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Published in: European Journal of Orthopaedic Surgery & Traumatology 1/2005

01-03-2005 | Original Article

The body-exhaust system in total hip arthroplasty: A simple method to secure the body-exhaust air hose necklace using the surgeon’s own buttocks

Author: Haydar A. J. Al Hussainy

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 1/2005

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Abstract

The closed body-exhaust ventilated system plays an important role in reducing infection rate in total hip arthroplasty. This demands a secure body-exhaust air hose. The current method of securing the air hose by tying the necklace hose ribbons around the waist often fails to hold the hose in place. This will inevitably undermine the effectiveness of the body-exhaust system. A new and simple method is described to stop the body-exhaust hose from slipping and migrating up the surgeon’s body. The surgeon’s own buttocks are used to anchor the hose ribbons in place. The new method can improve the effectiveness of the body-exhaust system and raise its potential to the maximum without causing any discomfort to the surgeon or jeopardising the sterility of the surgeon’s clothing.
Literature
1.
go back to reference Bintcliffe IW (1983) Effects of using a Charnley-Howorth enclosure in a district general hospital. J R Soc Med. 76(4):262 Bintcliffe IW (1983) Effects of using a Charnley-Howorth enclosure in a district general hospital. J R Soc Med. 76(4):262
2.
go back to reference Blomgren G, Hambraeus A, Malmborg AS (1983) The influence of the total body-exhaust suit on air and wound contamination in elective hip-operations. J Hosp Infect 4(3):257CrossRefPubMed Blomgren G, Hambraeus A, Malmborg AS (1983) The influence of the total body-exhaust suit on air and wound contamination in elective hip-operations. J Hosp Infect 4(3):257CrossRefPubMed
3.
go back to reference Charnley J (1972) Postoperative infection after total hip replacement with special reference to air contamination in the operating room. Clin Orthop 87:167PubMed Charnley J (1972) Postoperative infection after total hip replacement with special reference to air contamination in the operating room. Clin Orthop 87:167PubMed
4.
go back to reference Charnley J (1973) Clean air symposium. I. Clean air in the operating room. Cleve Clin Q. 40(3):99 Charnley J (1973) Clean air symposium. I. Clean air in the operating room. Cleve Clin Q. 40(3):99
5.
go back to reference Charnley J (1974) Letter: Clean air operating room enclosures. Br Med J. 4(5938):224 Charnley J (1974) Letter: Clean air operating room enclosures. Br Med J. 4(5938):224
6.
go back to reference Charnley J (1986) A clean-air operating enclosure. Clin Orthop 211:4PubMed Charnley J (1986) A clean-air operating enclosure. Clin Orthop 211:4PubMed
7.
go back to reference Der Tavitian J, Ong SM, Taub NA, Taylor GJ (2003) Body-exhaust suit versus occlusive clothing. A randomised, prospective trial using air and wound bacterial counts. J Bone Joint Surg Br 85(4):490CrossRefPubMed Der Tavitian J, Ong SM, Taub NA, Taylor GJ (2003) Body-exhaust suit versus occlusive clothing. A randomised, prospective trial using air and wound bacterial counts. J Bone Joint Surg Br 85(4):490CrossRefPubMed
8.
go back to reference Fitzgerald RH Jr, Nolan DR, Ilstrup DM, Van Scoy RE, Washington JA 2nd, Coventry MB (1977) Deep wound sepsis following total hip arthroplasty. J Bone Joint Surg Am 59(7):847PubMed Fitzgerald RH Jr, Nolan DR, Ilstrup DM, Van Scoy RE, Washington JA 2nd, Coventry MB (1977) Deep wound sepsis following total hip arthroplasty. J Bone Joint Surg Am 59(7):847PubMed
9.
go back to reference Lidwell OM, Lowbury EJ, Whyte W, Blowers R, Stanley SJ, Lowe D (1982) Effect of ultraclean air in operating rooms on deep sepsis in the joint after total hip or knee replacement: a randomised study. Br Med J (Clin Res Ed) 285(6334):10 Lidwell OM, Lowbury EJ, Whyte W, Blowers R, Stanley SJ, Lowe D (1982) Effect of ultraclean air in operating rooms on deep sepsis in the joint after total hip or knee replacement: a randomised study. Br Med J (Clin Res Ed) 285(6334):10
10.
