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abdominal acid allowed applied aseptic assistant avoid bacteria become better bichloride bladder body boiled carbolic acid careful carried catheter cavity centimetres changed CHAPTER clean close complete condition consist containing convenient cotton course covered danger disinfection dressing easily employed especially examination experiments field five fluid forceps four frequently gauze give given glass handle hands immediately importance inches infection instruments iodoform ligatures material means methods micro-organisms minutes necessary nurse obtained once operating-room operation ordinary organs patient pelvic piece placed PLATE position possible powder practice preparation present protected proved pyogenes remain removed rendered rubber salt solution scrubbed skin soap soda solution sometimes sponges steam sterile water sterilized sufficient surgeon surgical sutures taken technique tion tissues towels tube uterus vaginal warm washed wound
Page 128 - and, as has been shown by repeated experiments, the red and white blood-corpuscles are injured or completely broken up by its action. The use of solutions of sublimate and carbolic acid for irrigation of the peritoneal cavity must now be unhesitatingly condemned, both on account- of the
Page 131 - a new Davidson syringe, previously sterilized in boiling soda solution, with a glass nozzle attached, may be employed. The Davidson syringe suitable for this purpose can be bought without the usual attachments for the irrigating end, and so be less expensive. The glass nozzle can be readily attached to the end of the tube, and
Page 165 - towels are laid, the upper part of the abdomen and the lower part of the thorax being also protected by sterilized towels. The field of operation itself is
Page 185 - Turpentine, from two teaspoonfuls to a tablespoonful. This may be repeated once or twice at intervals of two or three hours, but generally the first enema is followed by a satisfactory evacuation of the bowels. If preferred, the first enema may consist of from
Page 56 - in hot water and the hands and forearms are then immersed for two minutes in a warm saturated solution of permanganate of potassium, which should be well rubbed into the skin with the aid of a sterilized swab.
Page 145 - run in, or sooner if the patient complains of pain, and the bladder allowed to empty itself. The process may be repeated two or three times, until the washings are clear. If desired, a two-way catheter may be employed, especially if the distention of the bladder is at all painful. Catheterization of the ureters will
Page 39 - second day. If the process be repeated for a third time, one can be reasonably sure of having secured a completely sterile fluid. Tyndall, Pasteur, and others have shown that complete sterilization is practicable with the use of much lower temperatures (60° C., or 140° F.), if the process is repeated on three or four successive days. While, as
Page 63 - potassium and oxalic acid, as in the disinfection of the hands, and subsequently irrigated with warm sterile water or salt solution. 4. It is irrigated with one litre of a solution of bichloride of mercury (one to one thousand). 5. It is irrigated with sterilized salt solution to remove any excess of sublimate.
Page 63 - a simple plastic operation ; and could we properly analyze the list of cases in which the cause of death has been attributed to pneumonia, to lesions of the kidney or other organs, their number would undoubtedly be much augmented. In not a few obscure cases in which death has followed a plastic gynaecological operation, a thorough autopsy,
Page 131 - very necessary, but its use dispenses with the necessity of sponging. A constant stream can be employed and be so regulated as to keep the field of operation free from the blood that would otherwise obscure it and hamper the operator. The fluids used for this purpose are either warm sterile water or, better still, sterilized normal salt solution. The