E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


Two methods of pre-operative hair removal and their effect on post operative period

Mukesh Suvera, Pratik Vyas, Mansukh Patel, Vivin Varghese, Abrar Ahmed, Raghavendra Kashyap, Dhanya Nair.

Cited by (1)

Abstract
Background: Preparation for surgery has traditionally included the routine removal of body hair from the intended surgical wound site. Hair is removed as its presence can interfere with the exposure of the incision and subsequent wound, the suturing of the incision and the application of adhesive drapes and wound dressings. Hair is also perceived to be associated with a lack of cleanliness and hair removal is thought to reduce the risk of surgical site infections (SSIs). SSIs are experienced by around 10% of patients in the UK each year and can result in delayed wound healing, increased hospital stays, unnecessary pain and in extreme cases the death of the patient. Three methods of hair removal are currently used: shaving, clipping and chemical depilation. When a surgical operation is to be conducted through a hair bearing part of the body, hair removal is often performed.

Objectives: This study aimed to evaluate the relationship of two methods (shaving and depilation cream) of preoperative hair removal to adequacy of hair removal, skin injury and reaction during hair removal, postoperative wound infection in a developing country where razor shaving is very popular.

Materials and methods: Consecutive consenting patients scheduled to have such operations were randomized into two groups. One group had hair removal by shaving with a razor blade while the other had hair removed by depilatory cream. Adequacy of hair removal and presence of skin injuries and/or reactions were noted preoperatively. Details of the procedures were recorded and patients were then assessed for postoperative wound infection.

Results: A total 215 patients were studied. Of the 103 patients who had hair removal by depilatory cream, hair was completely removed in 93 (91%) compared to 69 (62%) of the 112 patients who had razor hair shaving. Skin injuries were noted in 32 (29%) of the razor group and 4 (4%) of patients who had depilatory cream. 18 patients (8%) had postoperative wound infection including 3 (3%) in the depilatory cream group and 15 (13%) of the razor group. A significant association was found between preoperative skin injuries and postoperative wound infections.

Conclusion: Preoperative hair removal with razor shaving predisposes to skin injuries which in turn significantly influence postoperative wound infection rates. Such injuries and resultant wound infection are fewer when depilatory cream is used for hair removal.

Key words: Hair Removal; Postoperative Wound Infection; Depilation Cream; Skin Reaction


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Mukesh Suvera
Articles by Pratik Vyas
Articles by Mansukh Patel
Articles by Vivin Varghese
Articles by Abrar Ahmed
Articles by Raghavendra Kashyap
Articles by Dhanya Nair
on Google
on Google Scholar


REFERENCES
1. Tanner J, Khan D. Surgical site infection, preoperative body washing and hair removal. J Perioper Pract 2008;18(6):232, 237-43.
2. National Audit Office. Improving patient care by reducing the risk of hospital acquired infection: A progress report. Report by the Comptroller and Auditor General. HC 876, Session 2003–2004 London, The Stationery Office. 2004.
3. Alexander JW, Fischer JE, Boyajian M, Palmquist J, Morris MJ. The influence of hair-removal methods on wound infections. Arch Surg 1983;118(3):347-52. [DOI via Crossref]   
4. Scherpereel B, Rousseaux P, Bernard MH, Guyot JF. Preoperative non-shaving for neurosurgical operations. Neurochirurgie 1979;25(4):244-5.
5. Ratanalert S, Saehaeng S, Sripairojkul B, Liewchanpattana K, Phuenpathom N. Nonshaved cranial neurosurgery. Surg Neurol 1999;51:458-63. [DOI via Crossref]   
6. Tanner J, Woodings D, Moncaster K Preoperative hair removal to reduce surgical site infection. Cochrane Database Syst Rev. 2006;(2):CD004122.
7. Long AE. The unshaved perineum at parturition: A bacteriological Study. Am J Obstet Gynaecol 1967;99:333-6.
8. Court-Brown CM. Preoperative skin depilation and its effect on postoperative wound infections. J Royal Col Surg Edinb 1981;26(4):238-41.
9. Gil Z, Cohen JT, Spektor S, Fliss DM. The role of hair shaving in skull base surgery. Otolaryngol Head Neck Surg 2003;128(1):43-7. [DOI via Crossref]   
10. Winston KR. Hair and neurosurgery. Neurosurgery 1992;31(2):320-9. [DOI via Crossref]   
11. Siddique MS, Matai V, Sutcliffe JC. The preoperative skin shave in neurosurgery: is it justified? Brit J Neurosug 1998;12(2):131-5. [DOI via Crossref]   
12. Briggs M. Principles of closed surgical wound care. Journal of Wound Care 1997;6(6):288-92.
13. Sheinberg MA, Ross DA. Cranial procedures without hair removal. Neurosurgery 1999;44(6):1263-5.
14. Ratanalert S, Sriplung H. Social attitudes toward shaving for cranial neurosurgery. Br J Neurosurg 2001;15(2):132-6. [DOI via Crossref]   
15. Horgan MA, Piatt JH. Shaving the scalp may increase the rate of infection in CSF shunt surgery. Ped Neurosurg 1997;26(4):180-4. [DOI via Crossref]   
16. Bruce J, Russell EM, Mollison J, Krukowski ZH. The measurement and monitoring of surgical adverse events. Health Technol Asses 2001;5(22):1-194.
17. Bailey IS, Karran SE, Toyn K, Brough P, Ranaboldo C, Karran SJ. Community surveillance of complications after hernia surgery. BMJ 1992;304(6825):469-71. [DOI via Crossref]   
18. Seropian R and Reynolds BM. Wound infection after preoperative depilation versus razor preparation. Am J Surg 1970;121(3):251-4. [DOI via Crossref]   
19. Prigot A, Garnes AL, Nwagbo U. Evaluation of a chemical depilatory for preoperative preparation of five hundred fifteen surgical patients. Am J Surg 1962;104:900-6. [DOI via Crossref]   
20. Hamilton HW, Hamilton KR, Lone FJ. Preoperative hair removal. Can J Surg 1977;20(3):269-75.

