Journal of Korean Society for Quality Management (품질경영학회지)

Korean Society for Quality Management (한국품질경영학회)
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Effectiveness of incisions, and Dressing to increase Medical Quality : In Linear or Sigmoid Incisions, and Liquid Wound Dressing for Computer Image Guided Craniotomy

의료품질의 향상을 위한 두피절개 및 드레싱 방법의 개선 효과 분석 : CT영상안내에 의한 직선형 또는 S자형 두피절개와 액상 드레싱효과

  • Cho, Joon (Dept. of Neurosurgery, School of Medicine, Konkuk University) ;
  • Eum, Kee-Soo (Dept. of Industrial Engineering, Konkuk University) ;
  • Lee, Dong-Kue (Graduate School of Management, Kyung Hee University) ;
  • Park, Keun-Sang (Dept. of Industrial Engineering, Konkuk University) ;
  • Kim, Mi-Young (Dept. of Radiology, School of Medicine, Inha University)
  • 조준 (건국대학교 의학전문대학원 신경외과학교실) ;
  • 엄기수 (건국대학교 공과대학 산업공학과) ;
  • 이동규 (경희대학교 경영대학원) ;
  • 박근상 (건국대학교 공과대학 산업공학과) ;
  • 김미영 (인하대학교 의과대학 방사선과)
  • Published : 2006.12.31
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Abstract

The authors aimed to analyze the quality improvement efficiency of wound dressing with 2-octyl cyanoacrylate(2-OCA) in stereotactic image guided linear or sigmoid incisions in a cohort of consecutive craniotomy patients, and to compare clinical results with those of iodine-dressing and silk sutured patients underwent conventional craniotomy surgery with large pedicle flap incisions without stereotactic guidance. In methods, 26 patients were involved as the study group at one hospital. We retrospectively compared their results with those of 38 consecutive control patients at the same unit. The suggested new medical material, 2-octyl cyanoacrylate(2-OCA), resultantly decreased or prevented the contaminated fluid influx from scalp outside. The mean infection rate for the control group (7.89%) was relatively higher than that of the study group (3.85%). In addition, the use of stereotactic image guided craniotomy was significant to reduce operation time, to simplify operative procedures and to decrease potential risk factors.

Keywords

References

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