References:
1- Wright JD, Huang Y, Li AH, Melamed A, Hershman DL. Nationwide
Estimates of Annual Inpatient and Outpatient Hysterectomies Performed in
the United States. Obstet Gynecol. 2022 2- Gandaglia G, Ghani KR, Sood
A, Meyers JR, Sammon JD, Schmid M, Varda B, Briganti A, Montorsi F, Sun
M, Menon M, Kibel AS, Trinh QD. Effect of minimally invasive surgery on
the risk for surgical site infections: results from the National
Surgical Quality Improvement Program (NSQIP) Database. JAMA Surg. 2014
Oct;149(10):1039-44. doi: 10.1001/jamasurg.2014.292. PMID: 25143176.
3-Daneman N, Lu H, Redelmeier DA. Discharge after discharge:
predicting surgical site infections after patients leave
hospital. J Hosp Infect . 2010;75(3):188-194
4-Abdel Khalek Y, Bitar R, Christoforou C, Garzon S, Tropea A, Biondi A,
Sleiman Z. Uterine manipulator in total laparoscopic hysterectomy:
safety and usefulness. Updates Surg. 2020 Dec;72(4):1247-1254. doi:
10.1007/s13304-019-00681-w. Epub 2019 Oct 12. PMID: 31606857.
5- Cowley ES, Jacques L, Powell AM, Al-Niaimi A, Pop-Vicas A.
Characterization of bacterial composition of surgical site infections
after gynecologic surgery. Am J Obstet Gynecol. 2022 Aug;227(2):345-347.
doi: 10.1016/j.ajog.2022.02.033. Epub 2022 Mar 3. PMID: 35248576; PMCID:
PMC9308663.
Figure 1 – Anal Occlusive Drape applied to a patient.
Legend: The perianal area is prepared with chlorhexidine
swabs prior to securing a gauze over the anus with a Band-Aid to protect
the anal mucosa from the adhesive. Duraprep Surgical prepping solution
(3M ™ St Paul, Minnesota, USA) is applied to the perineum and perianal
skin to enhance the adhesive properties of the Ioban™ 2 drape (3M ™
Antimicrobial Incise Drape, St Paul, Minnesota, USA) that is applied at
the end as shown in the picture. Avoid applying to the pink vaginal or
vulvar skin.
Picture Courtesy of Mayo Clinic- Taken by Khalife, T after obtaining
patient consent.