7. Preparation of the operational team for an operation. Preparation of the operational field · General and Operative Surgery · MU Plovdiv

Preparation of the Surgical Team & Operating Field.

Written by Rhiana Devadasan

The surgical team consists of:

Procedure before surgery:

take off rings, etc.
preliminary care (nails, treatment of wounds, rashes, inflammations)
general hand disinfection (mechanical cleansing w/ soap & brush using antiseptic)
surgical hand disinfection (aims at killing microorganisms for a continuous period)
mechanical cleansing for 3-5mins w/ soap & brush
disinfection w/ antiseptic solutions - either iodine or hibitane (fast & long action, but not to irritate or cause allergies)
method of Furbringer
Hand washing with soap, brush and hot water for 10-15 min.
Scrubbing hands with 70% alcohol for 3 min.
Scrubbing hands with 0.5-1‰ sublimate solution.
Treating fingers with diluted iodine solution
Perfect asepsis for long time –20 min. Sublimate causes eczema
method of Alfred
70% - 96% alcohol solution substitutes sublimate.
Up to 10min washing followed by 5- 8min alcohol solution treatment
method of Spasokukotski-Kocherigin
Alkaline solution is used for extraction of skin fats together with
microorganisms=
Hands are soaked in warm 0.5% ammonia solution for 3 min.
Then leave to dry
Wash for 5 min in a 96o alcohol solution
lastly, put rubber gloves on

bath the day before operation
shave operating field the night before
skin infections (e.g. folliculitis, fistulas, etc.) should be treated beforehand

treated twice w/ iodine gasoline sol. (mechanical cleansing + fat depriving)
alcohol applied, again for extraction of fats in depth & skin disinfection
place opaque stick folio on operative field
after skin & subcutaneous fat incision ,drapes are sutured to the borders of the operative wound
after opening the cavity (abdominal, thoracic), a self-expanding plastic device is inserted for isolating the abdominal/thoracic wall