The principles of surgery and surgical pathology : general rules governing operations and the application of dressings / by Hermann Tillmanns ; trans. from the 3rd German ed. by John Rogers, and Benjamin Tilton ; ed. by Lewis A. Stimson.

  • Hermann Tillmanns
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: The principles of surgery and surgical pathology : general rules governing operations and the application of dressings / by Hermann Tillmanns ; trans. from the 3rd German ed. by John Rogers, and Benjamin Tilton ; ed. by Lewis A. Stimson. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    alcohol, and before the alcohol has evaporated the hands and forearms are scrubbed with a brush for one minute in a 1 to 1,000 solution of bichloride or a three-per-cent. solution of carbolic. It is of the greatest importance in the disinfection of the hands to make the mechanical cleansing of the latter as thorough as possible. This is in accord with tlie researches of Landsberg. For keeping the hands in a good condition Pears's glycerine soap is particularly useful, and if anything more is necessary, the inunction of a small amount of lanolin is excellent. The modern surgeon should give up wearing rings, and in any case always lay them aside before an operation, as they are invariably bearers of infection. A large basin containing a three-per-cent. solution of carbolic or a 1 to 1,000 solution of bichloride should be placed near the operator and his assistants, so that they may constantly keep their hands disinfected, even though they do not come in contact with unclean objects, such as pus, faeces, urine, etc. Sterilisation of Instruments.—The instruments are best disinfected by boiling them for live to ten minutes in a one-per-cent. solution of soda, the latter substance rendering them less liable to rust than plain water. According to Davidsohn, five minutes is sufficient. The knives are wiped off with a piece of sterilised cotton wet in carbolic solution and placed for only one minute in the boiling soda solution, as they are easily dulled. As wood- en handles on instruments are soon damaged by boiling, nickel-plated metal handles are preferable. Instruments are not sufficiently disinfected by simply placing them in carbolic or other antiseptic solu- tion (Giirtner, Kummel, Gutsch, Redard, Davidsohn). A sterilising apparatus for instruments can be made for a small price by any tin- man, in the following manner: a large box made of sheet copper, with a removable top, is provided with a tray of tin ])late which is punched full of holes; the tray holds the instruments, and has two handles attaiihed to it so that it can be lifted out after the boiling and placed in a three-per-cent. solution of carbolic acid. A very excellent apparatus, devised by Schimmelbusch, is illustrated in Fig. 11, but it is much more expensive. The figure FiQ. 11.—Apparatus for boiling instruineuts (Scliiniinelbusch).
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