Handling a surgeon's hands is one of the stages in 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 perform operations.
Hand washing sequence
The processing of the surgeon's hands is performed according to a certain scheme, which is approved by the World Health Organization. Wash your fingers first. They start from the inside, then go to the rear and only then wash the interdigital spaces, nails and under the nails. The first execution is the left hand, then the right.
After the fingers are finished, go to the brush. They also start from the palmar surface and gradually move to the rear. After the brush go 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
The methods for treating the surgeon's hands 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 enameled vessels;
- stand / table;
- 0.5% ammonia (25 ml);
- 95% ethyl alcohol;
- bix with linen;
- soap;
- clock.
Purified water is poured into a basin, ammonia is added and heated to body temperature. Then they detect three minutes. 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 linen from bix and at the end wipe your hands with linen dipped in ethyl alcohol.
Chlorhexidine Solution Treatment
The methods of treating the surgeon's hands differ from each other mainly in the drugs 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% ethyl alcohol;
- Bix with sterile underwear;
- soap;
- clock.
Wash hands with soap for a minute, starting from the nails and moving towards the forearm. Remove the foam under running water, dry your hands with sterile linen. Then treat your hands with napkins that are saturated with chlorhexidine.
Treatment with a solution of first-moor
Treatment of the surgeon's hands before the operation can also be carried out with a solution of formic acid, or mayor. This will require:
- 2.4% solution of Pervomura;
- liter of purified water;
- sterile underwear;
- soap;
- clock.
Dissolve the first one in a liter of water, and then pour another nine liters of liquid into the resulting solution. Then wash your hands with running water with disposable soap, rinse them and hold them upright. Wipe dry with a towel or napkin, first the right hand, and then the left. After that, put your hands in a container with first-quality food for a minute and wipe it dry again.
This solution dries the skin very much, so after surgery it is necessary to use moisturizing and softening creams.
Zerigel treatment
The treatment of the surgeon's hands in this way is used for outpatient procedures. This will require the following materials:
- Zerigel;
- sterile underwear;
- soap;
- 70% alcohol;
- clock.
First, wash your hands with running water, carefully wash off the soap and make sure that water does not drip onto the hands. We dry our hands with a disposable towel from nails to the elbow. Pour zerigel in the palms and rub it on the hands and forearm. After surgical procedures have been performed, you can remove the remains of the disinfectant with cotton wool soaked in alcohol.
Iodopyron Treatment
First, the solution is prepared in an enamel bowl, which was previously disinfected twice with hot alcohol. Two liters of warm pure water are poured into it and twenty milliliters of lauryl sulfate powder are added. After it has dissolved, forty milliliters of iodopyron are added to the mixture. All are thoroughly mixed with a glass rod.
Hands are washed with running water, wiped dry with sterile linen, then re-washed in solution for five minutes. After that, wipe dry again and put on sterile gloves.
Furbringer Method
The surgeon thoroughly washes brushes, nails, subungual spaces and forearms with a brush and soap for ten minutes. Then he thoroughly dries his hands with sterile linen, following the sequence: first the hands, then the forearm. After the hands have become completely dry, they are wiped for five minutes with cotton swabs dipped in seventy percent alcohol. But the processing does not end there. In the end, you must use a 0.02% solution of mercuric chloride.
This method is used extremely rarely, because it can lead to chronic mercury poisoning.
Processing Operation 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 demin or 0.5% chlorhexidine solution has been used for this. Sterile cotton swabs are wetted in any of these solutions, and the patient’s skin is rubbed twice, with an interval of two minutes.
A substitute for a solution of iodine can be iodonate, which is a mixture of iodine (45%) and a surfactant. To treat the surgical field, iodonate is diluted forty-five times to obtain a 1% solution. To do 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 suturing, the skin is treated again.
The processing of the surgeon's hands is considered one of the most important ways to maintain aseptic and antiseptic when performing medical procedures.