Jawad, M. (2021). Shaving the Surgical Site and Infection in Lumbar Spine Surgery. Alustath, 21(2), 166-170. doi: 10.52573/ipmj.2021.174625
Mazin S. Mohammed Jawad. "Shaving the Surgical Site and Infection in Lumbar Spine Surgery". Alustath, 21, 2, 2021, 166-170. doi: 10.52573/ipmj.2021.174625
Jawad, M. (2021). 'Shaving the Surgical Site and Infection in Lumbar Spine Surgery', Alustath, 21(2), pp. 166-170. doi: 10.52573/ipmj.2021.174625
Jawad, M. Shaving the Surgical Site and Infection in Lumbar Spine Surgery. Alustath, 2021; 21(2): 166-170. doi: 10.52573/ipmj.2021.174625

Shaving the Surgical Site and Infection in Lumbar Spine Surgery

Iraqi Postgraduate Medical Journal
Article 7, Volume 21, Issue 2, April 2022, Pages 166-170    PDF (171.91 K)
Document Type: Research Paper
DOI: 10.52573/ipmj.2021.174625
Author
Mazin S. Mohammed Jawad
Department of Neurosurgery, Al-Imamein Al-Kadhemein Medical City, Baghdad, Iraq.
Abstract
BACKGROUND:
Spine surgeons ordinarily shave the skin of the surgery locality before operation start. Nevertheless,  data from some surgical series proposes that preoperative shaving may enhance the post-surgical infection incidence.
OBJECTIVE:
To conclude whether shaving the surgical site before lumbar spine surgery induces infection in                     the post-operative period and whether presurgical shaving is compulsory.
METHODS:
A prospective cohort study had conducted over two years at the Department of neurosurgery, Medical City, Baghdad, Iraq, starting from July 2018. A total of 186 patients scheduled to undergo spinal   surgery were randomly allocated into 2 groups: those in whom the site of operation was shaved immediately before surgery (shaved group; 90 patients) and the patients in whom presurgical shaving was not performed (unshaved group; 93 patients). The mean duration of anesthesia and the infection rates in both groups were recorded and compared.
RESULTS:
The span of anesthesia did not deviate in the two assemblies (P > .05). Postoperative infection occurred in 9 patients in blade shaved group, 4 of them underwent Lumbar disc surgery (P <  .01).
CONCLUSION: 
The shaving of the incision site immediately before lumbar spinal surgery using blade may increase              the rate of post-operative infection.
 
Keywords
antibiotic prophylaxis; lumbar disc; shaving; spine surgery; wound infection
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