Jul 8, 2017 15:46
7 yrs ago
4 viewers *
Spanish term

sucia

Spanish to English Medical Medical (general)
So I have a surgery report form. On the top it has all the usual data, surgeon, attending personnel, type of procedure, etc. The middle is a handwritten description of the procedure (replacement of ruptured breast implant). The bottom has a section titled Intervención with four options: 1) Limpia, 2) Limpia-contaminada 3) Contaminada and 4) Sucia.

I have Sterile; Sterile-contaminated; Contaminated; and Non-sterile. I think it refers to the conditions of the surgery and the instruments, etc. since the form can also be used for emergency procedures where non-sterilised equipment might have to be used by sheer necessity.

I've also heard "clean", meaning not sterilised.

Castilian Spanish to UK English.

Anyone have experience here? TIA!!
Proposed translations (English)
4 +7 dirty

Proposed translations

+7
3 mins
Selected

dirty

It's a wound classification system:

I. Clean:
- Uninfected, no inflammation
- Resp, GI, GU tracts not entered
- Closed primarily
Examples: Ex lap, mastectomy, neck dissection, thyroid, vascular, hernia, splenectomy
II. Clean-contaminated:
- Resp, GI, GU tracts entered, controlled
- No unusual contamination
Examples: Chole, SBR, Whipple, liver txp, gastric surgery, bronch, colon surgery
III: Contaminated:
- Open, fresh, accidental wounds
- Major break in sterile technique
- Gross Spillage from GI tract
- Acute nonpurulent inflammation
Examples: Inflamed appy, bile spillage in chole, diverticulitis, Rectal surgery, penetrating wounds
IV: Dirty:
- Old traumatic wounds, devitalized tissue
- Existing infection or perforation
- Organisms present BEFORE procedure
Examples: Abscess I&D, perforated bowel, peritonitis, wound debridement, positive cultures pre-op

http://www.med.umich.edu/surgery/mast/r_surgwoundclass.html

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Note added at 25 mins (2017-07-08 16:11:31 GMT)
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It's also referred to as "dirty-infected", "dirty or infected", or even dirty-contaminated in some classifications, but since your ST just says "sucia", I'd leave it as "dirty". Let's see if our medical specialists have anything to add.

Appendix 1
Classification of surgical wounds
“Clean — an incision in which no inflammation is encountered in a surgical procedure, without a break in sterile technique, and during which the respiratory, alimentary and genitourinary tracts are not entered.

Clean-contaminated — an incision through which the respiratory, alimentary or genitourinary tract is entered under controlled conditions but with no contamination encountered.

Contaminated — an incision undertaken during an operation in which there is a major break in sterile technique or gross spillage from the gastrointestinal tract, or an incision in which acute, non-purulent inflammation is encountered. Open traumatic wounds that are more than 12–24 hours old also fall into this category.

Dirty or infected — an incision undertaken during an operation in which the viscera are perforated or when acute inflammation with pus is encountered during the operation (for example, emergency surgery for faecal peritonitis), and for traumatic wounds where treatment is delayed, and there is faecal contamination or devitalised tissue present” (p. xx*).5

https://www.ncbi.nlm.nih.gov/books/NBK174534/

• CLASS IV/DIRTY OR INFECTED WOUNDS—old traumat- ic wounds with retained or devitalized tis- sue and those that involve existing clinical infection or perforated viscera. This defini- tion suggests that the organisms causing postoperative infection were present in the wound before the surgical procedure.
https://bcpsqc.ca/documents/2012/11/2008-AORN-wound-classifi...

Class IV: This class of wound is considered dirty-contaminated. These include wounds that have been exposed to fecal material.
http://www.healthline.com/health/surgical-wound#overview1
Note from asker:
Thanks! :)
Peer comment(s):

agree Marie Wilson : Good reference.
5 mins
Thanks, Marie.
agree Leda Roche
1 hr
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agree Cecilia Gowar
1 hr
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agree Muriel Vasconcellos : Excellent reference!
2 hrs
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agree Rachel Fell
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agree lorenab23 : Bravisimo!
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agree neilmac : Yuk...
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4 KudoZ points awarded for this answer. Comment: "Thanks!! :) Excellent references!! "
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