This Article Cited By the following articles

Preoperative hair removal to reduce surgical site infection
2021; 2021(8): .

1
 
How to Cite this Article
Pubmed Style

Mukesh Suvera, Pratik Vyas, Mansukh Patel, Vivin Varghese, Abrar Ahmed, Raghavendra Kashyap, Dhanya Nair. Two methods of pre-operative hair removal and their effect on post operative period. Int J Med Sci Public Health. 2013; 2(4): 885-888. doi:10.5455/ijmsph.2013.050720131


Web Style

Mukesh Suvera, Pratik Vyas, Mansukh Patel, Vivin Varghese, Abrar Ahmed, Raghavendra Kashyap, Dhanya Nair. Two methods of pre-operative hair removal and their effect on post operative period. https://www.ijmsph.com/?mno=37775 [Access: April 05, 2022]. doi:10.5455/ijmsph.2013.050720131


AMA (American Medical Association) Style

Mukesh Suvera, Pratik Vyas, Mansukh Patel, Vivin Varghese, Abrar Ahmed, Raghavendra Kashyap, Dhanya Nair. Two methods of pre-operative hair removal and their effect on post operative period. Int J Med Sci Public Health. 2013; 2(4): 885-888. doi:10.5455/ijmsph.2013.050720131



Vancouver/ICMJE Style

Mukesh Suvera, Pratik Vyas, Mansukh Patel, Vivin Varghese, Abrar Ahmed, Raghavendra Kashyap, Dhanya Nair. Two methods of pre-operative hair removal and their effect on post operative period. Int J Med Sci Public Health. (2013), [cited April 05, 2022]; 2(4): 885-888. doi:10.5455/ijmsph.2013.050720131



Harvard Style

Mukesh Suvera, Pratik Vyas, Mansukh Patel, Vivin Varghese, Abrar Ahmed, Raghavendra Kashyap, Dhanya Nair (2013) Two methods of pre-operative hair removal and their effect on post operative period. Int J Med Sci Public Health, 2 (4), 885-888. doi:10.5455/ijmsph.2013.050720131



Turabian Style

Mukesh Suvera, Pratik Vyas, Mansukh Patel, Vivin Varghese, Abrar Ahmed, Raghavendra Kashyap, Dhanya Nair. 2013. Two methods of pre-operative hair removal and their effect on post operative period. International Journal of Medical Science and Public Health, 2 (4), 885-888. doi:10.5455/ijmsph.2013.050720131



Chicago Style

Mukesh Suvera, Pratik Vyas, Mansukh Patel, Vivin Varghese, Abrar Ahmed, Raghavendra Kashyap, Dhanya Nair. "Two methods of pre-operative hair removal and their effect on post operative period." International Journal of Medical Science and Public Health 2 (2013), 885-888. doi:10.5455/ijmsph.2013.050720131



MLA (The Modern Language Association) Style

Mukesh Suvera, Pratik Vyas, Mansukh Patel, Vivin Varghese, Abrar Ahmed, Raghavendra Kashyap, Dhanya Nair. "Two methods of pre-operative hair removal and their effect on post operative period." International Journal of Medical Science and Public Health 2.4 (2013), 885-888. Print. doi:10.5455/ijmsph.2013.050720131



APA (American Psychological Association) Style

Mukesh Suvera, Pratik Vyas, Mansukh Patel, Vivin Varghese, Abrar Ahmed, Raghavendra Kashyap, Dhanya Nair (2013) Two methods of pre-operative hair removal and their effect on post operative period. International Journal of Medical Science and Public Health, 2 (4), 885-888. doi:10.5455/ijmsph.2013.050720131





