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Analysis of exfoliated gastric carcinoma cells attached on surgical supplies.

Yu XF, Ma YY, Hu XQ, Zhang QF, Ye ZY - Onco Targets Ther (2014)

Bottom Line: Surgical supplies are used to cut, divide, and ligate during surgery, and are not only in close contact with normal tissues, but may also be contaminated by pathological tissues and cells.Highest numbers of cancer cells were found on gauze used to clean the surgical instruments and on the gloves of scrub nurses.The likelihood of finding cancer cells increased with advancing clinical stage of disease, lower differentiation of cancer cells, increasing frequency of use of supplies and extent of contact, and was also associated with the characteristic of surgical supplies.

View Article: PubMed Central - PubMed

Affiliation: Operating Theatre, Zhejiang Provincial People's Hospital, Hangzhou, People's Republic of China.

ABSTRACT
Surgery is considered to have a leading role in the treatment of gastric carcinoma. Surgical supplies are used to cut, divide, and ligate during surgery, and are not only in close contact with normal tissues, but may also be contaminated by pathological tissues and cells. This study sought to determine the presence of exfoliated tumor cells on surgical supplies at different stages during the surgical procedure. We collected five types of surgical supplies from 90 patients who underwent D2 radical gastrectomy to find out if there was any cancer cells attached to them. Highest numbers of cancer cells were found on gauze used to clean the surgical instruments and on the gloves of scrub nurses. The likelihood of finding cancer cells increased with advancing clinical stage of disease, lower differentiation of cancer cells, increasing frequency of use of supplies and extent of contact, and was also associated with the characteristic of surgical supplies. Dissemination of tumor cells could be prevented by using a number of methods, depending on the type of surgical supply items.

No MeSH data available.


Related in: MedlinePlus

Demonstration of tumor-free technique for using gauze in surgery.Notes: Scrub nurse should always use the left hand to clean the instruments. First, fold the gauze two times, then clean the instrument by A1 side (Figure A1), and the surface contacted by gloves is A2 side. Second, open the gauze and fold in the opposite direction, then clean the instrument by B1 side (Figure B1), and the surface contacted by gloves is B2 side. Third, open all the gauze and fold two times in the opposite direction, then clean the instrument by C1 side (Figure C1), and the surface contacted by gloves is C2 side. Forth, open the gauze and fold in the opposite direction, and then clean the instrument by D1 side (Figure D1); the surface contacted by gloves is D2 side. Then the gauze must be replaced after use.
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f3-ott-7-1869: Demonstration of tumor-free technique for using gauze in surgery.Notes: Scrub nurse should always use the left hand to clean the instruments. First, fold the gauze two times, then clean the instrument by A1 side (Figure A1), and the surface contacted by gloves is A2 side. Second, open the gauze and fold in the opposite direction, then clean the instrument by B1 side (Figure B1), and the surface contacted by gloves is B2 side. Third, open all the gauze and fold two times in the opposite direction, then clean the instrument by C1 side (Figure C1), and the surface contacted by gloves is C2 side. Forth, open the gauze and fold in the opposite direction, and then clean the instrument by D1 side (Figure D1); the surface contacted by gloves is D2 side. Then the gauze must be replaced after use.

Mentions: Gauze used in cleaning surgical instruments and gloves used by scrub nurses – because of the high frequency of use and extensive contact. Therefore, we should conduct different methods according to the characteristic of the surgical supplies to ensure cancer-free operation. In clinical application, scrub nurses should always clean instruments as the figure shows (Figure 3).


Analysis of exfoliated gastric carcinoma cells attached on surgical supplies.

Yu XF, Ma YY, Hu XQ, Zhang QF, Ye ZY - Onco Targets Ther (2014)

Demonstration of tumor-free technique for using gauze in surgery.Notes: Scrub nurse should always use the left hand to clean the instruments. First, fold the gauze two times, then clean the instrument by A1 side (Figure A1), and the surface contacted by gloves is A2 side. Second, open the gauze and fold in the opposite direction, then clean the instrument by B1 side (Figure B1), and the surface contacted by gloves is B2 side. Third, open all the gauze and fold two times in the opposite direction, then clean the instrument by C1 side (Figure C1), and the surface contacted by gloves is C2 side. Forth, open the gauze and fold in the opposite direction, and then clean the instrument by D1 side (Figure D1); the surface contacted by gloves is D2 side. Then the gauze must be replaced after use.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4199791&req=5

f3-ott-7-1869: Demonstration of tumor-free technique for using gauze in surgery.Notes: Scrub nurse should always use the left hand to clean the instruments. First, fold the gauze two times, then clean the instrument by A1 side (Figure A1), and the surface contacted by gloves is A2 side. Second, open the gauze and fold in the opposite direction, then clean the instrument by B1 side (Figure B1), and the surface contacted by gloves is B2 side. Third, open all the gauze and fold two times in the opposite direction, then clean the instrument by C1 side (Figure C1), and the surface contacted by gloves is C2 side. Forth, open the gauze and fold in the opposite direction, and then clean the instrument by D1 side (Figure D1); the surface contacted by gloves is D2 side. Then the gauze must be replaced after use.
Mentions: Gauze used in cleaning surgical instruments and gloves used by scrub nurses – because of the high frequency of use and extensive contact. Therefore, we should conduct different methods according to the characteristic of the surgical supplies to ensure cancer-free operation. In clinical application, scrub nurses should always clean instruments as the figure shows (Figure 3).

Bottom Line: Surgical supplies are used to cut, divide, and ligate during surgery, and are not only in close contact with normal tissues, but may also be contaminated by pathological tissues and cells.Highest numbers of cancer cells were found on gauze used to clean the surgical instruments and on the gloves of scrub nurses.The likelihood of finding cancer cells increased with advancing clinical stage of disease, lower differentiation of cancer cells, increasing frequency of use of supplies and extent of contact, and was also associated with the characteristic of surgical supplies.

View Article: PubMed Central - PubMed

Affiliation: Operating Theatre, Zhejiang Provincial People's Hospital, Hangzhou, People's Republic of China.

ABSTRACT
Surgery is considered to have a leading role in the treatment of gastric carcinoma. Surgical supplies are used to cut, divide, and ligate during surgery, and are not only in close contact with normal tissues, but may also be contaminated by pathological tissues and cells. This study sought to determine the presence of exfoliated tumor cells on surgical supplies at different stages during the surgical procedure. We collected five types of surgical supplies from 90 patients who underwent D2 radical gastrectomy to find out if there was any cancer cells attached to them. Highest numbers of cancer cells were found on gauze used to clean the surgical instruments and on the gloves of scrub nurses. The likelihood of finding cancer cells increased with advancing clinical stage of disease, lower differentiation of cancer cells, increasing frequency of use of supplies and extent of contact, and was also associated with the characteristic of surgical supplies. Dissemination of tumor cells could be prevented by using a number of methods, depending on the type of surgical supply items.

No MeSH data available.


Related in: MedlinePlus