| 翻訳と辞書 |
| No-touch surgical technique for penile prosthesis implantation ： ウィキペディア英語版 |
No-touch surgical technique for penile prosthesis implantation
The “No-Touch” Surgical Technique for penile prosthesis implantation is a surgical procedure developed by J. Francois Eid for the implantation of a penile prosthesis. An inflatable penile prosthesis (IPP) is a device used in the treatment of medically refractory erectile dysfunction. Implantation through the use of the “No-Touch” Technique minimizes the risk of infection.
==Infection Prevention==
As advancements in the design and manufacturing process of the IPP improved its mechanical survival infection has emerged as the leading cause of implant failure. Although relatively infrequent (varying from .06% to 8.9%) infection of a penile prosthesis results in serious medical consequences for the bearer, requiring complete removal of the device and permanent loss of penile size and anatomy. Bacterial contamination of the device occurs during the surgery, and is caused by allowing direct or indirect contact of the prosthesis with the patient's skin. Over 70% of infections form from skin organisms including Staphylococcus epidermis, aureus, streptococcus and Candida albicans.
Traditional strategies to combat infections aim at decreasing skin colony count such as scrubbing skin preparation with alcohol and chlorhexidine or kill bacteria once the implant is contaminated by skin flora such as intravenous antibiotics, antibiotic irrigation and antibiotic-coated implants. The “No-Touch” technique is unique in that it aims at preventing bacterial contamination of the prosthesis by completely eliminating contact of the device with the skin.
Paired with the antibiotic-coated implant, the “No Touch” Technique decreases infection to a rate of 0.46%, opposing the traditional method which has an infection rate of 5%. The use of an antibiotic-coated implant and a no-touch surgical technique with skin preparation measures and peri-operative antibiotic use has been found to be of high importance in the prevention of infection among penile implants. J. Francois Eid developed his no-touch technique in 2006 on the hypothesis that eliminating any contact between the prosthesis and the skin, either directly or indirectly via surgical instruments or gloves, should reduce the incidence of contamination of the device with skin flora responsible for infection.〔
抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』
■ウィキペディアで「No-touch surgical technique for penile prosthesis implantation」の詳細全文を読む
スポンサード リンク
| 翻訳と辞書 : 翻訳のためのインターネットリソース |
Copyright(C) kotoba.ne.jp 1997-2016. All Rights Reserved.
|
|