go back to reference Lidwell OM, Lowbury EJ, Whyte W, Blowers R, Stanley SJ, Lowe D (1983) Bacteria isolated from deep joint sepsis after operation for total hip or knee replacement and the sources of the infections with Staphylococcus aureus. J Hosp Infect 4(1):19CrossRefPubMed Lidwell OM, Lowbury EJ, Whyte W, Blowers R, Stanley SJ, Lowe D (1983) Bacteria isolated from deep joint sepsis after operation for total hip or knee replacement and the sources of the infections with Staphylococcus aureus. J Hosp Infect 4(1):19CrossRefPubMed
11.
go back to reference Lidwell OM, Lowbury EJ, Whyte W, Blowers R, Stanley SJ, Lowe D (1983) Airborne contamination of wounds in joint replacement operations: the relationship to sepsis rates. J Hosp Infect 4(2):111CrossRefPubMed Lidwell OM, Lowbury EJ, Whyte W, Blowers R, Stanley SJ, Lowe D (1983) Airborne contamination of wounds in joint replacement operations: the relationship to sepsis rates. J Hosp Infect 4(2):111CrossRefPubMed
12.
go back to reference Lidwell OM, Lowbury EJ, Whyte W, Blowers R, Stanley SJ, Lowe D (1984) Infection and sepsis after operations for total hip or knee-joint replacement: influence of ultraclean air, prophylactic antibiotics and other factors. J Hyg 93(3):505 Lidwell OM, Lowbury EJ, Whyte W, Blowers R, Stanley SJ, Lowe D (1984) Infection and sepsis after operations for total hip or knee-joint replacement: influence of ultraclean air, prophylactic antibiotics and other factors. J Hyg 93(3):505
13.
go back to reference Piasecki P, Gitelis S (1988) Use of a clean air system and personal exhaust suit in the orthopaedic operating room. Orthop Nurs 7(4):20 Piasecki P, Gitelis S (1988) Use of a clean air system and personal exhaust suit in the orthopaedic operating room. Orthop Nurs 7(4):20
14.
go back to reference Ritter MA, Eitzen HE, French M (1977) Comparison of horizontal and vertical unidirectional (laminar) air-flow systems in orthopedic surgery. Clin Orthop 129:205PubMed Ritter MA, Eitzen HE, French M (1977) Comparison of horizontal and vertical unidirectional (laminar) air-flow systems in orthopedic surgery. Clin Orthop 129:205PubMed
15.
go back to reference Ritter MA, Stringer EA (1980) Laminar air-flow versus conventional air operating systems: a seven-year patient follow-up. Clin Orthop 150:177PubMed Ritter MA, Stringer EA (1980) Laminar air-flow versus conventional air operating systems: a seven-year patient follow-up. Clin Orthop 150:177PubMed
16.
go back to reference Rubman MH, Seigal MG, Echt AS, Burroughs GE, Lenhart SW (1998) Levels of carbon dioxide in helmet systems used during orthopaedic operations. J Bone Joint Surg Am 80:1264PubMed Rubman MH, Seigal MG, Echt AS, Burroughs GE, Lenhart SW (1998) Levels of carbon dioxide in helmet systems used during orthopaedic operations. J Bone Joint Surg Am 80:1264PubMed
17.
go back to reference Salvati EA, Robinson RP, Zeno SM, Koslin BL, Brause BD, Wilson PD Jr (1982) Infection rates after 3175 total hip and total knee replacements performed with and without a horizontal unidirectional filtered air-flow system. J Bone Joint Surg Am 64(4):525PubMed Salvati EA, Robinson RP, Zeno SM, Koslin BL, Brause BD, Wilson PD Jr (1982) Infection rates after 3175 total hip and total knee replacements performed with and without a horizontal unidirectional filtered air-flow system. J Bone Joint Surg Am 64(4):525PubMed
18.
go back to reference The Charnley-Howarth ultra clean air unit (1976) Nurs Mirror Midwives J 143(16):58 The Charnley-Howarth ultra clean air unit (1976) Nurs Mirror Midwives J 143(16):58
19.
go back to reference Whyte W, Hodgson R, Tinkler J (1982) The importance of airborne bacterial contamination of wounds. J Hosp Infect 3(2):123CrossRefPubMed Whyte W, Hodgson R, Tinkler J (1982) The importance of airborne bacterial contamination of wounds. J Hosp Infect 3(2):123CrossRefPubMed
20.
go back to reference Whyte W, Lidwell OM, Lowbury EJ, Blowers R (1983) Suggested bacteriological standards for air in ultraclean operating rooms. J Hosp Infect 4(2):133CrossRefPubMed Whyte W, Lidwell OM, Lowbury EJ, Blowers R (1983) Suggested bacteriological standards for air in ultraclean operating rooms. J Hosp Infect 4(2):133CrossRefPubMed
Metadata
Title
The body-exhaust system in total hip arthroplasty: A simple method to secure the body-exhaust air hose necklace using the surgeon’s own buttocks
Author
Haydar A. J. Al Hussainy
Publication date
01-03-2005
Publisher
Springer-Verlag
Published in
European Journal of Orthopaedic Surgery & Traumatology / Issue 1/2005
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-004-0190-x

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