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Operation theater

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Operation theater

  1. 1. OPERATIONTHEATERwww.drjayeshpatidar.blogspot.com
  2. 2. HISTORY OF SURGERY PREHISTORIC PERIOD:- Burr hole-Trepanning/ trephining- common in Britain,France and Europe.ANCIENT INDIA :- Hindu- excised tumours , drain abscesses, removeforeign body, remove gall stones, stich wounds.Known for Plastic Surgery.BEFORE 2ND CENTURY :- Surgery was not considered as a part of medicalprofession.Surgeons were lower class and illiterate.1540 :-Barber-surgeon company-union.1745 :-company of surgeons of London.1800 :-Royal college of surgeons.1543 :-Andreas Vesalius- 1st surgeon anatomist16th CENTURY :-Ambroise Pare- Father of Modern surgery18th CENTURY :-John Hunter-Founder of surgical pathology1880 :-Foundation of American Surgica Associations19th CENTURY :-Discovery of Anaesthesia and Antisepsis1914 :-American college of surgeons1937 :-American Board of surgerywww.drjayeshpatidar.blogspot.in
  3. 3. PURPOSES OF SURGERY Diagnostic Exploratory Curative:-a) Ablativeb) Reconstructivec) Constructive Palliative Restorativewww.drjayeshpatidar.blogspot.in
  4. 4. TYPES OF SURGERY Major surgery Minor surgeryTYPES ACCORDING TO URGENCY Optional Elective Planned Imperative or urgent Emergencywww.drjayeshpatidar.blogspot.in
  5. 5. COMMON SURGICAL INCISIONS OFABDOMENIncision Site Subcostal Paramedian Transverse Rectus McBurney PfannenstielType of Surgery Gall Bladder , Biliary tractsurgeries Right side: Biliary tract, GallBladder Left side : Splenectomy,Gastrectomy, Hiatal Hernia repair Gastrectomy Right Side: Appendectomy, smallbowel resection Left Side : Sigmoid colon resection Appendectomy Gynaecologic surgerywww.drjayeshpatidar.blogspot.in
  6. 6. ORGANIZATION ANDPHYSICAL LAYOUT OF THE O.T.Number of rooms required in the O.T. depends on:- Number and length of the surgical procedures to beperformed. Types and distribution by specialities of the surgical staffand equipments for each Proportion of inpatient and emergency surgicalprocedures to ambulatory patient and minimal invasiveprocedures. Scheduling policies related to the number of hours/dayand days /week the suite will be in the use and staffingneeds. Systems and procedures established for the efficient flowof patients, personnel, and supplies.www.drjayeshpatidar.blogspot.in
  7. 7. PRINCIPLES IN PLANNING THEPHYSICAL LAYOUT OF ANOPERATION ROOM Exclusion of contamination from outsidethe suite with sensible traffic patternwithin the suite. Separation of clean areas fromcontaminated areas within the suite.www.drjayeshpatidar.blogspot.in
  8. 8. OPERATION ROOM SIZE:-Minimum:- 20 20 10 feet( 400sq feet orapproximately 37m² )floor space;Maximum:-20 30 10 feet (600 sq feet orapproximately 60m²If Portable equipments are required thenminimum floor space 22 22 10 feet(484 sqfeet approximately 45m²)if cardiopulmonary bypass machine required then600 sq feet or 60m² floor spacewww.drjayeshpatidar.blogspot.in
  9. 9. PERIOPERATIVE PATIENT CARE PREOPERATIVE PHASE:From the time the decision is made for surgicalintervention to the transference of the patient tothe operating room. INTRAOPERATIVE PHASE:From the time the patient is received in theoperating room until he is admitted to therecovery room. POST OPERATIVE PHASE:From the time of admission to the recoveryroom to the follow up in home/ clinic forevaluation.www.drjayeshpatidar.blogspot.in
  10. 10. Thank youwww.drjayeshpatidar.blogspot.in

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