頁籤選單縮合
題名 | Sterile Intra-operative Photography by Using a Digital Camera Encased in a Waterproof Case-the Feasibility Test in Clean Surgical Wound=無菌的術中攝影術--使用數位相機及潛水盒在無菌傷口的適切性 |
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作者 | 蔡政龍; 陳建宗; 王文科; 廖漢聰; Tsai, John-long; Chen, Chien-tzung; Wang, Wen-ke; Liao, Han-tsung; |
期刊 | 臺灣整形外科醫學會雜誌 |
出版日期 | 20100300 |
卷期 | 19:1 2010.03[民99.03] |
頁次 | 頁25-32 |
分類號 | 416.3 |
語文 | eng |
關鍵詞 | Water proof case; Digital camera; Intra-operative photograph introduction; |
中文摘要 | 背景: 術中照相對外科醫師本身是相當重要的。經常是需要外科醫師本人才能拍出想要的主題及角度。但是,如此一來往往需要外科醫師重複換無菌手套來拍照,而且常常是拍照時需要相機跨過手術無菌區。在此,我們提出一個新的方法,既可以讓手術醫師不用換手套又可以達成無菌的要求。 目的及目標: 證明以數位相機置入消毒過的潛水盒中來作術中照相,並不會造成病人傷口感染。 材料及方法: 本實驗取樣十五位接受手術的病人。其傷口的分類均屬於無菌傷口。使用工具為Samsung Digimax i5數位相機及其專用的潛水盒Samsung SPH-A3。手術前先將此潛水盒先消毒過,再將數位相機小心的放入此潛水盒中,再覆蓋此潛水盒使相機為潛水盒完全密封住。下刀前,將此潛水盒表面做細菌培養,開刀過程中,醫師就以此裝置拍術中照片,然後在於縫合傷口前,對傷口本身做一次細菌培養。縫合好傷口後,再對整個潛水盒表面做一次細菌培養。 結果: 在此十五位病人的傷口細菌培養、術前及術後照相盒細菌培養中,並無發現有細菌存在。十五位病人的傷口在出院時及之後的門診追蹤,都是癒合良好且無細菌感染的現象。 實驗結論: 數位相機置入消毒過後的潛水盒,是可以用來做術中的拍照而且不會對傷口造成感染。除此之外,手術醫師可以自行拍照而且不需要換手套,減少了感染性垃圾的產生。 |
英文摘要 | Background: No one except the surgeon himself can get a satisfactory intra-operation photograph. However, taking intra-operation photographs by surgeon himself always need to change gloves for preventing contamination. Sometimes, the camera needs to be positioned crossover the sterile territory and runs the risk of contamination in order to get a good picture. Herein, we introduce a simple and safe method for surgeons to get good intra-operative photographs without changing gloves or running the risk of contamination. Aim and Objectives: We would like to prove that taking intra-operative photos by using digital camera encased in the waterproof case will not cause wound infection. Material and Methods: From April of 2008 to November of 2008, fifteen patients who received surgery at Chang-Gung Memorial Hospital, two male and thirteen female patients, were enrolled in this study prospectively. A Samsung Digimax i5 digital camera and a Samsung SPH-A3 Waterproof Case (specific for the Samsung Digimax i5 digital camera) are used in this design. The digital camera, encased in the sterilized waterproof case, was used to take intra-operative photographs for each patient. Before operation, the waterproof case was sterilized for 75 minutes in STERRAD 100 Sterilizer, which employs hydrogen peroxide gas plasma sterilization. After finishing the sterilization, the digital camera was encased in the waterproof case by the standard procedure for sterilized material in surgical operation. Before creating a wound on a patient, aerobic and anaerobic swab culture was done to the whole device surface immediately after finishing setting up the device. Wound culture was also done during operation. After finishing the surgery, swab culture was done to the whole device again. Each wound's photos were taken by a single surgeon with the device. The total operation time and length of hospitalization were recorded. All the patients were followed up for one month to one year. Results: Two male and thirteen female were included in this study and the mean age of patients enrolled was 60.3±12.6 years old. The mean operation time was 1.8±0.9 hrs and the mean length of hospitalization was 2.7+2.3 days. All the wound culture of the enrolled patients showed negative results. All the surface culture of the water proof case also showed negative findings. Before discharging, there was no infection sign on each wound. The patients return to clinic for removing stitches and wounds following up and there was no additional infection occurred in patients included in this study during three months to one year follow up. Conclusions: In our study, we proved that using digital camera within waterproof case can meet the requirement of surgical sterilization and will not cause additional infection in enrolled patients. Operators can capture intra-operative pictures or make intra-operative video clips without changing gloves and strict sterilization. The case can be repeatedly sterilized at low temperature without damaging the plastic and rubber seal. Short interval of sterilization time makes it possible for surgeons to quickly reuse the case for other scheduled operations without affecting photo qualities. Therefore, we highly recommend this design in surgical photography. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。