This perspective elaborates on recent study findings published in the November 2008 Annals of Surgery, which conclude there may be little benefit from vertical laminar air flow (LAF) for preventing surgical site infections (SSIs) in orthopedic and general surgical procedures. The investigation by Christian Brandt, MD, and colleagues from Germany warrants comment both on the validity of the conclusions and on the contrast between the OR design described in the study and current improved OR design in the US.
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