i'm going to state my opinions one question at a time: i'm doing the cut and paste thing, not the quote thing! and, excuse my spelling
and typing, please.
#1: are surgeons never gentle? i observed 5 different surgeries, everything from a t/a on a 5yo to a urethrotomy on a 60yo, with 4 different surgeons; none of the surgeons were what i would call gentle. pulling, tearing, slashing, forcing through resistance - that's what i observed.
as other shave mentione, surgery is hardly every gentle. it is all about exposure and the end-result. thank goodness for anesthesia and narcotic pain control. much tissue is not easy to get throught. just wait until you see laparoscopic surgery. placing the trocars are barbarick. and laparoscopic surgery has a faster healing time!
#2: is it common for a surgeon to staple a drape onto a patient? i mean, stapling.the.cloth.into.a.patient.
i see it all the time. i do not know where the process of squaring off the area (with towels before draping) started, but they are many times staples, and the drapes, too. especially if it is high risk that the drapes may drop.
#3: how bad does something have to be before the pt is told? in one surgery, the surgeon cut into a vein by mistake; will the doc tell the pt this? will there be note made of things like this? in the urethrotomy, the doc forced the instruments hard enough that when he finally put the camera in, he found he had created a "false passage" - i do not know if this will be a lt problem, he didn't seem to be too upset, but will the pt know this? i just know that i would want to know that kind of thing.
i would hope that the surgeon would tell the patient/family most everything. but, if a vein is cut, and there is minimal blood loss and little risk for post op bleed, why worry the family? as long as it is documented appropriately in the dicatation, and the surgeon does not mislead the family... veins are cut all the time - mostly because there are veins everywhere and you cannot avoid them all. if it is a major breack (like the vena cava - yea, they should be told!!
as far as the false passage - it may have been there before... i don;t know. but the patient should be told about that one, i would think.
well - i gotta go - maybe i'll have time later to type more...