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July 1979

The Surgeon and Postoperative Wound Infection

Arch Surg. 1979;114(7):769-770. doi:10.1001/archsurg.1979.01370310011001

The authors of the "Operating Room Symposium" articles in this issue (p 771) address one of the vanishing ultimates in the patient's encounter with surgery–postoperative wound infection. Hence, there is an emphasis on infection rates following a surgical procedure, with the classic ingredients of disaster, ie, patients burdened by chronic disease; a deep wound that disrupts muscles, a joint, and two large bones; the implantation of an action system of foreign bodies; and a wound littered with devitalized tissue. The procedure is laborious and time consuming. Because hemostasis is difficult and dead space inevitable, some form of drainage may be invoked.

Despite the complexity of hip arthroplasty, the main thrust in the articles is the documentation of the incidence of airborne contamination of the aseptic field and the description of the methodology for reducing or mitigating exogenous bacterial contamination. The impacts of several concepts are analyzed. These include threshold

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