Processing the surgeon's hands is one of the stages of preparing a doctor for an 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 with skin lesions, purulent and inflammatory diseases are not allowed to operate.
Hand washing sequence
The treatment of the surgeon's hands is carried out according to a certain scheme, which is approved by the World He alth Organization. Wash your fingers first. They start from the inner surface, then move to the rear and only then wash the interdigital spaces, nails and under the nails. The left hand is executed first, then the right.
After the fingers are finished, they move on to the hands. They also start from the palmar surface and gradually move to the rear. After the wrists come the wrists and forearms. Then wash the nails again and under the nails. Now you can start wiping your hands with sterile wipes or towels, keeping the sequence. Before and after wiping, keep your hands raised up so that water does not get on your hands.
Spasokukotsky-Kochergin method
Surgeon's hand treatment methods are different. This one 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.
To carry it out you will need:
- 2 enamelware;
- stand/table;
- 0.5% ammonia (25ml);
- 95% ethyl alcohol;
- Bix with lingerie;
- soap;
- watch.
Pour purified water into a bowl, add ammonia and heat to body temperature. Then mark three minutes. During this time, you need to wash your hands with soap and water 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 bix linen and at the end wipe your hands with linen soaked in ethyl alcohol.
Treatment with chlorhexidine solution
Methods of processing the hands of a surgeon differ from each other mainly in the preparations that are used for this. In this case, it is 0.5% chlorhexidine or gibitan. For the procedure you will need:
- 0.5% chlorhexidine solution;
- 70% ethanol;
- Bix with sterile underwear;
- soap;
- watch.
Wash hands for a minute with soap, starting from the nails and moving towards the forearm. Remove foam under running water, dry hands with sterile linen. Then treat your hands with napkins soaked in chlorhexidine.
Treatment with Pervomura solution
The treatment of the surgeon's hands before the operation can also be carried out with a solution of formic acid, or pervomur. For this you will need:
- 2, 4% Pervomura solution;
- liter of purified water;
- sterile underwear;
- soap;
- watch.
Dissolve pervomur in a liter of water, and then pour another nine liters of liquid into the resulting solution. Then wash your hands with running water and disposable soap, rinse them and hold them in an upright position. Wipe dry with a towel or napkin, first the right hand, and then the left. After that, put your hands in a container with pervomur for a minute and wipe dry again.
This solution is very drying to the skin, so after the operation it is necessary to use moisturizing and emollient creams.
Zerigel treatment
Processing the surgeon's hands in this way is used for outpatient manipulations. This will require the following materials:
- tserigel;
- sterile underwear;
- soap;
- 70% alcohol;
- watch.
First, wash your hands with running water, carefully rinse off the soap and make sure that water does not drip on the brush. Dry your hands with a disposable towel from nails to elbow. Pour cerigel into the palms and rub it over the hands and forearm. After the surgical procedures are performed, you can remove the remaining disinfectant with cotton wool soaked in alcohol.
Treatment with iodopyrone
First, the solution is prepared in an enameleddishes that had previously been disinfected twice with hot alcohol. Two liters of warm clean water are poured into it and twenty milliliters of lauryl sulfate powder are added. After it dissolves, iodopyrone is added to the mixture in the amount of forty milliliters. Everything is thoroughly mixed with a glass rod.
Hands are washed with running water, wiped dry with sterile linen, then washed again in the solution for five minutes. After that, wipe dry again and put on sterile gloves.
Fuhrbringer Method
The surgeon thoroughly cleans the hands, nails, subungual spaces and forearms with soap and water for ten minutes. Then he carefully dries his hands with sterile linen, following the sequence: first the hands, then the forearms. After the hands have become completely dry, they are rubbed with cotton swabs dipped in seventy percent alcohol for five minutes. But the processing doesn't end there. At the end, you must use a 0.02% sublimate solution.
This method is rarely used because it can lead to chronic mercury poisoning.
Processing the surgical field
Processing the surgeon's hands 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 treated. Recently, a 1% solution of degmine or a 0.5% solution of chlorhexidine has been used for this. Sterile cotton swabs are soaked in any of these solutions, and the patient's skin is rubbed twice, two minutes apart.
Iodonate can be a substitute for iodine solution, whichis a mixture of iodine (45%) and a surfactant. To process the surgical field, iodonate is diluted forty-five times to obtain a 1% solution. To do this, add 45 parts of distilled water to it. The patient's skin is wiped twice with the resulting liquid. And at the end of the operation, before suturing, the skin is treated again.
Processing the surgeon's hands is considered one of the most important ways to maintain asepsis and antisepsis when performing medical manipulations.
