The Practices and Attitudes of Saudi Plastic Surgeons in Managing Contaminated Autologous Grafts.

Autor:	Aljindan F; Plastic Surgery Department, King Abdullah Medical City, Makkah, Saudi Arabia., Alhumaid F; Plastic Surgery Section, Department of Surgery, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia., Allababidi NH; Department of Surgery, Plastic Surgery King Fahd Hospital of the University, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.; Plastic Surgery Department, National Gard Health Affairs, King Abdulaziz Medical City, Jeddah, Saudi Arabia., Mortada H; Division of Plastic Surgery, Department of Surgery, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.; Department of Plastic Surgery and Burn Unit, King Saud Medical City, Riyadh, Saudi Arabia., Alzaidi S; Plastic Surgery Department, King Abdullah Medical City, Makkah, Saudi Arabia.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2022 Aug 24; Vol. 10 (8), pp. e4475. Date of Electronic Publication: 2022 Aug 24 (Print Publication: 2022).
DOI:	10.1097/GOX.0000000000004475
Abstrakt:	Background: The use of autologous grafts is a standard reconstructive option in plastic surgery. The absence of a well-established protocol for decontamination after accidental contamination increases the risk of postoperative infection. We aimed to explore the current practice and decontamination methods among Saudi plastic surgeons. This would help develop a well-established, unified method of decontamination intraoperatively. Methods: A validated self-administered questionnaire cross-sectional study was conducted in February 2022. The questionnaire was distributed through social media to all board-certified plastic surgeons in Saudi Arabia. The questionnaire was designed to obtain data on incidents, treatment preferences, and management of autograft contamination. Results: A total sample size of 61 participants was included, with an overall response rate of 64.58%. Out of the 61 respondents, 73.8% (n = 45) had previously experienced graft contamination. Regarding the methods of graft contamination, the most common way was accidentally dropping the graft on the floor (39.7%, n = 25). The majority of the surgeons answered that they decontaminated the graft using povidone-iodine (44.6%, n = 29) and then used it (45.9%, n = 28). The lower extremity area was the most common anatomical location having surgery at the time of the graft contamination, accounting for 32.5% of the cases (n = 25). Conclusions: Our study indicates that graft contamination is a common occurrence among our population, but we lack national guidelines on dealing with these situations. Although most responders used adequate decontamination methods, the lack of standardization could pose a risk to patients. (Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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