Many perioperative protocols require the removal of metal jewelry piercings prior to surgeries that use electrosurgical tools, such as monopolar cautery.1,2 However, case delays or cancellations can occur when jewelry is not removed prior to undergoing anesthesia. If patients have personal reasons for retaining their jewelry, then jewelry removal may incur more harm to the patient. Little is known about the risk of distant burns to patients who wear metal jewelry, such as piercings, while undergoing procedures with modern electrosurgical equipment. Studies report that the incidence of patients entering the operating room with metal piercings is small.3,4 Furthermore, to our knowledge, there are no published case reports of alternate site burns owing to metal piercings.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Corresponding Author: Ari Rubenfeld, MD, Eye and Ear Infirmary, 1855 W Taylor St, 387 EEI MC 648, Chicago, IL 60612 (firstname.lastname@example.org).
Published Online: March 2, 2022. doi:10.1001/jamasurg.2022.0110
Conflict of Interest Disclosures: None reported.
Credit Designation Statement: The American Medical Association designates this Journal-based CME activity activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to:
It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting MOC credit.
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