State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou 510060, P. R. China
Huan Li, Email: lihuan@sysucc.org.cn
Aiqin Chen, Email: chenaq@sysucc.org.cn
纸质出版:2023-12-15
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Xue'er Peng, Lihua Huang, Jiao Liu, 等. Study on the cleaning effects of different cleaning methods on reused electrocoagulation hooks in laparoscopic surgery[J]. 消毒供应, 2023,2(4):190-194.
Peng Xue'er,Huang Lihua,Liu Jiao,et al.Study on the cleaning effects of different cleaning methods on reused electrocoagulation hooks in laparoscopic surgery[J].Sterile Supply,2023,02(04):190-194.
Xue'er Peng, Lihua Huang, Jiao Liu, 等. Study on the cleaning effects of different cleaning methods on reused electrocoagulation hooks in laparoscopic surgery[J]. 消毒供应, 2023,2(4):190-194. DOI: 10.11910/j.issn.2791-2043.2023.4.05.
Peng Xue'er,Huang Lihua,Liu Jiao,et al.Study on the cleaning effects of different cleaning methods on reused electrocoagulation hooks in laparoscopic surgery[J].Sterile Supply,2023,02(04):190-194. DOI: 10.11910/j.issn.2791-2043.2023.4.05.
Purpose
2
This study aims to compare the preprocessing and cleaning efficacy of various methods
including manual and mechanical cleaning
on reused surgical electrocoagulation hooks (referred to as "electrocoagulation hooks"). Additionally
it seeks to investigate the optimal preprocessing and cleaning approaches for these hooks.
Method
2
A total of 235 electrocoagulation hooks utilized in laparoscopic surgeries at a specific medical institution from August 2021 to October 2022 were categorized into four groups: Control Group A and Experimental Groups B
C
and D. Control Group A underwent manual cleaning after pre-soaking with a medical alkaline cleaning agent. Experimental Group B underwent pre-soaking with a medical alkaline cleaning agent; Experimental Group C underwent pre-soaking with a 3% hydrogen peroxide solution
and Experimental Group D underwent pre-spraying with an instant foam-type preprocessing enzyme moisturizer. Subsequently
manual brushing followed by mechanical cleaning using a vacuum boiling washer was employed in the three experimental groups. The cleaning quality of electrocoagulation hooks in Control Group A and Experimental Groups B
C
and D was visually assessed using a lighted 4x magnifying glass
and the cleaning pass rates for each group were recorded. The Bonferroni correction was used for multiple test correction.
Results
2
In Group A
58 observed electrocoagulation hooks underwent 34 qualified cleanings
resulting in a cleaning pass rate of 58.62%. For Group B
52 observed electrocoagulation hooks achieved 47 qualified cleanings
with a cleaning pass rate of 90.38%. Group C
comprising 58 observed e
lectrocoagulation hooks
demonstrated 48 qualified cleanings
yielding a cleaning pass rate of 82.75%. Finally
in Group D
67 observed electrocoagulation hooks attained 64 qualified cleanings
resulting in a cleaning pass rate of 95.52%. Following chi-square tests and pairwise comparisons
Group B exhibited a significantly higher cleaning qualified rate than Group A (
χ
2
=14.250
P
<
0.001). However
no significant differences were observed in cleaning qualified rates among Groups B
C
and D (
χ
2
=5.569
P
=0.062)
and pairwise comparisons also revealed no statistical differences (
P
>
0.0167).
Conclusion
2
The cleaning efficacy of vacuum boiling washing on electrocoagulation hooks post-laparoscopic surgery surpasses that of manual cleaning. Prior to employing the vacuum boiling washer
preprocessing with a medical alkaline cleaning agent pre-soaking
3% hydrogen peroxide solution pre-soaking
and enzyme moisturizer pre-spraying all yielded comparable cleaning qualified rates
achieving effective cleaning outcomes. The selection of the cleaning method can be based on practical considerations.
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