D Moszkowicz1, C Hobeika2, M Collard3, M Bruzzi4, N Beghdadi5, J Catry6, E Duchalais7, G Manceau2, T Voron8, Z Lakkis9, M-A Allard5, F Cauchy3, L Maggiori10. 1. Service de chirurgie digestive, oncologique et métabolique, université Versailles Saint-Quentin en Yvelines, hôpital Ambroise-Paré, Assistance publique-hôpitaux de Paris (AP-HP), 92100 Boulogne-Billancourt, France. 2. Service de chirurgie digestive, hépato-bilio-pancréatique et transplantation, université Paris 6, hôpital Pitié-Salpétrière, Assistance publique-hôpitaux de Paris (AP-HP), 75013 Paris, France. 3. Service de chirurgie hépato-bilio-pancréatique et transplantation hépatique, université Paris 7, hôpital Beaujon, Assistance publique-hôpitaux de Paris (AP-HP), 92110 Clichy, France. 4. Service de chirurgie digestive, université Paris 5, hôpital européen Georges Pompidou, Assistance publique-hôpitaux de Paris (AP-HP), 75015 Paris, France. 5. Centre hépatobiliaire, université Paris 11, hôpital Paul Brousse, Assistance publique-hôpitaux de Paris (AP-HP), 94800 Villejuif, France. 6. Service de chirurgie générale, digestive et endocrinienne, université Paris 7, hôpital Saint-Louis, Assistance publique-hôpitaux de Paris (AP-HP), 75010 Paris, France. 7. Service de chirurgie digestive et endocrinienne, université de Nantes, CHU de Nantes, 44093 Nantes, France. 8. Service de chirurgie générale et digestive, université Paris 6, hôpital Saint-Antoine, Assistance publique-hôpitaux de Paris (AP-HP), 75012 Paris, France. 9. Service de chirurgie viscérale, digestive et cancérologique, université de Franche-Comté, CHRU de Besançon, 25000 Besançon, France. 10. Service de chirurgie colorectale, pôle des maladies de l'appareil digestif, université Paris VII (Denis Diderot), hôpital Beaujon, Assistance publique-hôpitaux de Paris (AP-HP), 100, boulevard du Général Leclerc, 92110 Clichy, France. Electronic address: leon.maggiori@aphp.fr.
Abstract
INTRODUCTION: The French Society of Gastro-Intestinal Surgery (SociétéFrançaisedeChirurgieDigestive) and the Association of hepato-bilio-pancreatic and transplantation surgery (AssociationdeChirurgieHépato-Bilio-PancréatiqueetTransplantation) requested that clinical practice recommendations be established with regard to operating room hygiene. METHODS: The literature was analyzed according to the High Authority of Health (HauteAutoritédesanté [HAS]) methodology and after consultation of the Cochrane and Medline databases. Pertinent references were selected, and supplementary references were hand-picked from the reference lists. Only English or French language papers were retained. The recommendations of learned societies and the World Health Organization were also considered. RESULTS: Recommendations were proposed with regard to pre-operative patient preparation, skin preparation, draping, wound edge protectors, surgeon hygiene, wound closure, and operating room environment. CONCLUSION: These clinical practice recommendations should guide and improve the daily practice of gastro-intestinal surgeons.
INTRODUCTION: The French Society of Gastro-Intestinal Surgery (SociétéFrançaisedeChirurgieDigestive) and the Association of hepato-bilio-pancreatic and transplantation surgery (AssociationdeChirurgieHépato-Bilio-PancréatiqueetTransplantation) requested that clinical practice recommendations be established with regard to operating room hygiene. METHODS: The literature was analyzed according to the High Authority of Health (HauteAutoritédesanté [HAS]) methodology and after consultation of the Cochrane and Medline databases. Pertinent references were selected, and supplementary references were hand-picked from the reference lists. Only English or French language papers were retained. The recommendations of learned societies and the World Health Organization were also considered. RESULTS: Recommendations were proposed with regard to pre-operative patient preparation, skin preparation, draping, wound edge protectors, surgeon hygiene, wound closure, and operating room environment. CONCLUSION: These clinical practice recommendations should guide and improve the daily practice of gastro-intestinal surgeons.