ABSTRACT

At the end of surgery, the skin is cleansed with saline or hydrogen peroxide to

remove blood residue and Hibiclens solution as an antiseptic, followed by dry

gauze. Any residual bleeding is stopped by digital pressure, and, if needed,

the Trendelenburg tilt of the table is increased. Any fibrous and/or adipose tissue extending from the incisions is torn off or cut to insure optimal wound

closure and to prevent bacterial migration from the skin surface into the surgical

wound.