Treatise on gynæcology : medical and surgical . d be well to use bichloride 1:2,000; afterits prolonged application, it must be followed by a second intra-uterine injection, simply to wash away any of the poisonous antisep-tic which might remain. For this purpose I would recommend watersterilized in the Chamberland filter and then boiled, to which I wouldadd 6:1,000 of sea salt; this modifies its irritating and absorptivepowers by causing its composition to more nearly approach that of theserum of the blood. I make frequent use of this fluid for injections 16 CLINICAL AND OPERATIVE GYNAECOLOGY
Treatise on gynæcology : medical and surgical . d be well to use bichloride 1:2,000; afterits prolonged application, it must be followed by a second intra-uterine injection, simply to wash away any of the poisonous antisep-tic which might remain. For this purpose I would recommend watersterilized in the Chamberland filter and then boiled, to which I wouldadd 6:1,000 of sea salt; this modifies its irritating and absorptivepowers by causing its composition to more nearly approach that of theserum of the blood. I make frequent use of this fluid for injections 16 CLINICAL AND OPERATIVE GYNAECOLOGY. that are to be purely aseptic, whenever, for any reason, the use ofantiseptics is contra-indicated. Before leaving the subject of the antisepsis of the external genitals,the vagina, and the cervix, I would say a word in reference to a pro-cedure which is at the same time an adjuvant in an operation and amethod of disinfection. I refer to continuous irrigation. It may beaccomplished by means of a special sj>eculum (Fig. 10), or more simply. Tig. 10.—Showing how Continuous Irrigation during Operation may be Maintained by FritschsDevice, a, End of irrigating canula to which rubber tube is to be attached. by the help of a long canula which one of the assistants 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 againstth
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