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class="text-left"> <div class="row"> <div class="col-md-10"> <a href="/kids/article/surgery/390855/related" class="btn-level-one"> <div class="grid no-gutter"> <div class="grid-xs"> Related Articles </div> <div class="grid-xs-shrink middle-xs"> <i class="fontello-icon-play"></i> </div> </div> </a> </div> </div> </div> </aside> </div> <div class="col-sm-8 first-xs last-sm gutter-bottom"> <div class="row" data-layout-lt-md="column"> <div class="col-md-9 last-xs first-md"> <!-- Added for TTS: for IE and non-html5 browsers --> <OBJECT id="tts-object-player" class="tts-object" CLASSID="CLSID:6BF52A52-394A-11d3-B153-00C04F79FAA6" type="application/x-oleobject"> <PARAM NAME="SendPlayStateChangeEvents" VALUE="True"> <PARAM name="uiMode" value="mini"> <PARAM name="PlayCount" value="1"> </OBJECT> <article id="article-content"><div class="panel-group" id="article-accordion" role="tablist" aria-multiselectable="true"><!-- artclid=390855 capturedate= version=4 distribution=--> <div class="panel panel-default"><div role="tab" data-parent="#article-accordion" class="panel-heading open" data-target="#intro"><h4 class="panel-title"><a role="button">Introduction </a></h4><nav class="tts-nav"><ul class="tts-controls disabled"><li><a href="#" class="tts-reverse fontello-icon-to-start" title="Read Aloud: Rewind (Subscriber Feature)"></a></li><li><a href="#" class="tts-toggle fontello-icon-play" title="Read Aloud: Play/Stop (Subscriber Feature)"></a></li><li><a href="#" class="tts-forward fontello-icon-to-end" title="Read Aloud: Fast Forward (Subscriber Feature)"></a></li></ul></nav></div><div id="intro" role="tabpanel"><div class="panel-body"><p>Surgery is <img class="hidden" src="https://cdn.britannica.com/76/82676-004-9C4A59BE.jpg" alt="Surgeons work in operating rooms that are brightly lit, extremely clean, and stocked with tools and supplies." data-credit="© gchutka/iStock.com" data-assembly-id="88985">a <a class="reflink" href="/kids/article/medicine/353448">medical</a> treatment in which doctors called surgeons use tools to work on a patient’s body. Surgery is also known as an operation. Surgeons perform operations for many reasons. They may operate to treat injuries, to remove unhealthy tissue, or to discover the cause of a <a class="reflink" href="/kids/article/Human-Disease/353059">disease</a>.</p></div></div></div> <div class="panel panel-default"><div role="tab" class="panel-heading open"><h4 class="panel-title"><a role="button">Before Surgery</a></h4><nav class="tts-nav"><ul class="tts-controls disabled"><li><a href="#" class="tts-reverse fontello-icon-to-start" title="Read Aloud: Rewind (Subscriber Feature)"></a></li><li><a href="#" class="tts-toggle fontello-icon-play" title="Read Aloud: Play/Stop (Subscriber Feature)"></a></li><li><a href="#" class="tts-forward fontello-icon-to-end" title="Read Aloud: Fast Forward (Subscriber Feature)"></a></li></ul></nav></div><div id="253474-toc" role="tabpanel"><div class="panel-body"><p>Before performing surgery, the doctors and nurses wash their hands thoroughly. They also put on gowns, caps, gloves, and masks to keep germs away from the patient. They set up machines that will keep track of the patient’s breathing and heart rate. They may use drugs to numb the part of the patient’s body on which they will operate. Or they may put the patient to sleep with a drug called anesthesia. Under anesthesia, the patient feels no pain.</p></div></div></div> <div class="panel panel-default"><div role="tab" class="panel-heading open"><h4 class="panel-title"><a role="button">During Surgery</a></h4><nav class="tts-nav"><ul class="tts-controls disabled"><li><a href="#" class="tts-reverse fontello-icon-to-start" title="Read Aloud: Rewind (Subscriber Feature)"></a></li><li><a href="#" class="tts-toggle fontello-icon-play" title="Read Aloud: Play/Stop (Subscriber Feature)"></a></li><li><a href="#" class="tts-forward fontello-icon-to-end" title="Read Aloud: Fast Forward (Subscriber Feature)"></a></li></ul></nav></div><div id="253475-toc" role="tabpanel"><div class="panel-body"><p>Doctors and nurses may use many different tools during surgery. All these tools must be sterilized, or made clean and free of germs, beforehand. Surgeons commonly use a knife called a scalpel to cut into the body. Special instruments clamp blood vessels to stop the patient from bleeding too much. Sponges absorb some blood, too. Other tools hold the cut tissue open so that the surgeon can work inside the body easily. When finished, doctors usually sew or staple the cut tissue back together.</p></div></div></div> <div class="panel panel-default"><div role="tab" class="panel-heading open"><h4 class="panel-title"><a role="button">History</a></h4><nav class="tts-nav"><ul class="tts-controls disabled"><li><a href="#" class="tts-reverse fontello-icon-to-start" title="Read Aloud: Rewind (Subscriber Feature)"></a></li><li><a href="#" class="tts-toggle fontello-icon-play" title="Read Aloud: Play/Stop (Subscriber Feature)"></a></li><li><a href="#" class="tts-forward fontello-icon-to-end" title="Read Aloud: Fast Forward (Subscriber Feature)"></a></li></ul></nav></div><div id="253476-toc" role="tabpanel"><div class="panel-body"><p>In ancient times people in such places as India, China, Egypt, and Greece performed some types of surgery. During the Middle Ages (about <span class="smallcaps">ad</span> 500 to 1500) in Europe, barbers often performed surgery.</p><p>Until the 1800s there was no good way to dull the extreme pain of surgery. But in the 1840s surgeons began using ether, an early form of anesthesia. Surgery then became less painful. However, many patients who had surgery still died. Later in the 1800s scientists learned that infections by germs caused many of these deaths. Surgeons began washing their hands and tools to prevent infections during operations. 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