دورية أكاديمية
The microsurgical safety task force: guidelines for minimizing endophthalmitis with vitrectomy surgery.
| العنوان: | The microsurgical safety task force: guidelines for minimizing endophthalmitis with vitrectomy surgery. |
|---|---|
| المؤلفون: | Shah RE; Wills Eye Institute, Philadelphia, Pennsylvania 19107, USA., Gupta O |
| المصدر: | Current opinion in ophthalmology [Curr Opin Ophthalmol] 2012 May; Vol. 23 (3), pp. 189-94. |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9011108 Publication Model: Print Cited Medium: Internet ISSN: 1531-7021 (Electronic) Linking ISSN: 10408738 NLM ISO Abbreviation: Curr Opin Ophthalmol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: Philadelphia, PA : Current Science, c1990- |
| مواضيع طبية MeSH: | Microsurgery* , Vitrectomy*, Endophthalmitis/*prevention & control , Postoperative Complications/*prevention & control, Endophthalmitis/etiology ; Humans ; Practice Guidelines as Topic ; Wound Healing |
| مستخلص: | Purpose of Review: The transition from 20-gauge vitrectomy surgery to 23-gauge and 25-gauge instrumentation was not without its complications. Early instrumentation provided limitations in surgical technique, including limited illumination, instrument flex, and efficiency of vitreous removal. The most concerning finding arose from two separate retrospective studies which reported increased rates of postoperative endophthalmitis following small-gauge vitrectomy. This situation raised questions as to whether this shift in technique was appropriate. Recent Findings: Following these concerning reports of complication, a Microsurgery Safety Task Force was convened to evaluate the scientific evidence and create guidelines with the intent to minimize the rates of postoperative infection with small-gauge vitrectomy surgery. Further studies of wound architecture and advances in instrumentation and surgical technique have improved outcomes. More recent studies demonstrate equivalent rates of postoperative endophthalmitis between 20-gauge and smaller gauge instrumentation. Summary: The guidelines of the Microsurgery Safety Task Force, evolutions in instrumentation and surgical technique, and improved understanding of small-gauge vitrectomy wound construction have yielded comparable results in endophthalmitis rates for small-gauge vitrectomy versus traditional 20-gauge approaches. |
| تواريخ الأحداث: | Date Created: 20120328 Date Completed: 20130327 Latest Revision: 20181201 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1097/ICU.0b013e328352401e |
| PMID: | 22450216 |
| قاعدة البيانات: | MEDLINE |
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