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A Tried and Tested Waterproof Draping Method for Major Ear Surgery.

Title: A Tried and Tested Waterproof Draping Method for Major Ear Surgery.
Authors: Hickson C; Otolaryngology, William Harvey Hospital, East Kent Hospitals University NHS (National Health Service) Foundation Trust, Ashford, GBR.; Momin SMB; Otolaryngology, William Harvey Hospital, East Kent Hospitals University NHS (National Health Service) Foundation Trust, Ashford, GBR.; Asnani K; Otolaryngology, William Harvey Hospital, East Kent Hospitals University NHS (National Health Service) Foundation Trust, Ashford, GBR.; Neumann C; Otolaryngology, William Harvey Hospital, East Kent Hospitals University NHS (National Health Service) Foundation Trust, Ashford, GBR.
Source: Cureus [Cureus] 2022 Dec 26; Vol. 14 (12), pp. e32945. Date of Electronic Publication: 2022 Dec 26 (Print Publication: 2022).
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
Imprint Name(s): Original Publication: Palo Alto, CA : Cureus, Inc.
Abstract: 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-DrapeTM 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.; (Copyright © 2022, Hickson et al.)
Competing Interests: The authors have declared that no competing interests exist.
References: Am J Infect Control. 1999 Apr;27(2):97-132; quiz 133-4; discussion 96. (PMID: 10196487); Medicine (Baltimore). 2018 Jun;97(24):e11049. (PMID: 29901604); Laryngoscope. 2020 Nov;130(11):2690-2692. (PMID: 32602111); J Laryngol Otol. 2020 Dec;134(12):1115-1117. (PMID: 33261677)
Contributed Indexing: Keywords: continuing medical education/graduate medical education/undergraduate medical education; draping; external ear; neuro-otology; otology
Entry Date(s): Date Created: 20230130 Latest Revision: 20230202
Update Code: 20260130
PubMed Central ID: PMC9875359
DOI: 10.7759/cureus.32945
PMID: 36712710
Database: MEDLINE

Journal Article