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How To Observe and Assist in Surgery

The document provides tips for surgery observers and interns on how to observe effectively in the operating room (OR). It recommends checking the surgery schedule in advance, introducing yourself to the resident, and preparing by reading about the diseases and surgical techniques. In the OR, observers should stay away from aseptic and anesthesia fields and not disturb surgeons. Key things to observe include the anesthesia technique, surgical positioning, incisions, important structures, closure techniques, and postoperative care. Asking questions of residents and scrubbing in for assistance can improve learning. Proper OR etiquette and preparation are emphasized for maximum benefit from surgical observations.

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Kareem Waleed Ibrahim Hamimy
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103 views33 pages

How To Observe and Assist in Surgery

The document provides tips for surgery observers and interns on how to observe effectively in the operating room (OR). It recommends checking the surgery schedule in advance, introducing yourself to the resident, and preparing by reading about the diseases and surgical techniques. In the OR, observers should stay away from aseptic and anesthesia fields and not disturb surgeons. Key things to observe include the anesthesia technique, surgical positioning, incisions, important structures, closure techniques, and postoperative care. Asking questions of residents and scrubbing in for assistance can improve learning. Proper OR etiquette and preparation are emphasized for maximum benefit from surgical observations.

Uploaded by

Kareem Waleed Ibrahim Hamimy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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How to observe

in Surgery

By : Kareem Hamimy
6th year Medical Student
Kasr Al Ainy Faculty of Medicine
Cairo University
Preface

 This ppt is designed to give a simple tips for


Surgery Interns, observers, Medical students
About observation in OR ( Operation Room )
Gratitude

 I would like to thank everyone who gave me


he opportunity to attend and assist in
Surgical operations in Kasr Al Aini
(Professors, Lecturers, Residents, Nurses,
Workers, patients )
Before Attending
Before attending ?

 1st : Check The Surgery unit that you are going to


attend with.
 2nd : Introduce yourself to the Resident, and ask
him for the permission to attend.
 3rd : Know the schedule of unit .
 ( when is the grand round, when are the operations ? )
 4th : The day before operation, get the List of
patients who are going to OR ).
 5th : Try to take a brief History and full Examination
to these patients.
 6th : Try to read about this Disease,
Management, Operative technique, the
Night before the Operations, for Maximum
benefit
First Day at OR
“STEP by STEP”
Scrubs
Scrubs
 In Kasr Al Ainy, Scrubs
are not provided in OR
 So Don't forget to pack
your bag with your
clean ironed scrubs.
Lockers Room
 Before Exiting
lockers you have to
check that you
didn’t miss wearing
any of these :
 Scrubs
 Overshoes or /
Surgical Clogs
 Overhead
 Mask
Finally : The OR
Away Rules
 In The OR, You have to be

 Away from Aseptic Field 50 cm


 Away from the operation table
 Away from The Surgical instruments table
 Away from scrubbed surgeons
 Away from Anesthesia field
 Away from troubles
 Don't ask a surgeon when he is nervous, or when there is
complete silence as this is an indicator of a precise part of
operations which needs ultimate concentration
Observation

 While observing, you have to be sure that you


know
 Diagnosis
 Decision ( & why )
 and try to correlate what you read before
with what you are observing
A List of what to observe

What to Observe ?
Anesthesia

 Type ( Spinal, Regional, Epidural, General)


 Technique
 Intubation ( how ? )
 Cannulation ( IV cannula, Central line )
 Medications used, Dosage
 Monitor
Surgery

 Position of the Patient ( Supine, Prone, Hand


Extended, Elevated, Lithotomy )
 Exposure
 Antiseptic application
 Borders, one way strokes
 Surgical Sheets ( how they are applied ? )
 Light ( Direction ? )
Surgery

 Incision
 Extensions
 When to extend it ? ( Observe when is this
decision taken )
 Layers ( what are the layers incised ? )
Surgery

 Traction and Counter Traction


 Surgical Instruements used
 And why this specific instruement not the other ?
Surgery

 Important Structures ( Anatomy ? )


 Dangerous Areas
Surgery

 Drainage
 Why
 Type ( Suction, …)
 Size
 Position
 How ?
Closure

 Layers Sutured
 Muscle
 Subcutaneous
 Skin
Suturing

 How? ( Simple, Subcuticular ), and ask the


resident to show you how is it done
 Material ( proline, Vicryl, silk )
 When? ( ask when to use different types, and
size ? )
 And why ?
Dressing

 Betadine
 Dressing
 Plaster
Postoperative

 Waking the patient ( anaesthesia )


 Postoperative care
 Visiting patient, the next day of operation is
essential, try to follow to observe Recovery
phase, and if complications occurred, and
how to manage
 After being Familiar, with the OR, and the
operations,
 You can ask the resident, to scrub in for
assistance and better observation
Amazing operative books :

 Prof Dr Aly Haseeb : Illustrated Operative


Surgery.
 Browse Symptoms and Signs of Surgical
diseases.
 Oxford Handbook of Clinical Surgery.
 Basic Surgical Techniques ( R M Kirk ).
 Essential General Surgical Operations ( R M
Kirk ).
Thank You
For Comments and Further info :
[email protected]

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