Carta Revisado por pares

Commentary on: Stopping Traffic: An Analysis of the Number of Scrubbed Personnel and Infection in Implant-Based Breast Reconstruction

2023; Oxford University Press; Volume: 43; Issue: 10 Linguagem: Inglês

10.1093/asj/sjad104

ISSN

1527-330X

Autores

Peter Thompson,

Tópico(s)

Reconstructive Surgery and Microvascular Techniques

Resumo

In many academic centers, the plastic surgery team is instantly recognizable by its sheer size: a veritable wolfpack roaming the operating room (OR) consisting of fellows, residents, interns, off-service rotators, multiple medical students at various levels of training, and one or more attending surgeons leading the group. A team of this size has undeniable advantages. Our multiplicity allows us to provide assistance to several different surgical specialties in several different ORs at the same time; or, on a less busy day, perhaps the entire team will descend during the final phase of a breast reduction, closing the skin with ruthless efficiency in record time. A higher number of scrubbed personnel and unscrubbed observers, often a hallmark of plastic surgery involvement, has long been a cause of consternation among staff and infection prevention monitors at our institution. We justify this practice in the name of education and efficiency. In this report, Miller et al provide strong evidence that there may not always be “strength in numbers.”1

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