. 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. septum ; 35 ounces of dark treacle-like fluid escaped. The vagina was then gently washedout with l-in-40 tepid solution of carbolic, and afterwardsplugged with balls of salicylic wool, ^ho, deeper ones beingfirst dipped in strong carboli
. 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. septum ; 35 ounces of dark treacle-like fluid escaped. The vagina was then gently washedout with l-in-40 tepid solution of carbolic, and afterwardsplugged with balls of salicylic wool, ^ho, deeper ones beingfirst dipped in strong carbolic solution—probably carbolicglycerine, l-in-20, would be preferable—and this was usedat subsequent dressings. Outside a large mass of salicylic 240 ANTISEPTIC SURGERY. wool was fastened with a bandage, and a winged catheter leftin the bladder. This proceeding was repeated twice a day and under thespray, for the first three days, the object being to allow thegreatly distended uterus full opportunity to contract. Somebloody fluid escaped for the first two days ; but by the fifthday all discharge had ceased and the girl could pass waterwithout assistance. The antiseptic tamponade was thenomitted, and tepid carbolic injections continued twice eight days a digital examination proved everything to ,-H (M CO -(^ m ;o l>C^ t?^ C9 c^ c^ c^ c^. Fig. 50.—Aseptic temperature chart in a case of imperforate hymen. be normal, and the girl got up two days later. She has sincemenstruated naturally. There was scarcely a rise of tempe-rature after the operation (fig. 50), and no trouble of any cases have hitherto caused great anxiety to thesurgeon from the rapid decomposition so liable to occur onopening the accumulation. Many fatal results have , however, decomposition be prevented during the first fewdays, and the uterus permitted to resume its normal size, thesubsequent risks become very slight indeed. It would beeasy to modify the tampon-dressing by c
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