Modern surgery, general and operative . by flexing the fingers, andtransverse scrubbing will clean the furrows. The furrows on the palmarsurface will be opened by extending the fingers, and will be best cleaned bytransverse scrubbing (George Ben Johnston). An excellent soap is etherealsoap, which is a solution of castile soap in ether. Castile soap can be used. Iam accustomed to use green soap. Some surgeons prefer to use green soap inthe form of a tincture. Synol soap has advocates. There is no particularadvantage in using soap containing a germicide, as such soap is practicallywithout germic
Modern surgery, general and operative . by flexing the fingers, andtransverse scrubbing will clean the furrows. The furrows on the palmarsurface will be opened by extending the fingers, and will be best cleaned bytransverse scrubbing (George Ben Johnston). An excellent soap is etherealsoap, which is a solution of castile soap in ether. Castile soap can be used. Iam accustomed to use green soap. Some surgeons prefer to use green soap inthe form of a tincture. Synol soap has advocates. There is no particularadvantage in using soap containing a germicide, as such soap is practicallywithout germicidal power. The brush employed should be kept in a i : 1000solution of corrosive sublimate or should have been recently sterilized withsteam and kept in a sterile glass box (Fig. 32). The nails are cut short, arecleansed with an orange-wood stick, which does not scratch them, and thehands are again scrubbed. Very prolonged or very rough scrubbing, especiallywith harsh agents like marble dust or sand, is actually harmful, as it tends to. 72 Asepsis and Antisepsis crack the hands and make them rough and it extensively loosens epidermiswhich may drop into the wound. Epidermis may contain bacteria within itand may infect the wound. The Use of Germicides upon the Hands and Forearms.—After mechanicalcleansing a germicide is employed. It is thought to be impossible to sterilizethe hands but the number of bacteria upon them can be lessened method is adopted it is desirable that it shall not unduly irritate theskin. An occasional operator may use without injury tolerably strong chem-icals, but the busy hospital surgeon, who operates perhaps several times or manytimes a day, cannot use them. Any method which inllames, cracks, or roughensthe skin makes future sterilization difficult or impossible, hence such a method isundesirable. Five methods are described here: Fiirbringers Method.—After washing off the soap in sterile water the handsare dipped in 95 per cent, alco
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