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Surgical Jacket and Bouffant Use and Surgical Site Infection Risk—Reply

Surgical Jacket and Bouffant Use and Surgical Site Infection Risk—Reply Letters pancreatic fistula mitigation, and we chose not to include the researchers for contributing to a new and growing body of these patients in the HYPAR trial. This decision inevitably research regarding hair and arm covering in the perioperative led to increased rates of pancreatic fistula. The RCT assess- setting. There have been several changes to the 2019 Guide- ing hydrocortisone used histological assessment of the pan- line for Surgical Attire, including recommendations regard- creatic resection margin to stratify patients into the high-risk ing hair and arm covering, laundering practices, personal items, category. The method has not been externally validated. We shoes, and cover apparel. used the most common method, assessment of the firmness The AORN Guidelines are authored by perioperative nurs- of the pancreas and diameter of the pancreatic duct. These ing specialists and selected members of the AORN Guidelines differences in categorizing patients into high risk might lead Advisory Board in collaboration with liaisons from the Ameri- to different populations and could affect the observed fistula can Association of Nurse Anesthetists, the American College rates. We thank the commenters for these insightful views, of Surgeons, the American Society of Anesthesiologists, the and we agree that the jury http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Surgical Jacket and Bouffant Use and Surgical Site Infection Risk—Reply

JAMA Surgery , Volume 155 (10) – Oct 22, 2020

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References (7)

Publisher
American Medical Association
Copyright
Copyright 2020 American Medical Association. All Rights Reserved.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/jamasurg.2020.2190
Publisher site
See Article on Publisher Site

Abstract

Letters pancreatic fistula mitigation, and we chose not to include the researchers for contributing to a new and growing body of these patients in the HYPAR trial. This decision inevitably research regarding hair and arm covering in the perioperative led to increased rates of pancreatic fistula. The RCT assess- setting. There have been several changes to the 2019 Guide- ing hydrocortisone used histological assessment of the pan- line for Surgical Attire, including recommendations regard- creatic resection margin to stratify patients into the high-risk ing hair and arm covering, laundering practices, personal items, category. The method has not been externally validated. We shoes, and cover apparel. used the most common method, assessment of the firmness The AORN Guidelines are authored by perioperative nurs- of the pancreas and diameter of the pancreatic duct. These ing specialists and selected members of the AORN Guidelines differences in categorizing patients into high risk might lead Advisory Board in collaboration with liaisons from the Ameri- to different populations and could affect the observed fistula can Association of Nurse Anesthetists, the American College rates. We thank the commenters for these insightful views, of Surgeons, the American Society of Anesthesiologists, the and we agree that the jury

Journal

JAMA SurgeryAmerican Medical Association

Published: Oct 22, 2020

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