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Infection rate following elective oculoplastic surgery in a minor procedure setting: a single-centre retrospective study

  • Véronique Doucet
    Correspondence
    Correspondence to Véronique Doucet, MD, Plastic Surgery Resident, Department of Surgery, Section of Plastic Surgery, Max Rady College of Medicine, University of Manitoba, Room 343 SMD Building, 825 Sherbrook Street, Winnipeg, Manitoba, Canada, R3A 1M5
    Affiliations
    From the Department of Surgery, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man

    Section of Plastic Surgery, Department of Surgery, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man
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  • Marna McKenzie
    Affiliations
    From the Department of Surgery, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man
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  • Matthew Lee-Wing
    Affiliations
    From the Department of Surgery, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man

    Department of Ophthalmology, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man.
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  • Lorne Bellan
    Affiliations
    From the Department of Surgery, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Man

    Department of Ophthalmology, Max Rady College of Medicine, University of Manitoba, Winnipeg, Man.
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Published:August 03, 2021DOI:https://doi.org/10.1016/j.jcjo.2021.07.003

      Abstract

      Objective

      A surgical site infection after oculoplastic surgery is a serious complication that can lead to endophthalmitis and vision loss. Although performing these procedures in a minor-surgery setting is common, there is a lack of evidence in the literature regarding the incidence of postoperative infections. The objective of this study was to determine the infection rate associated with elective outpatient oculoplastic procedures performed in a minor-surgery setting.

      Methods

      A retrospective review was completed for all patients who underwent elective oculoplastic surgery in the minor-procedure room at the Misericordia Health Centre in Winnipeg between April and December 2018. Operations were performed by 2 senior oculoplastic surgeons. Data collected included the type of procedure, number of surgical incisions, type and number of sutures, use of prophylactic antibiotics, time to follow-up, complications, and presence of surgical site infection.

      Results

      Review of 539 patients showed an infection rate of 0.37% (2 of 539). Infection cases were an exposed orbital implant using a temporalis fascia graft and ptosis repair using a frontalis sling. Thirteen complications were identified, corresponding to a complication rate of 2.41% (13 of 539).

      Conclusion

      Study results show an infection rate of 0.37% for elective oculoplastic surgery in a minor-procedure setting.
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