Thermo-reactive clips do not prevent sternal wound infection in obese patients after cardiac surgery

Abstract

s / International Journal of Surgery 11 (2013) 589e685 613 ABSTRACTS Conclusion: The results were accessible, useable and reliable, shown by the LIDA tool. The information required a high level of education, shown by the Gunning-Fog Index and Flesch Readability Score. The best three websites for patient self-education about mitral valve replacement are: http://www.drugs.com/cg/mitral-valve-replacementinpatient-care.html, http://www.nhs.uk/conditions/Aorticvalvereplace ment/Pages/Whatisitpage.aspx, http://www.bhf.org.uk/heart-health/ treatments/valve-heart-surgery.aspx 0683: STARTING & EVALUATING A ROBOT-ASSISTED VATS PROGRAMME: PILOT PHASE Sandra Gelvez-Zapata, Maral Rouhani, Rachel Kuo, Priya Sastry, Aman S. Coonar. Papaworth Hospital, Cambridge, UK. Aim: The Freehand TM robot scope holder has been recently released. We sought to assess the feasibility of implementing and using this robotassisted telescope holder in VATS. This is first use in thoracic surgery. Methods: Following dry-lab training of the consultant and theatre team by an experienced trainer we introduced the system into the operating room. Non-lobectomy patients were considered for robot-assisted VATS (RVATS). 27 consecutive VATS patients were selected. 22 procedures were completed by R-VATS. The procedures were 9 wedge resections, 7 pneumothorax, 2 lung volume resections (LVRS), 3 empyema and 1 pleurectomy for mesothelioma. Results: Surgical time (including on table-robot positioning): 50 115 min (mean 82). Total operating room time (including robot set-up/take down): 65 140min (mean 111). R-VATcases by consultant with assistant available but hands-off: 21/22. R-VAT cases by trainee with consultant scrubbed:1/ 22 Conclusions: Dry-lab preparation allowed robot position to be optimized. Implementation was rapid and safe. Consideration of robot placement and port position is critical. The robot gave a stable, non-wandering view. Assistants observed the procedure, but were not required to participate. Since these procedures can be conducted by a single operator there are manpower implications. Operative and theatre times are acceptable. 0801: THERMO-REACTIVE CLIPS DO NOT PREVENT STERNAL WOUND INFECTION IN OBESE PATIENTS AFTER CARDIAC SURGERY Clare Burdett, Simon Kendall, Joel Dunning, Andrew Owens, Andrew Goodwin, Steve Hunter, Jonathan Ferguson, Tracey Smailes, Cheng-Hon Yap, Enoch Akowuah. James Cook University Hospital,