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"Embarrassing" things in the operating room: Doctors can't wear underwear? Patients must be naked? An article reveals the secret

Have you ever experienced a social death moment on the operating table?

Ms. Li went to the hospital for a checkup because of unbearable pain in her right lower abdomen, and was diagnosed with appendicitis. Doctors recommend early surgical intervention. However, before the operation, what made Ms. Li most uncomfortable was not the uneasiness caused by the operation, but the need for the operationFull nudity"social death".

Most of the attending doctors, including nurses, were men, and the scene was deathly silent. The operation was finally completed, but it still left a big shadow on Ms. Li.

In fact, many people have had the experience of being completely naked during surgery, and some even want to Shaving makes many patients embarrassed and repelled.Why do you have to take off your hair for surgery?

However, this is not the only "embarrassment" in the operating room. I believe there are many Everyone has heard that doctors do not wear underwear during surgery, is this statement true?

1. Doctors don’t wear underwear during surgery?

Some people wonder that it is understandable that the patient needs to be naked during the operation, but why Why do doctors who perform surgeries have to operate in a vacuum?

In fact, many surgical procedures are accompanied by blood, urine, pleural effusion and ascites, etc. Liquid splashing, because the height of the operating table is just stuck at the doctor's waist, the blood, body fluids or flushing liquid will flow down the waist, and it is easy to get the crotch wet. Underwear will naturally get wet.

During the operation, medical staff need to concentrate on treating the wound. No matter how careful they are, No matter how careful you are, sometimes when you are in a rescue situation and time is tight, you won’t pay attention to it. Moreover, it is troublesome to clean underwear stained with blood, and it is not suitable to take it home for cleaning. Throwing it away increases the cost of living, so there are some surgeons who do not wear underwear.

Although in reality there are cases where doctors perform surgery without wearing underwear, it cannot be generalized Zeng Weigan, currently the attending physician in the General Surgery Department of Beijing Chaoyang Hospital, said that this is mainly related to personal habits, type of surgery and other factors, and not all surgeries must do this.

2. Why do you wear a "green coat" during surgery?

In my impression, doctors wear white coats in their daily work , this is also to facilitate disinfection, but during surgery, doctors choose to wear green or blue clothes. Why is this?

In fact, in the early days, medical staff who performed operations all wore white coats , but because of human visionthere will be a brief blur when changing from red to white span>, similarly in the operating room, the doctor will also have such disadvantages when he sees the white uniform from the wound, In order to avoid unnecessary surgical errors caused by this kind of visual interference, the color of the clothes was changed.

As for why it is green and blue, this involves color science. Green and blue are the opposite colors of red, which will not desensitize doctors to red during surgery. At the same time, when blood is stained on clothes, it will also appear black and brown.Adjust visual color, which can improve the visual acuity of surgeons.

3. Why do patients need to take off their clothes during surgery?

Many people on the Internet don’t understand: “The whole body is stripped naked during the operation. Yes, it’s really embarrassing with all the doctors surrounding you... Why can’t you just expose the area to be operated on? Is it necessary to be completely naked?”

In fact, the degree of exposure required for surgery is different, and it is clinically divided into< /span>Partial nudity and full body nudity, like some local surgeries, such as fracture reduction, just expose the affected area.

As for whether to be completely naked, Chen Jian, a nurse in the operating room of Tsinghua Chang Gung Memorial Hospital in Beijing, commented on this He explained that patients need to be completely naked during the operation, which basically involvessterile abdominal surgery. , which has higher cleanliness requirements for the surgical environment; secondly, partial exposure may span>Affects the doctor's overall judgment of the wound, and some clothing may cause surgeryWound contamination; At the same time, the surgical process will require special indwelling needle locations or preoperative procedures If you need catheterization, you must choose to be completely naked.

4. These 4 surgeries may require complete nudity

Under normal circumstances, most clinical operations involve general anesthesia, which actually requires the patient to be completely naked.

1. Craniotomy

Although the name of craniotomy seems to only use the position of the head, but because The head is in a special position, with numerous capillaries and nervous systems inside. The treatment process has a high risk factor. Therefore, the patient needs to be completely naked during the operation so that necessary rescue can be carried out at special times.

2. Gynecological surgery

Because most gynecological surgeries involve private parts and the wounds are easily infected with pollutants, it is not recommended There is partial exposure, but female friends don’t have to worry. The treatment areas not involved in the operation will basically be covered with sterile cloth.

3. Joint replacement surgery

Although joint replacement surgery is also performed locally, it is recommended to be completely naked. Because it involves complex human skeletal structures, such as knee joints, and has a great impact on the patient's life, it is recommended that the entire body be exposed during the surgery.

4. Long-lasting surgery

When it comes to large and time-consuming surgeries, such as cancer and tumor resection surgeries. Not only is the operation difficult, but it also takes more time. It generally requires the patient to be completely naked so that the doctor can observe the changes in the whole body at the first time and provide timely treatment.

Overall, Whether it is "vacuum departure" or "naked battle", the purpose is for the safety of surgical patients, and naked surgery is very common in clinical practice. You don’t need to put too much psychological burden on yourself, let alone worry about the exposure of privacy, because in medical care The personnel only see the affected area and will not have any other thoughts.


References:

[1] "Why do you have to strip naked for upper limb surgery?" 》.Beijing Youth Daily 2022-03-01

[2] "Why do doctors in the operating room not wear "white coats" but wear "green coats"? 》.ifeng.com 2021-08-19

[3] "To avoid spreading diseases, doctors should not wear white coats?" 》. Xinhuanet 2015-07-26

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