Modern surgery, general and operative . y transverse scrub-bing (George Ben Johnston). An exceUent soap is ethereal soap, which is asolution of castile soap in ether. Castile soap can be used. I am accustomedto use green soap. Some surgeons prefer to use green soap in the form of atincture. Synol soap has advocates. There is no particular advantage inusing soap containing a germicide, as such soap is practically without germicidalpower. The brush employed should be kept in a i : looo solution of cor-rosive sublimate or should have been recently sterilized with steam and keptin a sterile glass
Modern surgery, general and operative . y transverse scrub-bing (George Ben Johnston). An exceUent soap is ethereal soap, which is asolution of castile soap in ether. Castile soap can be used. I am accustomedto use green soap. Some surgeons prefer to use green soap in the form of atincture. Synol soap has advocates. There is no particular advantage inusing soap containing a germicide, as such soap is practically without germicidalpower. The brush employed should be kept in a i : looo solution of cor-rosive sublimate or should have been recently sterilized with steam and keptin a sterile glass box (Fig. 32). The nafls are cut short, are cleansed with anorange-wood stick, which does not scratch them, and the hands are againscrubbed. Very prolonged or very rough scrubbing, especially with harshagents like marble dust or sand, is actually harmful, as it tends to crack the handsand make them rough and it extensively loosens epidermis which may drop intothe wound. Epidermis may contain bacteria within it and may infect the Fig. 32.—Glass brush-box with coverc Sterilization of the Hands and Forearms 63 Sterilization of the Hands and Forearms.—After mechanical cleans-ing a germicide is employed to render the parts sterile. Whatever methodis adopted it is desirable that it shall not unduly irritate the skin. An occa-sional operator may use without injury tolerably strong chemicals, but thebusy hospital surgeon, who operates perhaps several times or many times aday, cannot use them. Any method which inflames, cracks, or roughens theskin makes future sterilization difficult or impossible, hence such a method isundesirable. Four methods are described here: Furbringer^s Method.—After washing off the soap in sterile water the handsare dipped in 95 per cent, alcohol and held there for two or three minutes whilethe forearms, hands, fingers, and nails are being rubbed with alcohol. Alcoholremoves the soap which has entered into follicles and creases, removes desqua-mat
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
