Talk:Surgery

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Surgery room[edit]

It should be mentioned that Surgery clothing is essential in surgery and keeps dust spread to 100000 particles per person (as opposed to 7,5 million particles pp). This limits growth possibility of bacteria, viruses.

to decrease dust to 3500 dust particles over operating room over the surgical table.

It should be mentioned that the newest surgery rooms are equipped with

  • green highfrequency lightning and durable white Xenon lights (first is needed for minimal invasive operations where the doctor uses screens and operates at same time, latter is for surgery without screens, eg more invasive surgeries)
  • Airfilters are (often EPA or better; cost: 500000 € per OR)

It should be mentioned that a operating room often costs up to 1 million € <ref>Elektrochirurgie in 3D, Kijk.nl magazine July 2009</ref>

The points about surgery rooms could be added to the Operating theater (Operating room) article. H Padleckas (talk) 02:22, 7 November 2010 (UTC)
Agree BakerStMD T|C 04:11, 15 March 2015 (UTC)

other uses[edit]

In England I have seen that other people hold surgeries, such as theatres and MPs.

Hull Truck Theatre: "With a creative surgery, workshops, conversations and events, there are multiple opportunities to grow your creative talent."

Most MPs hold a surgery to give the people in their constituency an opportunity to meet them. http://www.parliament.uk/site-information/glossary/surgeries/ — Preceding unsigned comment added by 178.78.75.150 (talk) 10:37, 20 June 2014 (UTC)

Interesting, but that seems like a minor use of the term specific to British english. In American english, we call it a "doctor's office" or "clinic" rather than a "surgery". The use by MPs seems to be an extension of the term from the medical context to describe what Americans call "office hours", "drop-in hours", or an "open house". I would favor mentioning that surgery can mean a doctor's office, and not mentioning the use by MPs. BakerStMD T|C 04:09, 15 March 2015 (UTC)

Surgery video[edit]

someone plz help to add into those clip?

Basic Surgery Instruments & Handling
https://www.youtube.com/watch?v=pI1gVTL07rY


54 BASIC SURGICAL INSTRUMENTS

https://www.youtube.com/watch?v=i1G5d_33q4Y
— Preceding unsigned comment added by 36.225.100.123 (talk) 15:23, 16 November 2015 (UTC)


"Head hat"???[edit]

The article says "The surgeon will remove hair from the face and eyes, using a head hat." I am puzzled. Does the surgeon or the patient wear the "head hat?" How is it different from a "hat?" Presumably it is not a tool actually used for the hair removal, like scissors, tweezers, a razor, wax, or depilatory cream. I have tagged this as needing a reference and it should be removed from the article unless explained, Wikilinked to an explanation, or followed by an inline reference to a reliable source. I could find nothing helpful online. Edison (talk) 17:01, 26 July 2016 (UTC)

The section goes on to say the hands are washed and gloves are applied, presumably referring to the surgeon and not the patient, so the hair removal could be taken to be removing hair from the surgeon. Certainly in operations on body parts other than the head, no such hair removal is done. When I have had surgery, hair on the operation site was shaved off by a nurse, certainly not by the surgeon himself. The section is puzzling at best. Edison (talk) 17:07, 26 July 2016 (UTC)
I rewrote the first section of "Surgery" for clarity. I removed the part about the surgeon using a "head hat" to remove the patient's or his own hair from the face and eyes, since the requested reference was not provided.Edison (talk) 19:20, 19 August 2016 (UTC)
The whole section was added 19 Feb 2013 by 146.90.53.53 in this edit It included the term "surgeonist." I'm concerned it might be cut and paste from some website, and it is not very encyclopedic for all that.. The whole section uses odd phrasing and does not improve the article:"Whilst in surgery health and safety is used to prevent infection or further spreading of the disease. The surgeonist will remove hair from the face and eyes, using a head hat. Hands, wrists and forearms are washed thoroughly to prevent germs getting into the operated body, then gloves are placed onto the hands. A PVC apron will be worn at all times, to stop any contamination. A yellow substance is lighly coated onto the located area of the patient's body that will be performed on, this stops germs and disease infecting areas of the body, whilst the patient is being cut into.--146.90.53.53 (talk) 14:40, 19 February 2013 (UTC)" The IP included his address in the main space of the article. Edison (talk) 20:14, 19 August 2016 (UTC)
I searched Google Books and Google for the phrase, but only found it at sites which appear to have copied it from here. Edison (talk) 20:28, 19 August 2016 (UTC)

Iodine solution[edit]

The section on surgery previously said that an iodine solution is applied to the surgical site as an antiseptic. That suggests a simple tincture of iodine, which was superseded in the late 20th century by Betadine. The article on Betadine says "Povidone-iodine (PVP-I), brand name Wokadine, Pyodine, and Betadine is a stable chemical complex of polyvinylpyrrolidone (povidone, PVP) and elemental iodine. It contains from 9.0% to 12.0% available iodine, calculated on a dry basis."That article says Betadine was found in the 1950's to be less toxic than tincture of iodine. Iodine had itself replaced 19th century favorites such as carbolic acid used by Lister. Thus there is more in the modern surgical antiseptic swab than just a solution of iodine. But is Betadine the only antiseptic currently used to swab the surgical site, or are there other antiseptics? When I had a skin biopsy recently, the doctor just used an alcohol swab although I understand that alcohol is not that great at killing off all pathogens. Is Betadine or something else used when the surgical site is in the sclera, the rectum, the nasal passages, the throat, or the mouth? References, please. Edison (talk) 19:31, 19 August 2016 (UTC)

The Cochrane review of clean site surgery was updated in 2015. Clean-contaminated surgery is explored in a 2010 systematic review published in the British Journal of Surgery. Drchriswilliams (talk) 20:01, 19 August 2016 (UTC)
Thanks they mention a solution of chlorhexidene in denatured alcohol, which would seem to be more toxic than a solution in ethanol. I also find Triclosan as a surgical scrub, but it is not clear if it is used alone or prior to Betadine. I'm looking less at the question of "what is safe and effective" than the desired "what is typically used" for the present article. Maybe they use one more than another in special cases such as suspected MRSA. Edison (talk) 20:58, 19 August 2016 (UTC)