Operating Room

Good news for the millions of people who suffer from skin wounds that won’t heal. A team of researchers at Ohio State University has brought a potentially transformative solution to the problem by creating a portable adhesive patch that drives a continuous, small electrical current to stimulate healing and reduce the risk of infection.

The American College of Surgeons (ACS) has released a statement on professional attire for surgeons in and out of the operating room (OR).  The new ACS guideline for appropriate attire is based on professionalism, common sense, decorum, and the available evidence.

Imbed Biosciences announces it has received clearance from the Food and Drug Administration (FDA) to market its patented wound dressing for human use. The dressing it calls Microlyte Ag is a sheet as thin as Saran Wrap and can conform to the bumps and crevices of a wound, says company CEO Ankit Agarwal.

In Uganda, taking a bath before surgery, closing the door to the operating theater and ensuring surgeons clean their hands properly can be the difference between life and death. A study involving more than 650 surgical patients, showed the rate of infections halved after new measures were introduced. As a result, patients are spending less time in hospital, resulting in cost-savings for both the patient and the hospital.

Some skin wounds, such as diabetic ulcers, are chronic and may never heal; others, such as burn wounds, are often large and difficult to treat, resulting in pain, infection and scarring. Researchers at the University of California, Los Angeles (UCLA), funded by the National Institutes of Health (NIH), have developed a synthetic biomaterial that fills wounds and aids in regeneration of skin cells, which ultimately improves wound healing.

Under perfect circumstances, surgical instruments are carefully handled, transported and cleaned-according to industry best practices and OEM instructions. But in a busy surgery department or facility, the rush of procedures and pressure to turn equipment around quickly can lead to shortcuts that ultimately damage surgical instruments.

One weapon in the armament against surgical site infections (SSIs) is the American College of Surgeons' National Surgical Quality Improvement Program (NSQIP), an essential tool to helping hospitals reduce the rate of SSIs and other complications that arise during and after patient procedures, says Clifford Ko, MD, MS, MSHS, FACS, director of the Division of Research and Optimal Patient Care at the American College of Surgeons (ACS). Ko will deliver the keynote address, “Achieving Quality Improvement in Patient Care,” at the OR Manager conference to be held Oct. 7-9, 2015 in Nashville, Tenn.

“Can’t you just hand-wash that piece of equipment and put it in the sterilizer?”That’s one question Tim Brooks hears often-especially from surgeons.The answer is usually, “No.”“I don’t think people really understand what it takes to get instruments back on the shelf,” says Brooks, BS, CSPM, senior manager of sterile processing at Banner University Medical Center in Tucson, Ariz. “Many doctors have no idea what the functions of the sterile processing department (SPD) are. The only real exposure they have is what they’ve been told by scrub techs and nurses in the OR suite. In my 28-plus years in this industry, I’ve only seen three surgeons come and walk through SPD. There is a standard of care for every patient. Every time we make an exception, we are changing things for the next patients.”