Prophylactic antibiotics may not be necessary for transoral endoscopic thyroidectomy
Rattachement africain : kr. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background: With the recent advances in thyroid cancer surgery techniques and the increasing number of patients concerned about cosmetics, the use of transoral endoscopic thyroidectomy is increasing globally. The aim of this study was to determine whether transoral endoscopic thyroidectomy is truly a clean-contaminated surgery. Methods: From September 2016 to April 2018, 20 patients with thyroid cancer underwent transoral endoscopic thyroidectomy performed by a single surgeon at Gangnam Severance Hospital. Before and after surgery, the oral cavity was swabbed to obtain culture samples, and antibiotics were administered before and after surgery each once. Results: Of the total 20 patients, no bacteria were identified before or after surgery in eight (40%) patients. Bacteria were identified both before and after surgery in seven patients (35%). In four patients (20%), bacteria were not identified before surgery, but bacteria were identified after surgery. Bacteria were identified before surgery but not after surgery in one patient (5%). No surgical site infection was observed. All the bacteria identified were normal flora of the oral cavity and skin. Conclusions: There was no difference between the preoperative culture and postoperative culture of the oral cavity in patients undergoing TOET, and there were no postoperative surgical site infection with prophylactic pre & post-operative antibiotics use. Considering the patient's position and surgical extent in TOET, it appears to be difficult for non-indigenous bacteria to invade the surgical site in oral cavity.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Prophylactic antibiotics may not be necessary for transoral endoscopic thyroidectomy
- Date Crossref
- 02/08/2022
- Éditeur
- Frontiers Media SA
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
Yonsei University Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
-
Gangnam Severance Hospital pays non établi dans la noticeÉtablissement de santé
-
CHA University Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
-
CHA University Ilsan Medical Center pays non établi dans la noticeÉtablissement de santé
-
Ajou University Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
-
Graduate school of medical science Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
Department of Surgery — Yonsei University, Gangnam Severance Hospital et Department of Surgery — CHA University, avec 3 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.