Show i iJ ftIj URG Y Ifrg r Itrt r2 That Absolat CleanllaiMS < f f 1f ys u kSts Oparatioas i rot rCii l9oations sa to speW spe-W b o7cttekBC iaaalfue of whichjinusfc il1 tJ t up or i before the p r tot to-t af i3ci r iii 4 p1oileding to hiswork t a t ru fhajgorgaons lancis his in llI1rll sits 1iie liitegumerifc cbvring it gC jl e ariente body atjwhich > rrittlbli lio about tote performed KiquIsifG cleanliness each r c1 ired o far as e hands are r nL by profuse scrubbing with asa J a-sa Map and hot Wat r fol ld ju trf1 iqrtiugh drenching in some qL r fQ v1ution as that of 1 in2000 c ptclfu ieof mercury So far as the littii i are concerned by star t r iiz nY mi nrJmt r9 boiling them them lr a pint lamp 6r placing I > fin J zj OiJroini sterilizer and then I wai3Lieator is ready to begin by F l pntticg5ietHuto a receptacle contain I inghai solution as for example exam-ple ia cf i carbolio acid Lastly so i far aSjphe patieuts integument is sqn cerne iii b ashing the part firs thor < < = bug3 x iih soap and water halving u pre vio 1 1f shavcd it if necessary find afteFii t 1 ss ith a perchloride of mercur ry soiutioisf or if the part be greasy by removing all the greasy material by acrubbiii igtit with ether f Without going into further details these are thp cardinal precepts of the science of operating in the present day Of course each wound which in this manners made under aseptic conditions condi-tions ns it is called is kept aseptic by 1 L oH the use of antiseptic dressings until healing has taken place The results of itlnsiniethgd Qf treatment of wounds are nothing less than wonderfulin comparison compar-ison with those which the earlier surgeons sur-geons were ablo to obtain What happens hap-pens after say the amputation of a limb nowadays The rule is nothing nothing that is to say beyond the uneventful un-eventful convalescence of the patient The dressings are net touched unless the temperature and the pulse of the patient pa-tient indicate bysomo disturbance that it would be expedient to examine the wound The temperature and the pulse aro the surgeons guide He takes his cue from them Nothing can be amiss in the wound if these remain normal and thus it follows that a large wound such as that following an amputation heals soundly from first to last without any suppuration What a contrast with that which obtained in former days I Suppuration was then thought to be an indispensable part of the healthy process proc-ess of healing In the present time on the contrary a surgeon is held to have failed in his practice of the principles of surgical cleanliness if in wounds originally orig-inally aseptic suppuration occurs Nineteenth Century |