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      Remoção do piercing no perioperatório Translated title: Remoción del piercing en el perioperatorio Translated title: Perioperative removal of body piercing

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          Abstract

          A permanência do piercing no intra-operatório pode ocasionar intercorrências. Este estudo teve como objetivo determinar as intervenções de enfermagem no pré-operatório e avaliar as complicações do piercing no intra-operatório. Durante a revisão da literatura, foram incluídos 16 artigos publicados de 1994 a 2006. Nove artigos (56,2%) de intervenções de enfermagem no pré-operatório, quatro (25,0%) de complicações do piercing no intra-operatório e três (18,8%) sobre o uso do piercing no intra-operatório, não apresentando complicações. Concluímos que a presença de piercing oral durante o intra-operatório aumenta o risco de lesões e aspiração. No corpo, a presença do piercing pode causar lesões na pele, decorrentes da mobilização do paciente e queimaduras eletrocirúrgicas. Portanto, é necessária a retirada do piercing no pré-operatório.

          Translated abstract

          La permanencia del piercing en el intraoperatorio puede causar algún perjuicio. Pretendemos, determinar las intervenciones de enfermería en el preoperatorio y evaluar las complicaciones del piercing en el intraoperatorio. La revisión de la literatura mostró 16 artículos publicados de 1994 a 2006. Nueve (56,2%) fueron de intervenciones de enfermería en el preoperatorio, cuatro (25,0%) de complicaciones del piercing en intraoperatorio, tres (18,8%) no mostraron complicaciones. Concluimos, la presencia del piercing oral, durante el intraoperatório aumenta el riesgo de aspiración y daño. En el cuerpo, puede causar heridas en la piel, provocadas por la movilización del enfermo y las quemaduras, debido al uso de bisturí eléctrico durante el acto intraoperatorio. Por consiguiente, es necesario retirar el piercing en el preoperatorio.

          Translated abstract

          The remaining of piercing in intraoperative can cause damages. This paper had as purpose defining the nursing interventions in the intraoperative and evaluates the complications caused by piercing in the intraoperative. This literature review had 16 articles published from 1994 to 2006. Nine articles (56.2%) were about nursing interventions in the intraoperative, four (25.0%) were concerning complications in the intraoperative and three (18.8%) were about the use of piercing in the intraoperative, not presenting complications. We concluded that wearing oral piercing in the intraoperative increases the risk of swallowing and injuries. Furthermore, wearing body jewelry can cause injuries on the skin during the patient´s moving and burns after electrosurgery. Therefore, it is necessay to withdraw the piercing in the preoperative.

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          Most cited references21

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          Body piercing: medical consequences and psychological motivations.

          Body piercing is increasing in popularity around the world. In this review, I describe the history, origins, and peculiarities of various forms of body piercing, and procedures involved, variations in healing time, legal aspects and regulations, and complications and side-effects. I have also included a discussion of the motivation for and psychological background behind body piercing. In presenting research results, I aim to raise awareness of the many risks associated with body piercing. In presenting psychological data, I intend to create an understanding of the multifaceted and often intense motivations associated with body piercing, and, thus, to diminish any prejudices held by health professionals against people with piercings.
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            Cause and prevention of electrosurgical injuries in laparoscopy.

            Electrosurgical injuries occur during laparoscopic operations and are potentially serious. The overall incidence of recognized injuries is between one and two patients per 1,000 operations. The majority go unrecognized at the time of the electrical insult and commonly present three to seven days afterward with fever and pain in the abdomen. Since these injuries appear late the pathophysiology remains speculative. This article reviewed the physics of electrosurgery and provides the surgeon with an insight to the mechanisms responsible in each type of injury. In addition, a comprehensive search of the world literature has reviewed all articles on the topic. The main causes of electrosurgical injuries are: inadvertent touching or grasping of tissue during current application, direct coupling between a portion of intestine and a metal probe that is touching the activated probe, insulation breaks in the electrodes, direct sparking to the intestine from the diathermy probe, and current passage to the intestine from recently coagulated, electrically isolated tissue. The majority of injuries, not surprisingly, are caused by monopolar diathermy. Bipolar diathermy is safer and should be used in preference to monopolar diathermy, especially in anatomically crowded areas. An awareness of the hazards of diathermy together with an understanding of the mechanisms of injury should enable the surgeon to dissect tissue and to achieve hemostasis, while at the same time decreasing the risk of serious complications to the patient.
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              Body piercing affecting laparoscopy: perioperative precautions.

              Piercing is an increasingly popular fashion trend mainly among adolescents. Umbilical piercing in particular can cause perioperative problems during laparoscopic procedures. We describe how to deal with this fashion trend in our institutions. First, any piercing needs to be documented during preoperative physical examination. During preoperative informed consent, patients are told that all pierced jewelry needs to be removed, preferably by the patient before the procedure. For the operation, patients may be offered the use of sterile "sleepers," which are substitutes made of plastic to avoid closure of the wound canal perioperatively. Postoperatively, most pierced jewelry can be put back into position after anesthesia has completely worn off. Only jewelry for piercings close to wounds (e. g., navel piercings) should not be reinserted until the skin is closed. Careful observation and increased hygienic effort to prevent local infection is necessary. To date, we have not seen any severe umbilical infection after laparoscopy. However, in several patients the umbilical pierced jewelry was back in the navel on the same day of surgery, sometimes immediately after waking from anesthesia. Hospital staff should know how to remove and substitute piercing jewelry as well as how to optimize hygienic care perioperatively to prevent umbilical wound infections. Time and effort for patient teaching and hygienic care are slightly increased.
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                Author and article information

                Journal
                reben
                Revista Brasileira de Enfermagem
                Rev. Bras. Enferm.
                Associação Brasileira de Enfermagem (Brasília, DF, Brazil )
                0034-7167
                1984-0446
                February 2008
                : 61
                : 1
                : 85-90
                Affiliations
                [01] São Paulo SP orgnameUniversidade Federal de São Paulo orgdiv1Departamento de Enfermagem
                Article
                S0034-71672008000100013 S0034-7167(08)06100113
                c058dc29-9142-4f81-aeb6-d40e03a9172e

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 19 October 2007
                : 30 May 2007
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 21, Pages: 6
                Product

                SciELO Brazil

                Self URI: Texto completo somente em PDF (PT)
                Categories
                Revisão

                Perforación del cuerpo,Enfermería perioperatoria,Surgery,Body piercing,Perioperative nursing,Cirurgia,Piercing corporal,Enfermagem perioperatória,Cirugía

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