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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  

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)
Publication Information
Journal of Korean Society for Quality Management / v.34, no.4, 2006 , pp. 40-50 More about this Journal
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
Quality Improvement; Stereotactic Image Guidance; Craniotomy; 2-Octyl Cyanoacrylate;
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