. Medical and surgical therapy . f an instantaneous equipment, and how rarely willone find oneseK provided with a site as large aspossible ! It would need hours and hours, runninginto days, before one dare to open the abdomen ! What we must insist onin every case is, that whencalled on to perform operations for abdominal wounds,an operating-room should be set apart specially forsuch cases. In my opinion this is a condition ofsupreme importance. It is not* so much in order tocomply with the demand for strict asepsis (when intimes of peace one has to perform any kind of urgentoperation in any ki


. Medical and surgical therapy . f an instantaneous equipment, and how rarely willone find oneseK provided with a site as large aspossible ! It would need hours and hours, runninginto days, before one dare to open the abdomen ! What we must insist onin every case is, that whencalled on to perform operations for abdominal wounds,an operating-room should be set apart specially forsuch cases. In my opinion this is a condition ofsupreme importance. It is not* so much in order tocomply with the demand for strict asepsis (when intimes of peace one has to perform any kind of urgentoperation in any kind of country place, we know that* See Bull, et Mem. Soc. de CMr., 1915, p. 1792. 416 WOUNDS OF THE ABDOMEN it is always possible to arrange for surgical cleanli-ness), as to have available immediately an instru-ment ready for use automatically without hesitation,preparation, or delay, and without unnecessary mentalstrain to the operator. The size of the premises matterslittle ; in our last installation, we only set apart in our. Fig. 29.—Compartment reserved for laparotomies in our principaloperating-room by means of a wooden partition prolonged upwardsby stretched sheets. (Hopital de IEcole Margaine, Sainte-Mene-hould.) ordinary operating-theatre a compartment, 3 metreslong, by 2 broad, made by a wooden partition 2 metreshigh, carried up to the ceiling by means of stretchedsheets (Figs. 29 and 30). But at any moment therewere ready, for instant use, the operating-table, twotables for instruments, on which were already boxes CONDITIONS AND SURROUNDINGS 417 of sterilised bandages and instruments sterilisedby hot air, just waiting to be taken out of theirboxes, sterihsed gloves, a basin with sterilised brushes,the anaesthetists accessories, phials, and bottles ofsaline ; in short, all that nurses as well as surgeonsought to be certain of finding ready so that the opera-


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918