMC, Haryana, India
  • Saurav Brar Department of Orthopaedic, MAMC, Haryana, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20230461

Keywords:

Surgical attire, Preoperative clothing, Postoperative clothing, Surgical scar

Abstract

Background: Clothes are identity of an individual. A monk, a priest, a doctor, a lawyer etc. all can be identified by clothing. But can we identify preoperative and postoperative orthopedics patient simply by difference in clothing? Can we evaluate the reasons for this difference in clothing mainly due to hide surgical scar or may be due to comfort fit or may be due to compensation of gait abnormalities etc.

Methods: The study was conducted at Maharaja Agrasen medical college, India with a population of 1000 OPD and indoor patient for a period of 6 months from January 2022 to June 2022, with data collection and compilation for another 3 months. Our study is an observational retrospective study which discovers where pre trauma preference is for skin tight clothing like jeans, t shirt for men and skirt for girls, post trauma post operative preference shifts to loose and formal clothes like full sleeves shirt, formal pant, pajama, lungi, dhoti for men and full length skirt for girl and saree for women.

Results: Causes enlisted for such clothing was hiding surgical scar (80%), comfortable fitting (10%), to hide gait abnormalities (7%), limb length discrepancies (2%), miscellaneous (1%).

Conclusions: We claim to be first in literature to have thought and research on this wonderful topic. We claim to devise new system of surgical and non-surgical wear in post operative patients with our research. We also bring out reason for such difference in clothing and work closely with our in-house patient for preference in clothing.

References

Hambraeus A. Aerobiology in the operating room-a review. J Hosp Infect. 1988;11:68-76.

Mase K, Hasegawa T, Horii T. Firm adherence of Staphylococcus aureus and Staphylococcus epidermidis to human hair and effect of detergent treatment. Microbiol Immunol. 2000;44(8):653-6.

Humphreys H, Russell AJ, Marshall RJ. The effect of surgical theatre head gear on air bacterial counts. J Hosp Infect. 1991;19:175-80.

Tammelin A, Hambraeus A, Stahle E. Source and route of methicillin-resistant Staphylococcus epidermidis transmitted to the surgical wound during cardio-thoracic surgery. Possibility of preventing wound contamination by use of special scrub suits. J Hosp Infect. 2001;47:266-76.

Eickhoff TC. Airborne nosocomial infection: a contemporary perspective. Infect Control Hosp Epidemiol 1994;15:663-72.

Association of peri Operative Registered Nurses. Guidelines for Surgical Attire. Guidelines for Perioperative Practice. Denver, CO: AORN. 2016:95-117.

Lidwell OM, Lowbury EJ, Whyte W. Airborne contamination of wounds in joint replacement operations: the relationship to sepsis rates. J Hosp Infect. 1983;4:111-31.

Darouiche RO, Green DM, Harrington MA, et al. Association of Airborne Microorganisms in the Operating Room with Implant Infections: A Randomized Controlled Trial. Infect Control Hosp Epidemiol. 2017;38:3-10.

Whyte W, Hamblen DL, Kelly IG, Hambraeus A. An investigation of occlusive polyester surgical clothing. J Hosp Infect. 1990;15:363-74.

Sanzen L, Carlsson AS, Walder M. Air contamination during total hip arthroplasty in an ultraclean air enclosure using different types of staff clothing. J Arthroplasty. 1990;5:127-30.

Ritter MA, Eitzen HE, Hart JB, French ML. The surgeon’s garb. Clin Orthop Relat Res. 1980;153:204-9.

Friberg B, Friberg S, Ostensson R, Burman LG. Surgical area contamination comparable bacterial counts using disposable head and mask and helmet aspirator system, but dramatic increase upon omission of head gear: Experimental study in horizontal laminar airflow. J Hosp Infect. 2001;47:110-5.

Farach SM, Kelly KN, Farkas RL. Have Recent Modifications of Operating Room Attire Policies Decreased Surgical Site Infections? An American College of Surgeons NSQIP Review of 6,517 Patients. J Am Coll Surg. 2018;226:804-13.

Eisen DB. Surgeon’s garb and infection control: What’s the evidence? J Am Acad Dermatol. 2011;64:960.

Birgand G, Saliou P, Lucet J-C. Influence of staff behavior on infectious risk in operating rooms: what is the evidence? Infect Control Hosp Epidemiol. 2015;36:93-6.

Mitchell NJ, Gamble DR. Clothing design for operating room personnel. Lancet 1974; 2:1133-36.

Dineen P, Drusin L. Epidemics of postoperative wound infections associated with carriers. Lancet. 1973;2:1157-9.

Patel SN, Murray-Leonard J, Wilson AP. Laundering of hospital staff uniforms at home. J Hosp Infect. 2006;62(1):89-93.

Al-Benna S. Laundering of theatre scrubs at home. J Perioper Pract. 2010;20(11):392-6.

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Published

2023-02-24

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Section

Original Research Articles