Could someone please explain why a plastic surgeon requires a patient to stand up in operating room and washed down with prep ointment instead of doing it after sedation? I had this done and was not made aware of this practice ahead of time, I was mortified! I am sure it was no big deal for the staff but for me to be completely naked in the middle of O.R, arms out to side, legs spread and an all male O.R. Staff was traumatizing. Is this common practice?
Answer: Standing for prep 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
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Answer: Standing for prep 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
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August 9, 2018
Answer: Standing prep 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.
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August 9, 2018
Answer: Standing prep 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.
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