A patient's family shared their lover's experience of a thyroid surgery online, leaving people confused and embarrassed.
The content is probably that before the operation, the patient is required to be completely naked, without underwear and**, and after the operation, the patient is only covered with a thin short gown, and there are other people outside the operating room. This raised doubts for the family member, especially considering that it might have been even more embarrassing if it had been a male doctor or someone else who had seen it. Why do patients need to be completely naked during surgery?He is not and understands.
Why do patients need to strip naked during surgery?There are three main reasons for this:
First of all, patients are usually injected with drugs, blood transfusions, and anesthesia during preoperative operations, which require special indwelling needles and have high requirements for blood vessels. Some patients also need to undergo procedures such as central venous puncture and catheterization, and wearing clothing will significantly affect the smooth progress of these procedures.
Second, the surgical environment needs to be highly sterile, and the clothing on the patient's body can carry bacteria, so wearing clothing increases the risk of infection.
Finally, for some patients in emergency situations, taking off their clothes is beneficial for doctors to check whether there is a ** wound. In the event of an unexpected operation, the patient's full nakedness helps the doctor to quickly administer first aid, and if something is needed, it may delay the optimal rescue time.
However, not all surgical patients need to be completely naked. The need to strip naked depends on the site of the procedure and the extent of anesthesia. Upper body surgeries such as thyroid cancer, lung cancer, esophageal cancer, breast cancer, etc., usually only require you to take off your top;Abdominal surgeries such as appendix and bowel cancer generally require the removal of shirts and pants 1 3;For lower body surgeries such as knee joints and varicose veins, you generally only need to take off your pants. During the operation, only the part of the patient that needs to be operated will be exposed, and the rest of the area will be covered with a thick towel to protect the patient's privacy.
In this regard, Dr. Zeng Weigen, attending physician of the Department of General Surgery of Beijing Chaoyang Hospital, said that some doctors choose not to wear ** during surgery, which mainly depends on personal Xi, department and hospital regulations. This decision is mainly due to the concern that the doctor may get wet during the surgery, especially after the surgery, which may be more difficult to manage.
During the operation, the doctor's waist is exactly at the height of the operating table, and if the patient produces a large amount of blood, or has pleural effusion, ascites, etc., these body fluids may wet the doctor's surgical gown, even including **.
Moist ** may carry a risk of infection, especially if the patient has an infectious disease such as hepatitis B, syphilis or AIDS, and the virus can be transmitted through mucous membranes and **. On the other hand, cleaning wet ** can be more difficult and requires the use of specialized cleaning agents and methods.
As a result, most doctors choose to discard the wet ** at the time of surgery. However, if this practice is done for a long time, the cost can be quite high, so some doctors choose not to wear it at the time of surgery**.
Some people may wonder why not use a waterproof surgical gownDr. Tsang explains that this is mainly related to cost. According to the regulations, the cost of surgical gowns needs to be calculated together with the cost of surgery, and at least 5 sets of surgical gowns are required for one operation, while the cost of using disposable waterproof surgical gowns is higher. Considering other disposable consumables used in surgery, cleaning and depreciation of surgical instruments, and disposal of medical waste, hospitals are unable to charge for these additional charges.
At present, most hospitals in China use reusable surgical gowns instead of disposable waterproof surgical gowns.
During general anesthesia surgery, doctors use respiratory depressants, which can cause "breathing amnesia," which is forgetting to breathe while asleep, causing asphyxia.
There are generally three types of drugs used in general anesthesia surgery, including sedative-hypnotics, analgesics, and muscle relaxants.
Sedative-hypnotic drugs, such as propofol, are still slowly released in the body after the procedure, causing the patient to be drowsy. Opioid analgesics, such as fentanyl, have a strong respiratory depressant effect. If people experience intense pain after surgery, doctors may supplement small doses of these medications, which slightly suppress the person's breathing. Muscle relaxants can cause the muscles to become unresponsive and the patient's breathing is completely suppressed, so general anesthesia surgery requires the use of a ventilator for the entire time.
Since the drug in the patient's body has not been completely metabolized, the doctor and family need to constantly wake the patient to resume spontaneous breathing to avoid hypoxic asphyxia just after surgery. This process is done to ensure that the patient is able to breathe properly after the procedure and to reduce the risks associated with breathing.
Before many surgeries, the doctor or ** will specifically tell the patient when to start fasting. This involves some important considerations during anesthesia. Let's dive into why patients need to fast before surgery, as well as other preparations before surgery.
Why can't patients eat before surgery?
Many surgeries require the use of ***, and some of these drugs may weaken the body's protective reflexes. This weakening may lead to adverse consequences such as postoperative vomiting, aspiration, etc. To minimize these risks, doctors usually ask patients not to eat for a certain amount of time before the procedure.
Other preoperative preparations:
The night before surgery:The night before the procedure, the patient needs to take a thorough bath to ensure that the ** is clean, thus reducing the risk of infection.
On the morning of surgery:On the morning of surgery, patients will need to clean their faces, shave, brush their teeth, and remove various accessories. These steps help with monitoring during surgery and prepare you well for surgery. Patients and their families also need to wait outside the operating room to complete the work of signing, intraoperative explanation, and postoperative accompaniment.
The purpose of these preoperative preparations is to ensure that the surgical procedure runs smoothly and minimizes the risk of discomfort and complications for the patient after surgery.