Operating room, the thought of this place makes many people feel frightened.
The hospital's operating room is always mysterious, and whenever the operation is performed, the door will be closed tightly, and the screen will show three big red characters "in the operation".
The family members who are guarding the outside will be anxious, not knowing how it is going, whether it will go well, and how long it will take... However, for the caregivers in the operating room, every operation is a battle, and in order to save the lives of patients, they are here in a silent battle with the god of death...
Today, we will unravel the mystery of the operating room.
Many people have a misconception about doctors, thinking that doing surgery is "practice makes perfect", very easy, unable to accept the failure of surgery, but never think about how complicated an operation is. From preoperative, intraoperative to postoperative, it is interlocked.
Preoperative
Hospitalization is required before surgery, and the doctor will make daily rounds to ask the patient about the basic situation. After that, preoperative examination is arranged to ensure that the patient meets the surgical conditions, and the examination items include chest x-ray, electrocardiogram, blood routine, urine routine, tumor markers, etc.
Next, the doctor will also have a preoperative conversation with the patient's family and sign an informed consent form. The day before the operation, in order to facilitate the operation, the nurse will carry out operations such as skin preparation, stomach cleaning, and gastric tube.
Intraoperative
There are 6 basic personnel to be equipped for an operation, namely the chief surgeon, the first assistant, the second assistant, the anesthesiologist, the instrument nurse, and the itinerant nurse.
After the nurse pushes the patient into the operating room, she asks the patient to strip naked and then begins the anesthesia. Within 10 seconds, the patient loses consciousness, and then the anesthesiologist intubates the trachea, establishes a venous or arterial pathway, and the nurse inserts the urinary catheter, and the operation officially begins.
After the first assistant and the second assistant complete the preparations such as skin opening, abdominal opening, and free movement, the chief surgeon will perform the key surgical parts, and the last assistant and the second assistant will close the abdomen and suture the skin, the anesthesiologist will remove the endotracheal intubation and monitoring equipment, and the nurse will push the patient out of the operating room and the operation will end.
Postoperative
If major surgery is performed, the patient will be pushed into the ICU for observation for a few days, and then enter the general ward after the condition is stable. If it is a normal operation, after the introduction of the operating room, the nurse will wake up the patient and observe whether there is any problem with the patient's breathing.
The first day after surgery is often the most painful, the wound has not yet begun to heal, and intravenous antibiotics may be given to avoid bacterial infection. If it is an abdominal surgery, the nurse will also observe whether the patient has "farted".
After a few days, if there is no abnormal condition, the patient will enter the recovery period, and the gastric tubes, urinary tubes, etc. in the body will be removed. Finally, after the examination confirms that there is no problem, the patient can be discharged from the hospital.
Surgery is a very rigorous thing, and some patients' families will question whether the doctor is unprofessional when they see the doctor wearing cave shoes.
In fact, doctors in the surgical operation, in the dress is a certain degree of attention, especially some male doctors, during the operation will not wear underwear, do you know why?
It turns out that during the operation, the patient may have a lot of chest water, ascites, blood, etc., and during the operation, a large amount of normal saline may be required to flush the wound. The height of the operating table is just waist-high, and these liquids with the patient's blood or contents can easily flow down the clothes, causing the underwear to be soaked.
At this time, if the patient's body fluids carry an infectious virus, after soaking the doctor's clothes, it is possible to cause infection through the skin breakage. In addition, the underwear is contaminated with blood, and many doctors will choose to throw it away, which will cause a lot of money.
Therefore, some doctors (not all) choose to "vacuum" in order to save time and effort and save money. In this way, it is understandable not to wear underwear during surgery.
On this topic, Xiaojiu has also consulted some doctors' views, let's see what they say.
Doctor Woman A: As a female doctor, I can tell you that I don't wear underwear when I have surgery myself. One is that there will be a lot of sweat during the operation, a long time, it is really uncomfortable; the second is that some materials of the underwear can not be disinfected, soaked, contaminated can only be thrown away, I am distressed about money...
Male Doctor B: Surgery without underwear, sometimes encounter embarrassing situations. Once I did half the operation, the result was that the pants were too loose, slipped off, and could only stretch out the legs to forcibly "retain" the pants, fortunately the operation time was not long, the legs were numb...
For patients and families, surgery can be a life-threatening affair, so what should be done before surgery to have a correct understanding of the overall risk? Xiao Jiu suggested that you may wish to ask the following 3 questions before the operation.
1. Does surgery necessarily need to be performed? If not surgery, are there other treatments?
Different patients have different surgical purposes, we must be clear about the role of their own surgery, while understanding the advantages and disadvantages of surgery. After all, any surgery carries a certain risk, and if it is possible to continue to observe the condition, or to improve the quality of life through lifestyle changes, not necessarily surgery, you can present your own ideas to the doctor in order to further clarify the treatment plan.
2. What surgery was performed and what was removed during the operation?
Ask your doctor about the steps of the procedure and, if you need to remove an organ or tissue, know what you are being removed, including details such as left or right, total or partial removal.
3. What is the effect of the operation? Are there any risks?
To understand how much the operation is in improving the condition, if it is only temporary relief, followed by two or three surgeries, can your body and economy afford it? In addition, understanding the risks of surgery can make psychological preparations and related prevention and prognosis work, and it is more convenient to arrange for family members to carry out postoperative care.
For many diseases, surgery is the preferred treatment plan, and patients and families must try to cooperate as much as possible when they fully understand the benefits and risks of surgery, so as not to affect the treatment effect. Of course, if there is any objection, it should be raised as soon as possible and discuss with the doctor how to better solve it.
Resources: [1] I heard that doctors don't wear underwear when they have surgery? The surgeon said there was bitterness to say out. Medical Forum Network.2020-07-15 [2] Surgery is going to be done, but are you done asking the doctor's questions before surgery?.Cancer Defender. 2015-08-04
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