By Comus Whalan
This e-book is a pragmatic handbook for helping at surgical operations. easy language and diagrams describe either the elemental rules of surgical helping, and complicated options wanted within the surgical subspecialities. it is going to aid scientific scholars, junior medical professionals and surgical technologists excel at helping at any surgical operation.
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Extra resources for Assisting at surgical operations : a practical guide
No-one should think badly of you for doing this; on the contrary, they will probably be pleased with your honesty and respect for the sterile ﬁeld. Another common way that the sterile ﬁeld is accidentally breached, especially if you are tall, is by brushing your head (or hat) against the sterile light handle. If only your hat touches the handle, you may not feel it. Therefore, if someone else tells you this has occurred, do not think he or she is persecuting you. It is possible that he or she may be wrong, and your hat only passed near the handle, without touching it.
52–3). ■ Adjusting the light source Unless it is obvious that the light is not directed properly at the operating ﬁeld, ask the surgeon if he or she would like you to adjust it before actually doing so. Adjustment can be done in one of three ways: 1 Simply grasp the (sterile) handle, and aim the main operating light more directly into the area where the surgeon is operating. 2 Adjust the focus of the operating light. This enlarges or diminishes the size of the area that is lighted. In some models of operating light, you can do this by twisting the (sterile) light handle, while others must be adjusted by an unsterile third person, such as an orderly.
Haemostasis (‘stopping the bleeding’) In practice, this occurs intermittently throughout the operation. That is, the surgeon usually stops bleeding points soon after they are encountered. Many surgeons do a ﬁnal check of haemostasis towards the end of the operation. The different techniques, and your role in them, are discussed on p. 52–3. ■ Washing out (also known as irrigation or lavage) This means irrigating an area (often with normal saline) to remove small pieces of debris that may act as foreign bodies, or as a culture medium for infection.
Assisting at surgical operations : a practical guide by Comus Whalan