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Use of a Waterproof Camera Immersed in Povidone-Iodine to Improve Intraoperative Photography

Purnell, Chad A., M.D.; Alkureishi, Lee W. T., M.B.Ch.B.; Koranda, Carly, R.N., B.S.N.; Patel, Pravin K., M.D.

Plastic and Reconstructive Surgery: March 2019 - Volume 143 - Issue 3 - p 962-965
doi: 10.1097/PRS.0000000000005327
Plastic Surgery Focus: Ideas and Innovations

Summary: Intraoperative photography has the potential to raise costs and introduce possible contamination but is essential for documentation in plastic surgery. The authors evaluate their use of a waterproof camera immersed in povidone-iodine for taking intraoperative photographs in an efficient manner. A waterproof camera is immersed in povidone-iodine during surgery and photographs are taken as needed by the operating surgeon or assistant without a change of gloves. A retrospective chart review was performed, evaluating serious infections and the number of photographs taken per procedure in the years before and after the camera was used. Bacterial cultures were taken of three areas of the camera on 10 consecutive operating days and evaluated for growth. The number of serious infections did not change after the camera protocol was implemented. The mean number of photographs taken per case increased significantly with the use of this camera. All cultures of the camera were negative. The use of a waterproof camera immersed in povidone-iodine allows efficient and improved intraoperative photographic documentation by the surgeon. It does not appear to increase the risk of infection or introduce contamination.

Chicago, Ill.

From the Department of Plastic Surgery, Shriners Hospital for Children.

Received for publication February 2, 2018; accepted July 12, 2018.

Presented at the 55th Annual Meeting of the Midwestern Association of Plastic Surgeons, in Chicago, Illinois, April 30, 2016, winner of Best Clinical Paper Award; and presented at Plastic Surgery The Meeting 2016, Annual Meeting of the American Society of Plastic Surgeons, in Orlando, Florida, October 6 through 10, 2016.

Disclosure:None of the authors has a financial interest in any of the products or devices mentioned in this article.

Chad A. Purnell, M.D., Department of Plastic Surgery, Shriners Hospitals for Children, 2211 North Oak Park Avenue, Chicago, Ill. 60707,, Twitter: @ChadPurnellMD

Copyright © 2019 by the American Society of Plastic Surgeons