. Antiseptic surgery : an address delivered at St. Thomas's Hospital : with the subsequent debate to which are added a short statement of the theory of the antiseptic method, a description of the materials employed in carrying it out, and some applications of the method to operations and injuries in different regions of the body, and to wounds received in war. Fig. 7. Glass trough, containing carbolic oil and three reels of gut, nith aperforated lid for the thread to be drawn through. some heat, and then add the oil, shaking it addition of water is necessary, as without it, the
. Antiseptic surgery : an address delivered at St. Thomas's Hospital : with the subsequent debate to which are added a short statement of the theory of the antiseptic method, a description of the materials employed in carrying it out, and some applications of the method to operations and injuries in different regions of the body, and to wounds received in war. Fig. 7. Glass trough, containing carbolic oil and three reels of gut, nith aperforated lid for the thread to be drawn through. some heat, and then add the oil, shaking it addition of water is necessary, as without it, the gutremains soft and will not tie a secure knot. In its ordinarystate, gut will not tie a fast knot, it is slippery and swells t4o ANTISEPTIC SURGERY. when moistened. But the long-continued steeping in theemulsion altogether changes its character, it becomes firmand translucent. Steeping for five or six months is neededto transform the gut into good suture material, which doesnot slip when tied, and is quite aseptic. The longer, in fact,it is kept, the better it becomes. The gut is preserved for. Fig. 8. Esmarchs and Chienes method of catgut filopressure. use in ordinary five-per-cent. oil, which should be occasion-ally changed, as it sometimes turns rancid. The use of the catgut ligature and suture is a veryimportant feature of the antiseptic treatment. Experienceshows that the gut becomes buried in the tissue, Avithoutproducing irritation or suppuration, and in the course of some days disappears, being in fact, invaded and supplanted CATGUT AND SILK. 141 by the living cells of the part. The portion of tissue includedin the noose of a ligature does not die, nor does the externalcoat of the included vessel become divided or prospects of sound healing of a ligatured artery in awound are thus materially increased, and there must be lesschance of secondary haemorrhage, while in the ligature incontinuity of a large vessel, as for aneurism, the antisepticnoose around the
Size: 1193px × 2094px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdec, booksubjectsurgicalproceduresoperative
