The effect of hair on infection after cranial surgery

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dc.contributor.buuauthorBekar, Ahmet
dc.contributor.buuauthorEnder, Korfalı
dc.contributor.buuauthorŞeref, Doğan
dc.contributor.buuauthorYılmazlar, Selçuk
dc.contributor.buuauthorBaşkan, Zelal
dc.contributor.buuauthorAksoy, Kaya
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Beyin ve Sinir Cerrahisi Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0003-3633-7919tr_TR
dc.contributor.researcheridAAH-5070-2021tr_TR
dc.contributor.researcheridAAI-6531-2021tr_TR
dc.date.accessioned2021-07-01T10:35:06Z
dc.date.available2021-07-01T10:35:06Z
dc.date.issued2001
dc.description.abstractObjective, Reports of large series of patients who had undergone successful cranial neurosurgery without hair removal led part of our team to abandon the practice of shaving patients' heads preoperatively. The aim of this study was to assess whether this change in routine, which was implemented in 1992, has affected the rate of postoperative infection in our cranial surgery patients. Methods. A group of patients whose heads were shaved pre operatively was compared to a group whose hair was not shaved prior to cranial surgery. The latter patients had their hair washed with shampoo and 4% chlorhexidine within 24 hours of their operation. In the operating room, the surgical site was scrubbed for 8-10 minutes with 4% chlorhexidine diluted with water, and then cleansed with 10% povidone-iodine solution. Prophylactic antibiotics were administered for 3 days. Results. We performed 1.038 cranial procedures without hair removal. The procedures included craniotomy for tumour, trauma, aneurysm, other vascular lesions and intracerebral haemorrhage (n = 847), stereotactic biopsy (n = 90), stereotactic craniotomy (n = 34), ventriculoperitoneal shunt placement (n = 27). surgical treatment of infection with aspiration of brain abscess or resection of infected tissue (n = 14),microvascular decompression for trigeminal neuralgia or hemifacial spasm (n = 11), and other miscellaneous procedures (n = 15). We observed 13 postoperative wound infections (1.25%,), including 9 deep (0.87%) and 4 superficial infections (0.39%). There was no significant difference between the rate of infection in patients a hose heads were shaven (12/980) and the rate in those whose hair was spared (13/1038) (p < 0.05). In addition, there were no other problems related to the surgical preparation technique in the latter group. Conclusion. Cranial surgery without hair removal is safe and does not increase the risk of surgical wound infection. Patients naturally prefer to keep their full head of hair. We believe that preoperarive hair removal is not necessary in preparation for any type of cranial neurosurgery.en_US
dc.identifier.citationKanpolat, Y. vd. (2001). "Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: 25-year experience with 1600 patients". Acta Neurochirurgica,143(6), 533-536.tr_TR
dc.identifier.endpage536tr_TR
dc.identifier.issn0001-6268
dc.identifier.issue6tr_TR
dc.identifier.pubmed11534669tr_TR
dc.identifier.scopus2-s2.0-0034913223tr_TR
dc.identifier.startpage533tr_TR
dc.identifier.urihttps://doi.org/10.1007/s007010170057
dc.identifier.urihttps://link.springer.com/article/10.1007%2Fs007010170057
dc.identifier.urihttp://hdl.handle.net/11452/20956
dc.identifier.volume143tr_TR
dc.identifier.wos000169659400001tr_TR
dc.indexed.pubmedPubmeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherSpringer Verlag Wienen_US
dc.relation.journalActa Neurochirurgicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectShavingen_US
dc.subjectHairen_US
dc.subjectNeurosurgical wound infectionsen_US
dc.subjectWound-infectionen_US
dc.subjectNeurosurgeryen_US
dc.subjectChlorhexidineen_US
dc.subjectProphylaxisen_US
dc.subjectCramotomyen_US
dc.subject10-yearen_US
dc.subjectRemovalen_US
dc.subjectTrialen_US
dc.subjectNeurosciences & neurologyen_US
dc.subjectSurgeryen_US
dc.subject.wosClinical neurologyen_US
dc.subject.wosSurgeryen_US
dc.titleThe effect of hair on infection after cranial surgeryen_US
dc.typeArticle
dc.wos.quartileQ2 (Surgery)en_US
dc.wos.quartileQ3 (Clinical neurology)en_US

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