{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T18:01:13Z","timestamp":1792000873316,"version":"4.4.0"},"reference-count":9,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T00:00:00Z","timestamp":1722902400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to reduce the waste generated from primary cleft lip and\/or palate (CL\/P) repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A retrospective chart review examined a single surgeon's experience with CL\/P repair using standard draping technique and reduced draping technique. Fisher's exact tests were performed comparing complication rates between techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>All procedures were conducted at a single academic medical center under the care of a board-certified pediatric plastic surgeon and fellowship-trained pediatric anesthesiologists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>The study included all patients\u2009\u2264\u200924 months of age who underwent primary CL\/P repair using a reduced draping technique at the senior author's institution. An equivalent number of patients who underwent CL\/P repair by the senior author immediately prior to implementation of the reduced draping technique were included for comparison.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>Patients undergoing CL\/P repair before the change in technique were draped using the standard CL\/P draping. The senior author then switched to using a reduced draping on all CL\/P repairs afterwards.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Weights and costs of both draping sets were obtained and differences calculated. A manual chart review was performed to assess rates of accidental intraoperative extubation, postoperative infection, fistula formation, and wound dehiscence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The implementation of a reduced draping technique resulted in a 530 gram weight savings and $7.49 cost savings per procedure. Fisher's exact tests revealed no statistically significant differences in complication rates except for oral mucosal dehiscence, which was lower in the reduced draping group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Reduced draping in CL\/P repairs significantly reduces operative waste without compromising surgical outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656241271706","type":"journal-article","created":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T05:26:51Z","timestamp":1722922011000},"page":"1340-1345","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["A Sustainable Solution for Reducing Draping Waste in Cleft Surgeries"],"prefix":"10.1177","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-3897-6335","authenticated-orcid":false,"given":"Umer","family":"Qureshi","sequence":"first","affiliation":[{"name":"Division of Plastic Surgery, Ann &amp; Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor","family":"Hallman","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Ann &amp; Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Arcelona","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Ann &amp; Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn","family":"Reisner","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Ann &amp; Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariel E.","family":"Figueroa","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Ann &amp; Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristof S.","family":"Gutowski","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Ann &amp; Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Donaldson","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Ann &amp; Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7342-0917","authenticated-orcid":false,"given":"Arun K.","family":"Gosain","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Ann &amp; Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,8,6]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2022.10.033"},{"key":"e_1_3_2_3_2","volume-title":"Do No Harm: Healthcare Professionals Address Sustainability and Climate Change","author":"Lipman R","unstructured":"Lipman R, Sukkar E. Do No Harm: Healthcare Professionals Address Sustainability and Climate Change. The Economist Impact (England); 2022 Sep, 40 p."},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclepro.2015.01.076"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2010.343"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000002961"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/175045891302300605"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aorn.2016.01.014"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2017.11.007"},{"issue":"9","key":"e_1_3_2_10_2","first-page":"49","article-title":"Cost savings using minimal draping for routine hand procedures","volume":"97","author":"Sieber D","year":"2014","unstructured":"Sieber D, Lacey A, Fletcher J, Kalliainen L. Cost savings using minimal draping for routine hand procedures. Minn Med. 2014;97(9):49.","journal-title":"Minn Med"}],"container-title":["The Cleft Palate Craniofacial Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656241271706","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10556656241271706","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10556656241271706","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:21:56Z","timestamp":1777393316000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10556656241271706"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,6]]},"references-count":9,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1177\/10556656241271706"],"URL":"https:\/\/doi.org\/10.1177\/10556656241271706","relation":{},"ISSN":["1055-6656","1545-1569"],"issn-type":[{"value":"1055-6656","type":"print"},{"value":"1545-1569","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,6]]}}}