تدبير الجروح 2 "clip and clean C"

This makes the surgery, the suturing and the dressing removal easier. It must be done immediately prior to the operation, with the least possible cuticular dermal injury; in this case, the wound infection rate is only 1%. The infection rate rises to > 5% if shaving is performed more than 12 h prior to the surgery (abra-sions can cause colonization, which can lead to wound infection). Clippers or depilatory creams reduce infec-tion rates to < 1%.

We found first of all that preoperative shaving (razor) is associated with a significantly higher surgical site infection (SSI) risk. Second, when hair removal is considered necessary by the surgeon, it should be carried out by means of a clipper or depilatory cream. Furthermore hair removal should be performed immediately before surgery and not in advance, to avoid an increased risk of SSI.

The evidence finds no difference in SSIs among patients who have had hair removed prior to surgery and those who have not. If it is necessary to remove hair then both clipping and depilatory creams results in fewer SSIs than shaving using a razor. There is no difference in SSIs when patients are shaved or clipped one day before surgery or on the day of surgery.

The frequency of abdominal wound infections can be reduced significantly by using electric clippers, rather than a razor, to remove the hair at the site of the surgical incision, washing the skin with a chlorhexidine solution, and administering broad-spectrum antibiotic prophylaxis before the start of surgery