The nurse washes and gown and prepare the instruments and drapes before the patient enters to the  (according to infection control protocol for theatres).

The patient is then painted with Betadine twice and wait until it dries.  Incision sites are then sprayed with ADH (alcohol based).

The patient is then draped and the incision sites covered with iodine-impregnated adhesive plastic sheets.

Anesthesia is maintained by incremental doses of muscle relaxant and either Propafol infusion; inhalational Iso-flurane; Sevo-flurane; or a combination according to the consultant anesthetist in charge.

Anesthetic registrar with a master degree is present in each room at all times.

Surgery is then undertaken according to the protocol of the designated consultant