. Clinical gyncology, medical and surgical. ic material for the forty-eight hours preceding. Anyvisitors who are admitted are to put on over their ordinary clothing thelong, loosely-fitting, freshly-washed linen dusters with which they havebeen supplied. The partially anaesthetized patient is now put upon thetable, the hips being placed over therubber pad which is to conduct thewaste fluiib over the side of thetable into a large vessel. (Fig. 29.)The night-gown and undervest arerolled up over the elbows to holdthe arms gfcill. The final disinfec-tion of the abdomen now takesplace. The assistan
. Clinical gyncology, medical and surgical. ic material for the forty-eight hours preceding. Anyvisitors who are admitted are to put on over their ordinary clothing thelong, loosely-fitting, freshly-washed linen dusters with which they havebeen supplied. The partially anaesthetized patient is now put upon thetable, the hips being placed over therubber pad which is to conduct thewaste fluiib over the side of thetable into a large vessel. (Fig. 29.)The night-gown and undervest arerolled up over the elbows to holdthe arms gfcill. The final disinfec-tion of the abdomen now takesplace. The assistant nurse hands toone of the surgeons a basin of warmwater, serubbing-brush, and greensoap, and the parts are once morethoroughly cleansed. The soapsudsare rinsed off with sterile water,and the surface of the abdomen isnext sponged (sterilized gauze sponges being used) with ether or strongalcohol. After a further washing with a 1 to 1000 sublimate solution,the excess of sublimate is washed off with sterilized water or salt solution. Fig. Rubber ovariotomy pad in position. 150 GYNAECOLOGICAL TECHNIQUE. The sides of the abdomen are well eovered with a piece of sterilized gauze,over which towels are laid, the upper part of the abdomen and the lowerpart of the thorax being also protected by sterilized towels. The field ofoperation itself is to be covered with a piece of sterilized gauze which hashad an opening made in it down the middle, so that when the edges arepulled apart the line of the abdominal incision will be easily , the adjacent parts of the patients body and of the operating-tableare completely covered with sterilized towels, and the operation will be donethrough the artificial opening in the gauze over the abdomen. The assistantat the head of the table completes the anaesthesia, and the patient is readyfor the first incision. The arrangement of the different instruments and other accessories isdeserving of mention. The operating-table is placed so tha
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