How do mermaids perform major surgical procedure underwater?

Suppose the mermaids share similar intelligent and technology with us, they also practise performing surgical operation like we do in hospital. Negate the issue of negligent during the operation the most critical problem is contamination that often reduce the chances of success, how can the mermaids negate or reduce the chances of infection during operation underwater? Don't tell me they do it inside dead sea! even so at least touch on how to stabilize their internal blood pressure which is similar to us!

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How do mermaids perform major surgical procedure underwater?

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