Draping

Draping

Draping is the process of forming a sterile perimeter around the operating site using disposable or reusable sterile sheets. The drape sheets ideally serve to form a fluid-resistant barrier; they are antistatic, flame resistant, lint free and, although waterproof, are porous enough to prevent heat build-up. Each procedure has a unique method of draping; this is beyond the scope of this chapter. However, a few practical con siderations are discussed below . /uni25CF The drapes are usually placed over the periphery of the area that has been painted, once the antiseptic solution has dried. This can be aided by dabbing the perimeter with a sterile cloth or waiting for the antiseptic solution to dry . /uni25CF It is advisable to stand an arm’s length away from the op erating table and spread the drapes with arms extended. /uni25CF Avoid reaching across the operating table to drape. /uni25CF Sharp towel clips pierce the drapes and thereby contam inate the sterile field; they should be avoided if possible. Karl Ritter von Edenberg Langer , 1819–1887, Professor of Anatomy , Vienna, Austria, described these lines in 1862. technique, then it is advisable to redo the process or at least replace/cover the o ff ending drape. /uni25CF Draping non-disposable equipment such as laparoscopic cords, ultrasonic devices, image intensifiers and light han - - dles may be required. Prefabricated, customised drapes are preferred where possible. /uni25CF The routine use of transparent adhesive skin drapes (with or without antibiotic impregnation) over the surgical site cannot be recommended based on the available literature. Summary box 7.3 - Salient features in preparing the operative area /uni25CF /uni25CF /uni25CF - /uni25CF /uni25CF -

Remove metal rings and piercings from the surgical /f_i eld Hair removal is advised only if it interferes with surgery Hair clippers are preferred to razor blades Alcohol-based povidone–iodine or chlorhexidine solution for skin antisepsis Drape the perimeter of the operative /f_i eld using sterile drapes

Draping

Draping is the process of forming a sterile perimeter around the operating site using disposable or reusable sterile sheets. The drape sheets ideally serve to form a fluid-resistant barrier; they are antistatic, flame resistant, lint free and, although waterproof, are porous enough to prevent heat build-up. Each procedure has a unique method of draping; this is beyond the scope of this chapter. However, a few practical con siderations are discussed below . /uni25CF The drapes are usually placed over the periphery of the area that has been painted, once the antiseptic solution has dried. This can be aided by dabbing the perimeter with a sterile cloth or waiting for the antiseptic solution to dry . /uni25CF It is advisable to stand an arm’s length away from the op erating table and spread the drapes with arms extended. /uni25CF Avoid reaching across the operating table to drape. /uni25CF Sharp towel clips pierce the drapes and thereby contam inate the sterile field; they should be avoided if possible. Karl Ritter von Edenberg Langer , 1819–1887, Professor of Anatomy , Vienna, Austria, described these lines in 1862. technique, then it is advisable to redo the process or at least replace/cover the o ff ending drape. /uni25CF Draping non-disposable equipment such as laparoscopic cords, ultrasonic devices, image intensifiers and light han - - dles may be required. Prefabricated, customised drapes are preferred where possible. /uni25CF The routine use of transparent adhesive skin drapes (with or without antibiotic impregnation) over the surgical site cannot be recommended based on the available literature. Summary box 7.3 - Salient features in preparing the operative area /uni25CF /uni25CF /uni25CF - /uni25CF /uni25CF -

Remove metal rings and piercings from the surgical /f_i eld Hair removal is advised only if it interferes with surgery Hair clippers are preferred to razor blades Alcohol-based povidone–iodine or chlorhexidine solution for skin antisepsis Drape the perimeter of the operative /f_i eld using sterile drapes

Draping

Draping is the process of forming a sterile perimeter around the operating site using disposable or reusable sterile sheets. The drape sheets ideally serve to form a fluid-resistant barrier; they are antistatic, flame resistant, lint free and, although waterproof, are porous enough to prevent heat build-up. Each procedure has a unique method of draping; this is beyond the scope of this chapter. However, a few practical con siderations are discussed below . /uni25CF The drapes are usually placed over the periphery of the area that has been painted, once the antiseptic solution has dried. This can be aided by dabbing the perimeter with a sterile cloth or waiting for the antiseptic solution to dry . /uni25CF It is advisable to stand an arm’s length away from the op erating table and spread the drapes with arms extended. /uni25CF Avoid reaching across the operating table to drape. /uni25CF Sharp towel clips pierce the drapes and thereby contam inate the sterile field; they should be avoided if possible. Karl Ritter von Edenberg Langer , 1819–1887, Professor of Anatomy , Vienna, Austria, described these lines in 1862. technique, then it is advisable to redo the process or at least replace/cover the o ff ending drape. /uni25CF Draping non-disposable equipment such as laparoscopic cords, ultrasonic devices, image intensifiers and light han - - dles may be required. Prefabricated, customised drapes are preferred where possible. /uni25CF The routine use of transparent adhesive skin drapes (with or without antibiotic impregnation) over the surgical site cannot be recommended based on the available literature. Summary box 7.3 - Salient features in preparing the operative area /uni25CF /uni25CF /uni25CF - /uni25CF /uni25CF -

Remove metal rings and piercings from the surgical /f_i eld Hair removal is advised only if it interferes with surgery Hair clippers are preferred to razor blades Alcohol-based povidone–iodine or chlorhexidine solution for skin antisepsis Drape the perimeter of the operative /f_i eld using sterile drapes