Superficial and Deep Skin Preparation with Povidone-Iodine for Ventriculoperitoneal Shunt Surgery : A Technical Note
Journal of Korean Neurosurgical Society
; : 123-129, 2019.
Article
in En
| WPRIM
| ID: wpr-765312
Responsible library:
WPRO
ABSTRACT
OBJECTIVE: Ventriculoperitoneal (VP) shunt surgery is a common and effective treatment for hydrocephalus and cerebrospinal fluid disorders. Infection remains a major cause of morbidity and mortality after a VP shunt. There is evidence that a deep skin flora microbiome may have a role to play in post-operative infections. In this technical note, we present a skin preparation technique that addresses the issue of the skin flora beyond the initial incision. METHODS: The patient is initially prepped, as standard, with. a single layer of 2% CHG+70% isopropyl alcohol. The novel stage is the ‘double incision’ whereby an initial superficial incision receives a further application of povidone-iodine prior to completing the full depth incision. RESULTS: Of the 84 shunts inserted using the double-incision method (September 2015 to September 2016), only one developed a shunt infection. CONCLUSION: The double incision approach to skin preparation is a unique operative stage in VP shunt surgery that may have a role to play in reducing acute shunt infection.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Povidone-Iodine
/
Skin
/
Surgical Wound Infection
/
Cerebrospinal Fluid
/
Mortality
/
Ventriculoperitoneal Shunt
/
2-Propanol
/
Microbiota
/
Hydrocephalus
/
Methods
Type of study:
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
Journal of Korean Neurosurgical Society
Year:
2019
Type:
Article