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The introduction of a sterile instrument into a joint cavity, under strict asepsis, where a perfect technic is executed, does not cause perceptible manifestation of the injury, if the opening so made is small such as a suitable exploratory trocar makes.
One, by the employment of means to keep the wound patent and injection of suitable antiseptics, or agents that are more or less caustic in conjunction with strict observance of asepsis and wound protection. The other method consists in prompt establishment of drainage by surgical means and includes exploration and curettage.
No one has nailed him with sachet eggs. He has not been choked by quarts of confetti. His conscience is as pure as the brews of Munich. He is still in a beneficent state of primeval and exquisite prophylaxis, of benign chemical purity, of protean moral asepsis. He came prepared for deluges of wine and concerted onslaughts from ineffable freimaderln.
Of course, any such extensive surgical intervention even for serious affections would have been worse than useless under the septic conditions that would surely have prevailed if certain principles of antisepsis were not applied. Until comparatively recent years we have been quite confident in our assurance that antisepsis and asepsis were entirely modern developments of surgery.
The technique for cutis-grafting must be without a flaw, and the asepsis absolute; there must not only be a complete absence of movement, but there must be no traction on the flap that will endanger its blood supply.
But if subjects are kept quiet after the parts have been properly bandaged, no difficulty is encountered in maintaining asepsis in an uninfected wound. Recovery takes place in favorable cases in from three weeks to three months, depending on the nature and extent of injuries inflicted. Etiology and Occurrence.
Medicine has been upon occasion almost as conservative and the difficulties which Sir Joseph Lister encountered in his endeavour to win the London hospitals for asepsis and anti-sepsis were quite as bitter. The difficulties were of a piece with the opposition of the Church to scientific advancement. After all a conservatism of this sort is a matter of temperament rather than creed or class.
Wilson's only rival, a gynecologist named O'Hara, got results, too; but he sweated and swore through his operations, was not too careful as to asepsis, and looked like a gorilla. The day had been a hard one. The operating room nurses were fagged. Two or three probationers had been sent to help cleanup, and a senior nurse. Wilson's eyes caught the nurse's eyes as she passed him.
Crystals of iodine as opposed to permanganate of potash for antiseptic he discussed. From that he branched into antisepsis as opposed to asepsis as a practical method in the field. "Theory has nothing to do with it," said he. "It's a matter of which will work!" It was all technical; but it interested her for the simple reason that Kingozi was really enthusiastic.
Philip was startled at Doctor South's suspicion of asepsis; he had accepted it in deference to universal opinion; but he used the precautions which Philip had known insisted upon so scrupulously at the hospital with the disdainful tolerance of a man playing at soldiers with children. "I've seen antiseptics come along and sweep everything before them, and then I've seen asepsis take their place.
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