Wednesday 27 August 2008

Blood Splash Injury: An Underestimated Risk In Endourology?

�UroToday.com - Minimally invasive urologic surgery does non protect you from possible blood or fluid splosh contamination.
Researchers in the United Kingdom used criminal offense scene investigating techniques to show that almost 50% of the surgeons, and one one-third of the assisting surgeons and scratch nurses had blood contaminant of their surgical block out and/or center shields during these procedures. This splatter contamination was highest in the laparoscopic nephrectomy (84%) and the laparoscopic pyeloplasty (67%) procedures. However, flexible ureteroscopy and percutaneous nephrolithotomy were associated with more than 50% splash rates.


Although all of the other rigid endoscopic procedures also had more than 30% positive splash contamination, they were the least commonly associated with this risk. These high rates of sprinkle contamination during surgery in the television endoscopic suite should propel surgeons to protect themselves from possible exposure to blood-borne contaminants.


M.P. Wines, A. Lamb, A.N. Argyropoulos, A. Kaviezel, C. Gannicliffe, D. Tolley

Journal of Urology 2008; 22 (6): 1183-1187


Reported by UroToday.com Contributing Editor Elspeth M. McDougall, MD, FRCSC

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