Special Surgical Procedures II
LESSON 3: Procedures in Genitourinary Surgery
Section Ii: general considerations in genitourinary surgery
3-10
3-10. ASEPTIC TECHNIQUES AND SAFETY MEASURES
a. Aseptic techniques in skin preparation and draping must be carefully maintained. Difficulty may be encountered in cleansing and preparing the perineal area. Spray apparatus may be preferred to gauze sponges on forceps for application of antiseptic in perineal skin preparations.
b. Draping procedures for laparotomy are described and illustrated in Subcourse MD0927.
c. The disposable O'Connor perineal drape with finger cot may be used.
d. Transurethral passage of instruments and catheters requires meticulous aseptic technique to prevent retrograde infections of the urinary system. The use of transurethral instruments is facilitated by darkening the room. There should be provision for proper adjustments in lighting.
e. Electrosurgical units and battery cords are frequent adjuncts in urological surgery. The staff must be familiar with their use and with the precautions necessary to prevent fire, explosion, or burns.
