This content was created by Robert Whitfield MD. This content was uploaded by Robert Whitfield MD. This is a YouTube video titled "Acidic Solutions: Infection Control After Explant Surgery" created on May 1, 2025, featuring a discussion with Robert Whitfield MD about the use of acidic solutions for infection control in surgical procedures, particularly explant surgeries, and the duration of such surgeries.
And there's antibiotic solutions for the pocket. There's acidic solutions for the pocket. We prefer acidic solution because, you know, acid will always dictate a better cytal or kill rate of a bacteria or fungus. Think of something like, you know, during the pandemic, they were like, use 70% alcohol or use bleach. So bleach is just, you know, an acid product. So in medicine, there's been acetic acid used in patients wounds for long periods of time. There's been Dakin solution, which is basically dilute Clorox. These things all kill bacteria and fungus and other pathogens. So that's basically our. Our mode is to use an acidic environment to control the pocket and then figure out ways to tunnel to the abdomen and the flanks. And of course, when I'm doing fat transfers, which are super, you know, for me, I want everybody to have the best possible fat transfer result. That's why a bunch of people fly into town for this. We don't want a drain tube that could lead to an infection in a fat transfer patient, but I don't want a drain tube in anybody that can lead to an infection.
How long is the surgery for the explant? Really quick. I forgot to ask you that.
So average is about two, two and a half hours.
Okay.
