. Minor surgery and bandaging, including the treatment of fractures and dislocations .. . ating solutions shouldbe used as Avarm as can be comfortably borne by the handsof the surgeon; warm solutions, it has been shown byrecent investigations, possess a greater germicidal powerthan those of the same strength when used cold, and theyalso possess the advantage of preventing the chilling of thepatient, and thus diminish the shock of the operation. If the aseptic method is followed no germicidal solutions DETAILS OF AN ASEPTIC OPERATION 137 are used after the wound has been made, and the woundis k
. Minor surgery and bandaging, including the treatment of fractures and dislocations .. . ating solutions shouldbe used as Avarm as can be comfortably borne by the handsof the surgeon; warm solutions, it has been shown byrecent investigations, possess a greater germicidal powerthan those of the same strength when used cold, and theyalso possess the advantage of preventing the chilling of thepatient, and thus diminish the shock of the operation. If the aseptic method is followed no germicidal solutions DETAILS OF AN ASEPTIC OPERATION 137 are used after the wound has been made, and the woundis kept free from hemorrhage during the operation bysterilized sponges or gauze pledgets, or may be irrigatedoccasionally by warm sterilized water. Hemorrhage during the operation is controlled by theuse of haemostatic forceps, which are applied to the bleed-ing vessels, or the vessels may be ligatured as they aredivided. After the operation has been completed, and allhemorrhage has been controlled, the wound is thoroughlyirrigated with a 1 : 2000 or 1 : 3000 bichloride solution. Fig. Irrigating apparatus. (Esmarch.) The next step is to provide for drainage; this may bedisregarded in small or superficial wounds, but in a woundof any considerable size or depth it is safer to provide freedrainage. This is accomplished by the use of perforatedrubber drainage-tubes, or a number of strands of catgut orhorsehair, or by decalcified bone or glass drainage-tubes. The rubber tube in large wounds will be found mostcomfortable to the patient and satisfactory as regardsdrainage; it may be laid in the wound, the ends beingallowed to extend from the extremities of the wound, or it 138 MINOR SURGERY. may be so introduced that one end of the tube rests in thedeepest part of the wound and the other extremity isbrought out of the wound at its most dependent portion;in large or irregularly shaped wounds a number of tubesmay be required to secure free drainage. The ends of thedrainage-tubes are tr
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectbandagesandbandaging
