Treatise on gynæcology : medical and surgical . s must graspm his hand, supporting his wrist upon the pubis, while in the samehand he holds another instrument (a retractor or a tenaculum, ). I use for this irrigation carbolized water (10:1,000), at 95° to 115°F. Its strength must be diminished to 5:1,000 if the irrigation lastsfor any length of time, otherwise painful excoriations will be theresult. The slender stream of water which constantly flows upon the ANTISEPSIS IN GYNAECOLOGY. 17 operating field, and can be increased or diminished at will, lias a two-fold advantage: it washes awa
Treatise on gynæcology : medical and surgical . s must graspm his hand, supporting his wrist upon the pubis, while in the samehand he holds another instrument (a retractor or a tenaculum, ). I use for this irrigation carbolized water (10:1,000), at 95° to 115°F. Its strength must be diminished to 5:1,000 if the irrigation lastsfor any length of time, otherwise painful excoriations will be theresult. The slender stream of water which constantly flows upon the ANTISEPSIS IN GYNAECOLOGY. 17 operating field, and can be increased or diminished at will, lias a two-fold advantage: it washes away the blood, thus dispensing with thenecessity of sponges or their substitutes, and it keeps the woundbathed in an antiseptic fluid which is a far better protection againstthe germs in the atmosphere than even the spray. In all operationsupon the vulva, vagina, and cervix, the use of continuous irrigation isto me a matter of routine practice; I can scarcely praise it too I never use, as I consider pledgets of absorbent cotton,. Fig. 11.—Continuous Irrigation with a Long Nozzle; also Shows Position of Assistants. either dry or soaked in a bichloride solution, which is then squeezedout, to be far superior. If used dry, it is well to wrap each in gauze. Laparotomy. I will now take up the special antiseptic precautions which are tobe used in a laparatomy. A serious preliminary point arises: How does it happen that oper-ators of great authority, as Lavvson Tait and Bantock, for example,disapprove of antisepsis, regarding it as useless and even dangerous,and, in spite of this opinion, obtain the most superb results ?22 .Doesnot this fact greatly impair the value of the minute precautions whickwe are about to advise i IS CLINICAL AND OPERATIVE GYNAECOLOGY. The contradiction is more apparent than real, and to convinceyourself of this it is only necessary to follow in detail the methods cfprocedure adopted by these operators whom I have quoted. You willsee that if th
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