Standing up for surgical prep?

Thank you for your question and I am sorry to hear about your experience.  I do not prep this way in my practice and instead wait until the patient is asleep to avoid any patient embarrassment.  I would recommend discussing your uncomfortable experience with your operating surgeon at your next follow up.  Who knows, your surgeon may end up changing his or her prep approach.  Best of luck.

The manner in which a surgeon preps you is personal. If you feel you will be embarrassed by this, and you shouldn't be, discusses with the surgeon in some alternative way of preparing for the operation can be undertaken.

Thank you for your question. Sorry to hear you had to go through this. I do not prep this way as it is very embarrassing for the patient. I know some surgeons still do this for circumferential liposuction, but I do not think it is necessary. You should make your plastic surgeon aware of your feelings regarding this. Maybe he or she will change their ways...

I'm sorry to hear that you were made so uncomfortable. When you're made to stand for prep, it's typically because the betadine needs to be circumferential around your body where treatment is to take place. A sterile sheet is placed on the bed and once prepped the sheet can also remain sterile. If you were not prepped prior to lying on the sheet, the sheet is no longer sterile and presents and issue for other areas of treatment. Example: You're getting liposuction of bra fat, flanks, tummy and back. The only way for all areas mentioned to be available under aseptic technique is to have prepped prior to you laying on the OR bed. If sedation is too strong you become unsteady on your feet and can become dangerous. Thank you for your question and I hope this puts your mind at ease.Melinda Lacerna, MD FACS

I do not do it.Yes it is embarrassing for the patient. More important, I take the time and effort to perform liposuction of the back with the patient lying in a lateral position. It requires more time and effort on my part but in my hands leads to a more accurate result.

Sounds like you were having circumferential liposuction. Thus standing prep is the norm!!! If you could explain how a sedated patient could stand for this prep it would be a 'first'! But I agree that you should have been informed in your pre op appointment to this type of prep...>>>>>>>>>>>>>