Operating theater


Operating theater
Inside a contemporary operating room

An operating theater (or theatre) was a non-sterile, tiered theater or amphitheater in which students and other spectators could watch surgeons perform surgery. Within the Commonwealth nations, the term is used synonymously with operating room (OR) or operating suite, the modern facility within a hospital where surgical operations are carried out in a sterile environment.

Contents

History

The Agnew Clinic, 1889, by Thomas Eakins, showing the tiered arrangement of observers watching the operation.

Operating theaters had a raised table or chair of some sort at the center for performing operations, and were surrounded by several rows of seats (operating theaters could be cramped or spacious) so students and other spectators could observe the case in progress. The surgeons wore street clothes with an apron to protect them from blood stains, and they operated bare-handed with unsterilized instruments and supplies (gut and silk sutures were sold as open strands with reusable, hand-threaded needles[citation needed]; packing gauze was made of sweepings from the floors of cotton mills[citation needed]). In contrast to today's concept of surgery as a profession that emphasizes cleanliness and conscientiousness, at the beginning of the 20th century the mark of a busy and successful surgeon was the profusion of blood and fluids on his clothes.[citation needed]

In 1884 German surgeon Gustav Neuber implemented a comprehensive set of restrictions to ensure sterilization and aseptic operating conditions through the use of gowns, caps, and shoe covers, all of which were cleansed in his newly-invented autoclave.[1] In 1885 he designed and built a private hospital in the woods where the walls, floors and hands, arms and faces of staff were washed with mercuric chloride, instruments were made with flat surfaces and the shelving was easy-to-clean glass. Neuber also introduced separate operating theaters for infected and uninfected patients and the use of heated and filtered air in the theater to eliminate germs.[2] In 1890 surgical gloves were introduced to the practice of medicine by William Halsted.[3] Antiseptic surgery was pioneered in the United States by Charles McBurney.[4]

Operating rooms

Contemporary operating rooms are devoid of a theater setting, (though some in teaching hospitals may have small galleries) making the term "operating theater" a misnomer for the modern facility. Operating rooms are spacious, easy to clean, well-lit with typically overhead surgical lights, and may have viewing screens and monitors. Operating rooms generally have no windows and a controlled temperature–humidity environment. Special air handlers filter the air and keep rooms slightly pressurized in relation to the outside. Electricity support has backup systems in case of a black-out. Rooms are supplied with wall suction, oxygen, and possibly other anesthesia gases. Key equipment consists of the operating table and the anesthesia cart. In addition, there are tables to set up instruments. There is storage space for common surgical supplies. There are containers for disposables. Outside the operating room is a dedicated scrubbing area that is used by surgeons, anesthetists, ODPs (operating department practitioners), and nurses prior to surgery. An operating room will have a map to enable the terminal cleaner to realign the operating table and equipment to the desired layout during cleaning.

Several operating rooms are part of the operating suite that forms a distinct section within a health care facility. Beside the operating rooms and their wash rooms, it contains rooms for personnel to change, wash, and rest, preparation and recovery rooms(s), storage and cleaning facilities, offices, dedicated corridors, and possibly other supportive units. In larger facilities, the operating suite is climate- and air-controlled and separated from the remainder so that only authorized personnel have access.

Surviving operating theaters

While operating theaters are no longer used for surgery, some still exist. One of the oldest surviving operating theaters is the Old Operating Theatre in London. Built in 1822, it is now a museum of surgical history. Another theater still exists at the University of Padova, in Italy, inside Palazzo Bo. It was commissioned by the anatomist Girolamo Fabrizio d'Acquapendente in 1594. Another famous operating theater is the Ether Dome in Boston. Built in 1824, it is now a conference room and tourist attraction.

In popular culture

  • In Lemony Snicket's The Hostile Hospital, Count Olaf disguises his henchmen as doctors and tries to perform a "cranioectomy" (decapitation) on Violet Baudelaire for a live audience in an operating theater.
  • In the Seinfeld episode The Junior Mint, Kramer accidentally drops a Junior Mint into the body of the patient Roy, Elaine's boyfriend, who is having a splenectomy. Miraculously, his condition improves and the doctor declares that, during the operation, something "staved off [the] infection; something beyond science...something, perhaps, from above."

See also

References

  1. ^ Deysine, M (2003). Hernia infections: pathophysiology, diagnosis, treatment, prevention. Informa Health Care. pp. 13. ISBN 0824746120. 
  2. ^ Bishop, WJ (1995). The Early history of surgery. Barnes & Noble. pp. 169. ISBN 1566197988. 
  3. ^ Porter, R (2001). The Cambridge illustrated history of medicine. Cambridge University Press. pp. 376. ISBN 0521002524. 
  4. ^ Gross, E (1990). This day in American history. Verlag für die Deutsche Wirtschaft. pp. 61. ISBN 1555700462. 

The Operating Theater Journal (Operating Theatre Journal) www.otjonline.com


Wikimedia Foundation. 2010.

Look at other dictionaries:

  • operating theater — operating ,theater noun count an OPERATING ROOM, especially one with a separate part where medical students sit and watch …   Usage of the words and phrases in modern English

  • operating theater — operating room, room where surgery takes place …   English contemporary dictionary

  • operating theater — noun a room in a hospital equipped for the performance of surgical operations great care is taken to keep the operating rooms aseptic • Syn: ↑operating room, ↑OR, ↑operating theatre, ↑surgery • Hypernyms: ↑hospital room …   Useful english dictionary

  • operating theatre — noun a room in a hospital equipped for the performance of surgical operations great care is taken to keep the operating rooms aseptic • Syn: ↑operating room, ↑OR, ↑operating theater, ↑surgery • Hypernyms: ↑hospital room * * * …   Useful english dictionary

  • theater — /thee euh teuhr, theeeu /, n. 1. a building, part of a building, or outdoor area for housing dramatic presentations, stage entertainments, or motion picture shows. 2. the audience at a theatrical or motion picture performance: The theater wept. 3 …   Universalium

  • operating room — noun a room in a hospital equipped for the performance of surgical operations great care is taken to keep the operating rooms aseptic • Syn: ↑OR, ↑operating theater, ↑operating theatre, ↑surgery • Hypernyms: ↑hospital room * * * …   Useful english dictionary

  • theater — the•a•ter or theatre [[t]ˈθi ə tər, ˈθiə [/t]] n. 1) sbz a building, part of a building, or an outdoor area for dramatic presentations, stage entertainments, or motion picture shows 2) a room or hall with tiers of seats, used for lectures,… …   From formal English to slang

  • theater, theatre — These are variant spellings of a word derived from a Greek term meaning to watch, to look at. Theater is much the more common spelling, although some writers and some persons in theatrical professions seem to feel that theatre has more appeal and …   Dictionary of problem words and expressions

  • theater — the|a|ter [ θiətər ] noun *** ▸ 1 place for plays/movies ▸ 2 plays as art, etc. ▸ 3 performing, etc. plays ▸ 4 room for operations ▸ 5 area of fighting in war 1. ) count a building, room, or outside area used for performing plays: Abraham Lincoln …   Usage of the words and phrases in modern English

  • theater — n. AE; BE spelling: theatre building in which plays are performed or films shown 1) to crowd, jam, pack a theater 2) an art; dinner (esp. AE); movie (AE; BE has cinema); open air; repertory theater 3) at the theater (we were at the theater last… …   Combinatory dictionary


Share the article and excerpts

Direct link
Do a right-click on the link above
and select “Copy Link”

We are using cookies for the best presentation of our site. Continuing to use this site, you agree with this.