With the increased use of laparoscopic, endoscopic, arthroscopic and thoroscopic surgery, it was just a matter of time before the use of a video monitor would be introduced into the surgical suite. Prior to that time, the eye piece of the lens was literally held up to the surgeon's eye. Not only did this promote unsterile conditions, it made it impossible for the assistants around the table to anticipate the needs of the surgeon or to see what was going on. The surgeon used one hand to hold the scope and the other to hold instruments or perform procedures.
The introduction of video monitors not only increased the efficiency of the surgeon by making both hands available for surgery and giving the scope with a camera attached to it to an assistant to hold, it made it possible for the assistants to help grasp tissue with special laparoscopic instruments because they could now see the surgical field.
Use of video monitors made it possible for a large audience of students to learn specific maneuvers without being scrubbed at the field. A record of the entire surgery was available if the recording device was utilized. If networking is employed, several monitors are connected and placed strategically around the operating room, giving a bird's eye view to the entire OR staff.
State of the art video equipment now includes computer operated robotic arms employed to hold the scope with the camera attached. One brand is Aesop. The arm is attached to the operating table and draped with a sterile drape. Voice activated, the arm moves up and down telescoping in and out, and side to side by obeying the commands of the surgeons voice which is programmed into the computer prior to the surgery. Making use of robotic arms to hold the scope insures consistent motion in a dynamic situation.
Nurse In Operating Room
You will be greeted by your OR scrub tech, or perhaps it is an RN, and perhaps you met them before surgery (if you didn't it's only because they were in surgery already and couldn't leave to introduce themselves). Everyone in the room will be in gown, masks, and odd headwear, maybe like your head cover.
You will move onto the operating "table", which is hard, cold (fresh sheets!) and narrow (so surgeons can reach anywhere easily). You will have electrodes attached to your torso and arm, a blood pressure cuff applied to your arm (hopefully the one without the IV), and usually a cold gel-based pad in case you have the cautery to coagulate blood vessels. Next, your anesthesiologist, who will be behind your head, will begin instructing you on what is coming next.
Next, you will either:
Be completely inducted into general anesthesia, awakening after the procedure is finished,
Be given local anesthesia, which means numbing medication is injected into your foot for the procedure, OR
(Most likely) You will be given, through your IV, a short-acting sleep agent, and your surgeon injects the numbing medication while you are sedated. When you wake up, the procedure will be underway and you won't feel any discomfort.
Once the surgery is finished you will be placed back on your guerney (the bed on wheels) and taken back to the PACU (Post-Anesthesia Care Unit). Your foot will be elevated, cold packs applied, fluids offered for you to drink when you are fully awake. Usually your foot is encased in a soft dressing of gauze wrapped with coban, which is like an ace bandage that clings, like saran wrap can.
There will be a lot of instructions both verbal and written for you and your caregiver to follow. Your significant other hopefully will be by your side. Your post-operative "shoe" will be applied, crutched if ordered, you will be asked to empty your bladder once, just to check, and your surgeon will stop by if there is time. This usually happens within an hour.
Your instructions for home usually are RICE:
Rest
Ice
Compression (your dressing will already be doing this), and
Elevation
Your surgeon will likely call and check on you the same day; the surgery center usually within 24 hours. Your foot will be "asleep" from the numbing medication for several hours; just follow your Doctor's orders on medications post-operatively; the surgery center will also re-inforce the instructions.
The main thing to remember is your body will help you know how you are doing; if your foot is throbbing, elevate it. Relief is immediate. Do ice it the first few days. As an aside, the first night you may feel that the dressing is uncomfortably tight. Your surgeon will often advise you to snip into the dressing a bit; you had some swelling after surgery, which is normal. Call your doctor if the area is extremely painful, swollen, or red and hot to the touch.
Swelling will last for weeks; be patient. You will have several visits to see your doctor, which usually include xrays to verify position. The screw that was placed to straighten the bone usually is removed in about 3 months. Often you will return to the same outpatient surgery center.
You will be dancing soon. Don't dance? You should think about it.
Both Joshua Miller & Kimberly Harrison are contributors for EditorialToday. The above articles have been edited for relevancy and timeliness. All write-ups, reviews, tips and guides published by EditorialToday.com and its partners or affiliates are for informational purposes only. They should not be used for any legal or any other type of advice. We do not endorse any author, contributor, writer or article posted by our team.
Joshua Miller has sinced written about articles on various topics from Home Management, Recreation and Sports and Interior Design. Joshua Miller is an operating room nurse who is skilled in the operation and maintenance of digital electronic tools in the operating room. See more information at. Joshua Miller's top article generates over 49500 views. Bookmark Joshua Miller to your Favourites.
Kimberly Harrison has sinced written about articles on various topics from Aging. As a former RN, KPetit has helped many patients through procedures. Learn more about care of your foot after surgery and how to keep your feet their healthiest and most attractive at. Kimberly Harrison's top article generates over 1600 views. Bookmark Kimberly Harrison to your Favourites.
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