{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T04:57:47Z","timestamp":1785387467967,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T00:00:00Z","timestamp":1706054400000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Trail Design<\/jats:title><jats:p>Quasi\u2010randomized clinical trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p><jats:italic>Participants<\/jats:italic>: This study includes adult patients (\u226518 years) who gave written consent for preoperative site preparation using razors or clippers. Exclusions comprised individuals\u00a0&lt;18 years, bilateral hernias, prior laparoscopic hernia repair, steroid\/chemotherapy use, diagnosed chronic obstructive pulmonary disease, and incomplete medical documentation. <jats:italic>Intervention<\/jats:italic>: Patients who underwent hernia surgery during the initial week of the study underwent site preparation using a razor, while in subsequent weeks underwent site preparation using a clipper. This randomization was maintained throughout the study. Uniform site preparation was done by consistent staff. Postpreparation interviews, follow\u2010up interviews of the patients, and unbiased evaluation of digital photographs were conducted by nonoperating surgeon panels. <jats:italic>Outcome<\/jats:italic>: Preoperative, patient response, degree of skin trauma, quality of hair removal, and association between site preparation\u2010like parameters were compared and analyzed between two groups using Statistical Package for Social Sciences\u201025.\u00a0<jats:italic>Blinding<\/jats:italic>: In this study, blinding was not done and the primary investigator was aware of the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The total number of participants was 320. The mean age of the Razor group was 45.36\u2009\u00b1\u200914.68 years and that of Clipper was 44.42\u2009\u00b1\u200913.77 (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.98). The incidence of surgical site infection\u00a0(SSI) was 23 (14.4%) in the razor group and 8(5%) in the clipper group, (<jats:italic>p<\/jats:italic>\u2009=\u20090.01). Skin trauma was found more in the razor group as compared to the clipper group. Also, the analysis of the provided data revealed that 65% of participants who experienced sustained cuts developed\u00a0SSI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In summary, the practice of preoperative hair removal on\u2010site preparation using a razor is associated with the incidence of skin trauma but overall shave quality at the operative site was better in the razor group with an apparent increased risk of SSI. Based on these findings, it would be better for surgeons to decide on an operation for either razors or clippers for preoperative preparation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hsr2.1830","type":"journal-article","created":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T07:27:52Z","timestamp":1706167672000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Postoperative surgical site infection after preoperative use of razor versus clipper for hair removal in inguinal hernia surgery: A quasi\u2010randomized clinical trial"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9043-3368","authenticated-orcid":false,"given":"Niranjan","family":"Thapa","sequence":"first","affiliation":[{"name":"Department of Surgery College of Medicine, Nepalese Army Institute of Health Sciences  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Basukala","sequence":"additional","affiliation":[{"name":"Department of Surgery Nepalese Army Institute of Health Sciences  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7556-4392","authenticated-orcid":false,"given":"Shiva K.","family":"Regmi","sequence":"additional","affiliation":[{"name":"Department of Surgery College of Medicine, Nepalese Army Institute of Health Sciences  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8655-9168","authenticated-orcid":false,"given":"Oshan","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of Surgery College of Medicine, Nepalese Army Institute of Health Sciences  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandip","family":"Paudel","sequence":"additional","affiliation":[{"name":"Department of Surgery College of Medicine, Nepalese Army Institute of Health Sciences  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kabita","family":"Chaudhary","sequence":"additional","affiliation":[{"name":"Department of Surgery College of Medicine, Nepalese Army Institute of Health Sciences  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bipin","family":"Metha","sequence":"additional","affiliation":[{"name":"Department of Surgery College of Medicine, Nepalese Army Institute of Health Sciences  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manoj","family":"K. C.","sequence":"additional","affiliation":[{"name":"Department of Surgery College of Medicine, Nepalese Army Institute of Health Sciences  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suman","family":"Thapa","sequence":"additional","affiliation":[{"name":"Department of Surgery Nepalese Army Institute of Health Sciences  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sachhyatkar","family":"Bista","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Nepalese Army Institute of Health Sciences  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,24]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(91)90361-Z"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.QMH.0000281058.99929.ea"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3171\/2011.5.JNS102003"},{"issue":"2","key":"e_1_2_13_5_1","article-title":"Preoperative hair removal to reduce surgical site infection","author":"Tanner J","year":"2006","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_13_6_1","article-title":"Preoperative hair removal to reduce surgical site infection","volume":"11","author":"Tanner J","year":"2011","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2015.04.003"},{"key":"e_1_2_13_8_1","unstructured":"CONSORT. 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A randomised controlled trial","volume":"15","author":"Taylor T","year":"2005","journal-title":"Br\u00a0J Perioper\u00a0Nurs"},{"issue":"8","key":"e_1_2_13_19_1","article-title":"Preoperative hair removal to reduce surgical site infection","volume":"2021","author":"Tanner J","year":"2021","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13661"},{"issue":"5","key":"e_1_2_13_21_1","first-page":"401","article-title":"Preoperative hair removal review","volume":"17","author":"Orsi GB","year":"2005","journal-title":"Ann\u00a0Ig"},{"issue":"4","key":"e_1_2_13_22_1","first-page":"8","article-title":"evidence based practice supporting hair removal with clippers","volume":"26","author":"Behavior WCC","year":"2008","journal-title":"ORL Head Neck Nurs"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-198207000-00006"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2021.05.027"}],"container-title":["Health Science Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hsr2.1830","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T06:33:50Z","timestamp":1707287630000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hsr2.1830"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1002\/hsr2.1830"],"URL":"https:\/\/doi.org\/10.1002\/hsr2.1830","archive":["Portico"],"relation":{},"ISSN":["2398-8835","2398-8835"],"issn-type":[{"value":"2398-8835","type":"print"},{"value":"2398-8835","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"2023-08-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e1830"}}