|
|
Journal of Korean Society for Quality Management 2006;34(4): 40-. |
| 의료품질의 향상을 위한 두피절개 및 드레싱 방법의 개선 효과 분석 : CT영상안내에 의한 직선형 또는 S자형 두피절개와 액상 드레싱효과 |
| 조준1, 엄기수2, 이동규3, 박근상2, 김미영4 |
1건국대학교 의학전문대학원 신경외과학교실
2건국대학교 공과대학 산업공학과
3경희대학교 경영대학원
4인하대학교 의과대학 방사선과 |
| Effectiveness of incisions, and Dressing to increase Medical Quality : In Linear or Sigmoid Incisions, and Liquid Wound Dressing for Computer Image Guided Craniotomy |
| Joon Cho1, Kee-Soo Eum2, Dong-Kue Lee3, Keun-Sang Park2, Mi-Young Kim4 |
1Dept. of Neurosurgery, School of Medicine, Konkuk University
2Dept. of Industrial Engineering, Konkuk University
3Graduate School of Management, Kyung Hee University
4Dept. of Radiology, School of Medicine, Inha University |
|
|
|
|
|
| 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. |
| Key Words:
Quality Improvement;Stereotactic Image Guidance;Craniotomy;2-Octyl Cyanoacrylate; |
|
|
|
PDF Links
Full text via DOI 
Download Citation 
