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Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 2021 Feb;103(2):141–142. doi: 10.1308/rcsann.2020.7054

The Mayo cover washout technique

AB Patel 1,, F Iranpour 1, P Subramanian 1
PMCID: PMC9773913  PMID: 33559546

Prosthetic joint infection is a catastrophic complication of total knee arthroplasty.1 One of the surgical management options includes washout, debridement, antibiotics and implant retention (DAIR). We present a technique useful during the lavage of the joint to help washout containment. The limb is placed in a Mayo cover as shown. (Figures 1 and 2).

Figure 1 .

Figure 1

Infected total knee replacement for the DAIR procedure placed in the Mayo bag for washout

Figure 2 .

Figure 2

Left leg placed in the Mayo bag for washout. Suction catheter placed inside the bag, with ongoing pulse lavage.

A suction tube is placed in this bag to remove excess fluid. This technique maintains a clean surgical field and reduces spillage of blood and bodily fluids, ensuring that health and safety standards are being met at all times within the operating environment.2

References

  • 1.Qasim SN, Swann A, Ashford R.. The DAIR (debridement, antibiotics and implant retention) procedure for infected total knee replacement–a literature review. SICOT J 2017; 3: 2. 10.1051/sicotj/2016038 [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 2.Gould D. Clean surgical wounds: prevention of infection. Nursing Standard 2001; 15: 45–52. 10.7748/ns2001.08.15.49.45.c3075 [DOI] [PubMed] [Google Scholar]

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