Hand Treatment of Surgeons: Methods and Methods
The processing of the hands of the surgeon is one of the stages in preparing a physician for the operation. It is very important to remove all foreign agents from the skin. This is achieved by mechanical cleaning and washing with antiseptic solutions. People are not allowed to perform operations with skin lesions, purulent and inflammatory diseases of the skin.
Hand washing sequence
Hand processing of the surgeon is performed according to a certain scheme, which is approved by the World Health Organization. First wash your fingers. Begin with the inner surface, then pass to the rear and only then wash interdigital spaces, nails and under the fingernails. The first execution is the left hand, then the right one.
After the fingers are finished, they switch to the brushes. They also start from the palmar surface and gradually pass to the rear. After the brush, wrists and forearms go. Then once again wash the nails and under the fingernails. Now you can start wiping your hands with sterile napkins or towels, keeping the consistency. Before and after wiping, keep your hands raised to prevent water from reaching the brush.
Method of Spasokukotsky-Kochergin
The methods of processing the hands of a surgeon are different. This is considered one of the oldest. It is based on the fact that the ammonia solution dissolves fats from the surface of the skin and mechanically removes bacteria.
For carrying out it it is required:
- 2 enameled vessels;
- stand / table;
- 0.5% ammonia( 25 ml);
- 95% ethyl alcohol;
- bikis with linen;
- soap;
- hours.
In the basin poured purified water, add ammonia and heated to body temperature. Then three minutes are detected. During this time, you need to wash your hands with soap under running water, treat your hands with clean napkins moistened first in the first basin, and then in the second. After that you need to dry your hands with whiskeys and at the end wipe your hands with linens soaked in ethyl alcohol.
Treatment with chlorhexidine solution
Methods of treating the hands of the surgeon differ from each other mainly with drugs that are used for this purpose. In this case it is 0.5% chlorhexidine or gibitane. For the procedure, you will need:
- 0.5% chlorhexidine solution;
- 70% ethyl alcohol;
- Beeks with sterile underwear;
- soap;
- hours.
A minute wash hands with soap, starting from the nails and moving towards the forearm. Under running water, remove the foam, dry hands with sterile underwear. Then treat the hands with napkins that are impregnated with chlorhexidine.
Treatment with pervoma
The treatment of the hands of the surgeon before the operation can also be carried out with a solution of formic acid, or first. This will require:
- 2.4% solution of pervomura;
is a liter of purified water;
- sterile underwear;
- soap;
- hours.
Dissolve pervomur in a liter of water, and then in the resulting solution to pour another nine liters of liquid. Then wash your hands with running water with a disposable soap, rinse them and keep them in a vertical position. Wipe dry with a towel or napkin first with your right hand and then with your left hand. After that, put your hands in the container with the first for a minute and wipe it dry again.
This solution dries the skin drastically, therefore it is necessary to use moisturizing and softening creams after the operation.
Treatment with ceridium
The treatment of the hands of the surgeon in this way is used for outpatient manipulation. For this, the following materials will be required:
- cerigel;
- sterile underwear;
- soap;
- 70% alcohol;
- hours.
First wash my hands with running water, thoroughly wash off the soap and make sure that water does not drip on the brush. Dry the hands with a disposable towel from the nails to the elbow. Pour in the palate of the cerigel and rub it on the brushes and forearm. After the surgical manipulations are performed, it is possible to remove the remains of the disinfectant with cotton wool soaked in alcohol.
Treatment with iodopyron
First, the solution is prepared in enamelware, which was previously disinfected with hot alcohol beforehand. It is poured into two liters of warm clean water and add twenty milliliters of lauryl sulfate powder. After it is dissolved, iodopyron is added to the mixture in the amount of forty milliliters. All carefully mixed with a glass rod.
Hands are washed with running water, wiped dry with sterile underwear, then re-washed in solution for five minutes. After that, wipe again and put on sterile gloves.
Fürbringer Method
The surgeon thoroughly cleanses the brushes, nails, subungual spaces and forearms with a brush and soap for ten minutes. Then carefully dry hands with sterile underwear, observing the sequence: first brush, then forearm. After the hands are completely dry, they are wiped for five minutes with cotton swabs soaked in seventy percent alcohol. But this does not end with processing. At the end, a 0.02% solution of the mercury must be used.
This method is used extremely rarely, because it can lead to chronic mercury poisoning.
Treatment of the surgical field
The treatment of the hands of the surgeon in the operating room is not the only way to protect the patient from infection. The skin where the incision will be made is also processed. Recently, 1% solution of deginine or 0.5% chlorhexidine solution is used for this purpose. Sterile cotton swabs are wetted in any of these solutions, and the patient's skin is wiped twice, with an interval of two minutes.
An iodine solution substitute may be iodonate, which is a mixture of iodine( 45%) and a surfactant. To treat the operating field, iodonate is diluted forty-five times to obtain a 1% solution. For this, 45 parts of distilled water are added to it. The patient's skin is wiped twice with the resulting liquid. And at the end of the operation, before applying the suture, the skin is treated again.
The treatment of the hands of a surgeon is considered one of the most important ways of maintaining aseptic and antiseptic techniques when performing medical manipulations.