Treatment of the hands of the surgeon: methods and methods

The treatment 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. To surgery, people with skin lesions, purulent and inflammatory diseases of the skin are not allowed.

The sequence of washing hands

Hand processing of the surgeon is performed according to a certain scheme, which is approved by the World Health Organization. First wash your fingers. They start from the inner surface, then pass to the rear and then they 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 move to the brush. 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 your hands, keep your hands up to prevent water from getting on the brush.

The Spasokukotsky-Kochergin method

Methods of processing the hands of the 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.

To conduct it you will need:

- 2 enameled vessels;

- stand / table;

- 0.5% ammonia (25 ml);

- 95% ethyl alcohol;

- Bices with linen;

- soap;

- clock.

In the basin poured clean water, add ammonia and warm up 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 tissues, 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 processing the hands of the surgeon differ from each other mainly by the drugs that are used for this. 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;

- clock.

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 a solution of pervomura

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;

- a liter of purified water;

- Sterile linen;

- soap;

- clock.

Dissolve pervomur in a liter of water, and then in the resulting solution to pour another nine liters of liquid. Then wash 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, so you need to use moisturizing and softening creams after the operation.

Treatment with cerigel

The treatment of the hands of the surgeon in this way is used for outpatient manipulation. This will require the following materials:

- ceramel;

- Sterile linen;

- soap;

- 70% alcohol;

- clock.

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 cerigel and rub it on the brushes and forearm. After the surgical procedures are performed, you can 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 twice. It poured two liters of warm clean water and added twenty milliliters of lauryl sulfate powder. After it is dissolved, iodopyron is added to the mixture in the amount of forty milliliters. All thoroughly mixed with a glass rod.

Hands are washed with running water, wiped dry with sterile laundry, then re-washed in solution for five minutes. After that, again wipe dry and put on sterile gloves.

The method of Fürbringer

The surgeon carefully washes 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 operating field

Handling 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, 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.

A substitute for iodine solution can be iodonate, which is a mixture of iodine (45%) and a surfactant. For the treatment of 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 agents when performing medical manipulations.