Avoidance of tattoo disruption: a further benefit of laparoscopic surgery
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Tattoos are increasingly common in both male and female patients. Abdominal skin tattoos may be present at the site of proposed incisions for conventional surgery whereas laparoscopic port site placement can be adjusted to accommodate tattoo constraints.
Patients with tattoos were questioned by face-to-face interview to determine how long ago they had their tattoo, financial cost of the tattoo, and potential degree of distress caused by disruption of their tattoo (on a scale of 1–10). Consultant and higher surgical trainee general surgeons were asked by e-mail survey whether they had encountered a patient with a tattoo at the site of a proposed incision, did they avoid incising the tattoo during surgical intervention, and had they received a complaint from a patient about tattoo distortion.
Ninety six patients (50 male, median age 29 years) were questioned. Median cost of the tattoos was £35 ($70). Female patients were more likely to be distressed and complain than men about tattoo disruption (p = 0.0003) and there was a significant inverse correlation between time from tattooing and distress (p = 0.02). Most (79%) of the general surgeons questioned (n = 107, response rate 82%) had encountered tattoos at proposed incision sites; 61% had avoided making an incision through it and 4% had received a complaint about tattoo disruption by a patient.
Tattoo disruption by surgical incision may cause distress especially in female patients who had their tattoo recently. Tattoos should be avoided where possible by alternative port site placement.
- Armstrong ML, McConnell C (1994) Tattooing in adolescents: more common than you think—the phenomenon and risks. J Sch Nurs 10:22–29
- Armstrong ML, Murphy KP (1997) Tattooing: another adolescent risk behavior warranting health education. Appl Nurs Res 10:181–189 CrossRef
- Laumann AE, Derick AJ (2006) Tattoos and body piercings in the United States: a national data set. J Am Acad Dermatol 55(3):413–421. Epub 2006 June 16 CrossRef
- Anderson RR (1992) Tattooing should be regulated [letter]. N Engl J Med 326:207
- Kazandjieva J, Tsankov N (2007) Tattoos: dermatological complications. Clin Dermatol 25(4):375–382 CrossRef
- Nishioka Sde A, Gyorkos TW (2001) Tattoos as risk factors for transfusion-transmitted diseases. Int J Infect Dis 5(1):27–34 CrossRef
- de Nishioka SA, Gyorkos TW, Joseph L, Collet JP, MacLean JD (2003) Tattooing and transfusion-transmitted diseases in Brazil: a hospital-based cross-sectional matched study. Eur J Epidemiol 18(5):441–449 CrossRef
- Drews DR, Allison CK, Probst JR (2000) Behavioral and self-concept differences in tattooed and nontattooed college students. Psychol Rep 86:475–481 CrossRef
- Farrow JA, Schwartz RH, Vanderleeuw J (1991) Tattooing behavior in adolescence. Am J Dis Child 145:184–187
- Houghton SJ, Durkin K, Parry E, Turbett Y, Odgers P (1996) Amateur tattooing practices and beliefs among high school adolescents. J Adolesc Health 19:420–425 CrossRef
- Braithwaite R, Robillard A, Woodring T, Stephens, Arriola KJ (2001) Tattooing and body piercing among adolescent detainees: relationship to alcohol and other drug use. J Subst Abuse 13:5–16
- Carroll ST, Riffenburg RH, Roberts TA, Myhre EB (2002) Tattoos and body piercings as indicators of adolescent risk-taking behaviors. Pediatrics 109:1021–1027 CrossRef
- Armstrong ML, Murphy KP, Sallee A, Watson MG (2000) Tattooed army soldiers: examining the incidence, behavior, and risk. Mil Med 165:135–141
- Borokhov A, Bastiaans R, Lerner V (2006) Tattoo designs among drug abusers. Isr J Psychiatry Relat Sci 43(1):28–33
- Melzer A, Riek S, Roth K, Buess G (1995) Endoscopically controlled trocar and cannula insertion. Endosc Surg Allied Technol 3(1):63–68.
- Berch BR, Torquati A, Lutfi RE, Richards WO (2006) Experience with the optical access trocar for safe and rapid entry in the performance of laparoscopic gastric bypass. Surg Endosc 20(8):1238–1241 CrossRef
- McKernan JB, Finley CR (2002) Experience with optical trocar in performing laparoscopic procedures. Surg Laparosc Endosc Percutan Tech 12(2):96–99 CrossRef
- Avoidance of tattoo disruption: a further benefit of laparoscopic surgery
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