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  1. Article ; Online: [No title information]

    Gunnarson, Gudjon L

    Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke

    2018  Volume 138, Issue 11

    Title translation Mondors sykdom - ikke så sjelden.
    Language Norwegian
    Publishing date 2018-06-25
    Publishing country Norway
    Document type Journal Article ; Comment
    ZDB-ID 603504-8
    ISSN 0807-7096 ; 0029-2001
    ISSN (online) 0807-7096
    ISSN 0029-2001
    DOI 10.4045/tidsskr.18.0476
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Applying Unsterile Microporous Tape onto Surgical Wounds: Tape Contamination and Clinical Rationale.

    Ausen, Kjersti / Kroknes, Marthe L / Gunnarson, Gudjon / Radtke, Andreas

    Plastic and reconstructive surgery. Global open

    2021  Volume 9, Issue 6, Page(s) e3635

    Abstract: Fomites are surfaces that carry contaminants and may cause infection. We wanted to assess the bacterial load on rolls of nonsterile microporous tape in a hospital setting and explore the scientific rationale behind the existing practice of applying ... ...

    Abstract Fomites are surfaces that carry contaminants and may cause infection. We wanted to assess the bacterial load on rolls of nonsterile microporous tape in a hospital setting and explore the scientific rationale behind the existing practice of applying unsterile adhesives onto a surgical wound.
    Methods: We analyzed the aerobic bacterial contamination in rolls of microporous tape collected from surgical theaters, outpatient clinics, and storage rooms at St. Olav's University Hospital, Trondheim, Norway between 2018 and 2020. We also reviewed the literature for relevant publications.
    Results: A total of 58 rolls were collected; 55 were included for final analysis. Exposed tape surfaces were significantly more contaminated than unexposed surfaces. Tape rolls from outpatient clinics were significantly more contaminated and contained a significantly greater variety of microbes than rolls from operation theaters and storage rooms. Unexposed surfaces from both operation theaters and storage rooms demonstrated very little contamination.
    Conclusions: Rolls of tape may act as fomites, but widespread use of adhesives is inevitable in hospital settings. Removing the outer layer of a tape roll before use may significantly reduce bacterial contamination. Given sufficient vigilance to avoid cross-contamination, inner layers of tape may represent a close-to-sterile alternative as surgical dressing. However, the economic savings constitute a negligible fraction of the total costs of the surgery, and the risk of contamination seems apparent. Scientific support of dressing a fresh surgical wound with unsterile microporous tape is lacking, and we therefore do not recommend the practice except in situations with very limited resources.
    Language English
    Publishing date 2021-06-15
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2851682-5
    ISSN 2169-7574 ; 2169-7574
    ISSN (online) 2169-7574
    ISSN 2169-7574
    DOI 10.1097/GOX.0000000000003635
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Plastic surgery after bariatric surgery.

    Gunnarson, Gudjon L / Frøyen, Jan K / Sandbu, Rune / Thomsen, Jørn Bo / Hjelmesæth, Jøran

    Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke

    2015  Volume 135, Issue 11, Page(s) 1044–1049

    Abstract: Background: Massive weight loss after bariatric surgery often results in excess skin, which can lead to stigma due to appearance and pronounced physical and psychological impairments. This review considers the evidence base for post-bariatric plastic ... ...

    Abstract Background: Massive weight loss after bariatric surgery often results in excess skin, which can lead to stigma due to appearance and pronounced physical and psychological impairments. This review considers the evidence base for post-bariatric plastic surgery and the treatment options that are available.
    Method: The article is based on a literature search in PubMed with the keywords «bariatric surgery» AND «plastic surgery», in addition to the authors' experience with a large number of patients.
    Results: Body contouring surgery after massive weight loss is offered primarily for the treatment of troublesome skin conditions. The surgery can help to improve quality of life and functional status. However, there is little scientific evidence regarding indications for surgery, choice of surgical techniques and risk of complications, and the surgeon's own opinions and clinical experience often play a major role. Many plastic surgeons limit body contouring surgery to those with BMI < 28 kg/m². However, most patients who have undergone bariatric surgery have BMI ≥ 30 kg/m², and requests for body contouring surgery for these individuals are often denied, except when there are compelling medical grounds.
    Interpretation: Plastic surgery can lead to improved functioning and increased quality of life. The evidence base with respect to indications, treatment methods and outcomes should be strengthened through well-planned prospective studies and a patient registry. There is a particular need for documentation of treatment outcomes in the large group of patients with BMI ≥ 30 kg/m².
    MeSH term(s) Bariatric Surgery/adverse effects ; Body Mass Index ; Contraindications ; Dermatologic Surgical Procedures/adverse effects ; Dermatologic Surgical Procedures/methods ; Dermatologic Surgical Procedures/psychology ; Humans ; Obesity/surgery ; Postoperative Complications ; Quality of Life ; Skin/pathology
    Language Norwegian
    Publishing date 2015-06-16
    Publishing country Norway
    Document type Journal Article ; Review
    ZDB-ID 603504-8
    ISSN 0807-7096 ; 0029-2001
    ISSN (online) 0807-7096
    ISSN 0029-2001
    DOI 10.4045/tidsskr.14.0814
    Database MEDical Literature Analysis and Retrieval System OnLINE

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