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A well equipped operation theatre with a team of good surgeons,anaesthetists,paramedical and technical staff is the heart of a successful surgical camp.
SET UP:
-The patients in camps in rural areas are admitted in tents,which are proposed as wards.
-Operation theatre is setup in two big halls,one for eye surgery and
another for general surgery,gynae surgery,ENT & orthopaedic surgery.
Dental operations are carried out in dental van.
-The proposed operation theatres are white-washed,cleaned,carbolised,fumigated & disinfected.
-The capacity of each hall is such as to accomodate 7-8 operation tables
anaesthesia trolleys,surgical &anaesthetic equipments,tables&side tables
for keeping gloves,dressing drums,medicines,etc.
-All surgical procedures are carried out under one roof.
-Especially for children there is an identified place provided for post-
operative recovery under close supervision of trained nursing staff & anaesthetists.
NEED OF PERMANENT HALL FOR O.T.
-An improper floor full of dust is difficult to be cleaned,carbolised,
fumigated so as to disinfect the place to conduct surgery.
-Dust in open fields predisposes patients to infections.
-Uneven surfaces make it difficult to place & freely move surgical & anaesthetic equipments.
MANAGEMENT OF OPERATION THEATRE:
-Well equipped operation theatre with latest technology,anaesthesia
machines,cardiac monitor & pulse oximeters.
-Proper care of patients in O.T by dedicated&well trained staff.
-Postoperatively all patients are taken care of by trained nursing staff
under close supervision of a physician.
-A unique example of team work of efficient , trained doctors & staff totally dedicated and devoted to their work
-Good cooperation and involvment of local volunteers and NGOs.
BLOOD TRANSFUSION:
-Blood transfusion plays a major role in major surgeries like Removal of renal stone,Trans-urethral resection of prostate,abdominal and vaginal hysterectomy.
-Due to nutritional deficiency and excessive blood loss females need blood transfusion more commonly.
-Blood is donated by relatives or volunteers at campsite.
-Blood is cross-matched and released from blood bank of nearby district hospital.
-Blood is transfused in OT during surgery or in wards after surgery.
ROLE OF MSU IN WAR AND NATIONAL CALAMITIES LIKE
EARTHQUAKE:
-In case of such conditions where building is not available for eye & general surgical theatres only emergency procedures can be performed in tents providing primary aid to the patients & thereafter they can be shifted to respective hospitals according to their diseases or operative procedures.
-Doctors and staff of this unit can be useful for such emergencies after
they are properly trained to handle such situations and procedures.
-Tentage can be useful to keep patients for observation and primary
medical aid .
-At present the unit has equipments &instruments to carry out routine
surgeries.It has to be updated with latest technology to be useful for
emergency conditions like war&earthquake.
UNIQUE FEATURES:
-Two anaesthetist with two technicians take care of two operation
theatres having 8 operation tables each.
-All patients are fully investigated before surgery.
-Better exposure of doctors and staff for field surgery.
-Efficiency of team work.
-Good quality of work.
COMPARISION WITH A STATIC HOSPITAL :
-A static hospital has a well knit infrastructure with appropriate place
for all sorts of equipments required for surgery &anaesthesia techniques.
-Different operation theatres for different surgeries.
-Controlled thermal environment.
-One or more anaesthetist per operation table.
-Number of cases operated per theatre are lesser compared to those in mobile
surgical camps.
ACHIEVEMENTS:
-100-150 cases/day/operation theatre(eye &surgery each)
-Negligible infection rate.
-Minimal complication rate.
EFFICACY:
-The efficiency of disinfection goes with the saying that the infection rate
is negligible due to proper attention to fumigation,carbolisation and proper
aseptic measures,including better sterilisation of instruments,equipments
by autoclaving them.
-Chances of cross infection and hospital infection are nil as no previous
exposure to the environment.
FUTURE PLANS:
-Unit is upgrading its surgical procedures
1. as in general surgery laproscopic cholecystectomy,
herniorrhaphy,appendicectomy,hysterectomy,TUR and so there is need to
upgrade the operation theatres in quality as well as quantity.
2.Eye surgery will include phacoemulsification technique for lens surgery
-If operation theatre is upgraded more number of patients will be operated
in terms of major surgery in providing better services in rural areas in
comparision to CHC,PHC,referral hospital,district hospital. |
