Key result
Standardized documentation of intravaginal menstrual hygiene products during preoperative evaluation is recommended to minimize the risk of perioperative infections such as toxic shock syndrome.
Why the study?
Menstrual status is not frequently discussed during preoperative risk assessment, placing menstruating patients with unknown use of intravaginal hygiene products at risk of infection.
Standardized documentation of intravaginal menstrual hygiene products during preoperative evaluation is recommended to minimize the risk of perioperative infections such as toxic shock syndrome.
Omitting menstrual status from preoperative checklists risks retained product infection; leaves open whether routine inquiry improves perioperative safety.
Preoperative checklists have demonstrated efficacy in improving patient care in the surgical setting. While the assessment of perioperative risks through patient inquiry is extensive, the menstrual status of the patient is one question that is not frequently discussed. If a patient is menstruating during their surgical procedure, unknown use of an intravaginal menstrual hygiene product, such as a tampon or menstrual cup, places the patient at risk of infection. This review seeks to bring attention to these risks by exploring Boyer v. Morimoto , a case where a patient developed toxic shock syndrome after a tampon was left in after surgery. We conclude with recommendations for standardised documentation of intravaginal menstrual hygiene products, with the aim to minimise perioperative risks.
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Reese et al. (2024) conducted a review in Perioperative infection risk. Standardised documentation of intravaginal menstrual hygiene products was evaluated. Standardized documentation of intravaginal menstrual hygiene products during preoperative evaluation is recommended to minimize the risk of perioperative infections such as toxic shock syndrome.
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