Most Viewed Articles
  • Internet addiction among professional courses students: A study from central India
    Arvind Sharma, Rupesh Sahu, Pradeep Kumar Kasar, Richa Sharma
    Int J Med Sci Public Health. 2014; 3(9): 1069-1073
    » Abstract & References » doi: 10.5455/ijmsph.2014.180620142

  • Management of Appendicular Lump: Early exploration Vs conservative management
    Chandra Prakash Pandey, Ram Chandra Kesharwani, Chandra Gopal Singh Chauhan, Manmohan Krishna Pandey, Purnima Mittra, Pramod Kumar, Arshad Raza
    Int J Med Sci Public Health. 2013; 2(4): 1046-1049
    » Abstract & References » doi: 10.5455/ijmsph.2013.230820131

  • Burden of non communicable diseases in India: Setting priority for action
    Kalpa Sharma
    Int J Med Sci Public Health. 2013; 2(1): 7-11
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.7-11

  • Diabetic nephropathy: Progression and pathophysiology
    Deepak N Parchwani, Amit A Upadhyah
    Int J Med Sci Public Health. 2012; 1(2): 59-70
    » Abstract & References » doi: 10.5455/ijmsph.2012.1.59-70

  • Elevated levels of serum uric acid, creatinine or urea in preeclamptic women
    Magna Manjareeka, Sitikantha Nanda
    Int J Med Sci Public Health. 2013; 2(1): 43-47
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.43-47

  • Most Downloaded
  • Minor disorder of pregnancy and its home management
    Lata Gururani, Atul Kumar, Gomathi Mahalingam
    Int J Med Sci Public Health. 2016; 5(4): 684-687
    » Abstract & References » doi: 10.5455/ijmsph.2016.03082015111

  • Association between serum ferritin and thyroid hormone profile in hypothyroidism
    Ashuma Sachdeva, Veena Singh, Isha Malik, Prasanta Saha Roy, Himanshu Madaan, Rajesh Nair
    Int J Med Sci Public Health. 2015; 4(6): 863-865
    » Abstract & References » doi: 10.5455/ijmsph.2015.24012015174

  • Internet addiction among professional courses students: A study from central India
    Arvind Sharma, Rupesh Sahu, Pradeep Kumar Kasar, Richa Sharma
    Int J Med Sci Public Health. 2014; 3(9): 1069-1073
    » Abstract & References » doi: 10.5455/ijmsph.2014.180620142

  • Effect of sleep deprivation on the attitude and performance of medical students, Riyadh, Saudi Arabia
    Hussein Saad Amin, Ibrahim Salamah Almazroua, Abdullah Sulaiman Alsahlan, Mohammed Abdullah Alrishan, Houssam Mourad Elmourad, Mohammed Mansour Alotaibi, Abdulaziz Ibrahim Almohaisin
    Int J Med Sci Public Health. 2016; 5(3): 575-580
    » Abstract & References » doi: 10.5455/ijmsph.2016.17112015207

  • Management of Appendicular Lump: Early exploration Vs conservative management
    Chandra Prakash Pandey, Ram Chandra Kesharwani, Chandra Gopal Singh Chauhan, Manmohan Krishna Pandey, Purnima Mittra, Pramod Kumar, Arshad Raza
    Int J Med Sci Public Health. 2013; 2(4): 1046-1049
    » Abstract & References » doi: 10.5455/ijmsph.2013.230820131

  • Most Cited Articles
  • Zinc: The trace element of major importance in human nutrition and health
    Jayant D Deshpande, Mohini M Joshi, Purushottam A Giri
    Int J Med Sci Public Health. 2013; 2(1): 1-6
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.1-6
    Cited : 61 times [Click to see citing articles]

  • Internet addiction among professional courses students: A study from central India
    Arvind Sharma, Rupesh Sahu, Pradeep Kumar Kasar, Richa Sharma
    Int J Med Sci Public Health. 2014; 3(9): 1069-1073
    » Abstract & References » doi: 10.5455/ijmsph.2014.180620142
    Cited : 26 times [Click to see citing articles]

  • A study on the prevalence of refractive errors among school childern of 7-15 years age group in the field practice areas of a medical college in bangalore
    Pavithra MB, Maheshwaran R, Rani Sujatha MA
    Int J Med Sci Public Health. 2013; 2(3): 641-645
    » Abstract & References » doi: 10.5455/ijmsph.2013.220420131
    Cited : 23 times [Click to see citing articles]

  • Examination stress and its effect on EEG
    Sunil Kumar Jena
    Int J Med Sci Public Health. 2015; 4(11): 1493-1497
    » Abstract & References » doi: 10.5455/ijmsph.2015.23042015308
    Cited : 23 times [Click to see citing articles]

  • Burden of non communicable diseases in India: Setting priority for action
    Kalpa Sharma
    Int J Med Sci Public Health. 2013; 2(1): 7-11
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.7-11
    Cited : 21 times [Click to see citing articles]