SURGICAL TECHNIQUES

Venty Rachma Yogyantari

KEPANITERAAN KLINIK ILMU BEDAH

FAKULTAS KEDOKTERAN UNIVERSITAS TRISAKTI
RUMAH SAKIT ANGKATAN LAUT DR. MINTOHARDJO
PERIODE 27 Desember 06 Maret 2016

ASEPSIS
But before :

Scrubbing
1. Open disposble brush impregnated with antimicrobial
soap
2. Turn on the water
3. Wet hands and arms. Keep hands above elbows
4. Wet scrub brush or apply antibacterial soap if not already
impregnated in the brush
5. Scrub starting with fingertips, vigorously using vertical
strokes srub each area (nail, fingers each side and web
space, palmar, dorsal surface and forearm)
6. Rinse hands thoroughly under running water
7. Keep hands held upward to allow water to drip from the
hands to elbow
8. Dry hands with a sterile towel

Gowning

1. Grasp folded sterile gown at the neckline and

step away from the sterile field. The inside of
the gown is towards the user
2. Holding the arms at the shoulder level, grasp
the sterile gown and slide the arms in the
sleeves until the fingers are at the end of the
cuffs but not through the cuffs
3. Have someone tie the back of the gown

Gloving

1. Place a pair of gloves on a paper towel with the thumbs facing up.
Fold the bottom cuff up exposing the inside of the glove. Hands
should only touch the inside of the gloves.
2. Using your non-dominant hand, grab the folded cuff of the glove for
your dominant hand.
3. Pull the glove into your dominant hand only using the folded cuff
4. Slide your gloved hand under the cuff of the second glove
5. Pull the second glove onto your non-dominant hand

ANTISEPSIS
Skin preperation :
Pre prep
Wash with disinfectant and clean with disinfectant soap and rinsed with
normal saline

Start prep
Antiseptic applied concentric circular

Drapping

Surgery Instruments

Incision
Asurgicalcutintoatissueororgan.
- Linear incision
- Elips incision
- Tangensial incision

Suturing a Wound
1. Local anesthesia with infiltration
2. Irigasi and debridement

SUTURING TECHNIQUES

Continuous

Interrupted

Optimal time for suture removal

Location

Optimal time

Head

6-8 days

Face

4-5 days

Ear

4-5 days

Chest

8-10 days

Abdominal :
Transversal incision
Vertical incision

7-9 days
9-11 days

Back/Spine

12-14 days

Arm/Leg

8-10 days

Hand

8-10 days

Fingertips

10-12 days

Foot

12-14 days

Post-operative care

Monitor airway, breathing and circulation

Monitor pain and anesthesia effects
Monitor complication
Monitor blood pressure, pulse and oxygen saturation