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Updated: May 10, 2025
The recent advances in brain-surgery have, in a measure, diminished the interest and wonder of some of the older instances of major injuries of the cerebral contents with unimportant after-results, and in reviewing the older cases we must remember that the recoveries were made under the most unfavorable conditions, and without the slightest knowledge of all important asepsis and antisepsis.
Moreover, the low state of vitality of the tissues, and the extreme difficulty of securing and maintaining asepsis, make it a sequel of great frequency.
The triumphs of antisepsis and asepsis, or keeping the "bugs" out of the cuts, have been illustrated scores of times already by abler pens, and are a household word, but certain of its practical appliances in the wounds and scratches and trifling injuries of every-day life are not yet so thoroughly familiar as they should be.
Bone grafts yield better functional results when they are immovably fixed to the adjacent bone by suture, pegs, or plates. As in all grafting procedures, asepsis is essential. Transplanted bone retains its vitality when embedded in the soft parts, but is gradually absorbed and replaced by fibrous tissue.
#Primary Suture.# The reunion of a recently divided nerve is spoken of as primary suture, and for its success asepsis is essential. As the suturing of the ends of the nerve is extremely painful, an anæsthetic is required.
When this is the case, the use of antiseptic dressings is called for to prevent infection and to promote healing, after which massage is employed. When the tension caused by the extravasated blood threatens the vitality of the skin, incisions may be made, if asepsis can be assured. The blood from a hæmatoma may be withdrawn by an exploring needle, and the puncture sealed with collodion.
The obsession for cleanliness bred a fear of uncleanliness, and for years each dish was examined by reflected light, to be condemned by one least streak. The milk and butter especially must receive care equaled only by surgical asepsis. Then there were the doors.
Quickly he improvised two operating tables, and placed one of us on each. Then, with his assistant, he put on his white robes, mask, gloves and other precautions for asepsis, setting out the apparatus for the intravenous administration of the drug that would kill the spirillum. Godowski was busy with the atoxyl, mixing it in a normal salt solution.
The modern theory of asepsis has, to be sure, been widely accepted and is practiced so far as possible wherever obstetrical patients are attended, but only in the hospital can the underlying principles be applied with complete thoroughness and persistence. The hospital is constantly alert, whereas in private houses carelessness or ignorance, or both, often lead to lax technique.
He knew when a new baby came, and was even given a glimpse of one, showing, he considered, about the colour and general contour of a maraschino cherry. And he learned soon that the god of the hospital is the Staff, although worship did not blind the nurses to their weaknesses. Thus the older men, who had been trained before the day of asepsis and modern methods, were revered but carefully watched.
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