Volume 1

Operative gynecology / by Howard A. Kelly ; with ... illustrations for the most part by Max Brödel.

  • Howard Atwood Kelly
Date:
1906
Catalogue details

Licence: Public Domain Mark

Credit: Operative gynecology / by Howard A. Kelly ; with ... illustrations for the most part by Max Brödel. Source: Wellcome Collection.

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    iekiho Devi Gy NECOLOGY. Crore SEPSIS, ASEPSIS, AND ANTISEPSIS IN HOSPITALS. . Sepsis (p. 1). . Asepsis (p. 3). . Antisepsis (p.4): Soap and water. Dry heat. Dry-air oven. Steam oven or steam cylinder. Steam. Boiling soda solution. Chemical antiseptics. a. Operating room (p.8): Table. Sterilized water. Sterilization and preservation of instruments. Sterilization and preservation of sutures and ligatures. Silkworm gut. Catgut. Gauze and cotton. Todoform gauze. Sponges. Drainagecushions. Ovariotomy pad. Perineal pad. Vessels. b. Preparation of surgeon, assistants, and nurses (p. 20): Operating suit. Brushes. Cleansing and disinfecting the hands and forearms. Rubber gloves. Mouth protector. OO bD = SEPSIS. Sureicat sepsis arises from the invasion of a wound by pathogenic micro- organisms, which find in the tissues suitable conditions for their development and growth. The micro-organisms most frequently concerned in traumatic infections are the pyogenic bacteria, of which the most important representatives are the pyo- genic staphylococci and streptococci, although under special conditions many other bacterial species may cause suppurative inflammation. The simple con- ception which once prevailed that a wound becomes infected, in much the same way as an artificial culture medium, by the mere entrance of pathogenic bac- teria, has been greatly modified by bacteriological studies of the conditions underlying the infection of wounds. There are various circumstances besides the mere presence of bacteria which determine the occurrence and the character of traumatic infections. . A fresh wound in healthy tissues, while it resembles an artificial culture medium in offering suitable food for the development of many kinds of bac- teria, differs from such a medium in the presence of various properties of cells, tissues, and fluids that are hostile to the life and growth of many bacteria. In the study of the causation of traumatic infections it is important to consider, not only the invading micro-organisms, but also the germicidal powers of the cells and fluids of the body. Experiments of Dr. W. H. Welch and others have demonstrated that even the most careful antiseptic or aseptic surgical technique often fails to exclude the entrance of bacteria, even sometimes the ubiquitous pyogenic cocci, into wounds which heal without infectious inflammation. Under these circumstances the antibacterial properties of the living cells