Keeping the patient held down, with restraints, or having people hold them down, or both. And going really fast.
The deadliest surgery in history had a 300% mortality. Basically in a bid to be as fast as possible, the surgeon accidentally cut off a finger of the assistant holding the patient down. As well as cutting the coat of a nearby spectator (because people do spectate surgeries in those days).
The patient and assistant both died of an infection, and the spectator died of a heart attack after mistakenly thinking they too were cut.
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