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Updated: April 30, 2025


In extensive ulcers resulting from recent burns, if the granulations are healthy and aseptic, skin-grafts may safely be placed on them directly. If, however, their asepticity cannot be relied upon, it is necessary to scrape away the superficial layer of the granulations, the young fibrous tissue underneath being conserved, as it is sufficiently vascular to nourish the grafts placed on it.

As the instruments pried and pulled and injected the aseptic solutions I held his hand tight and talked as hard as I could. At the worst places I told the most awful lies about how horrible it looked and placed all the frightful symptoms of every disease I had read to him, right in his eyes. It sounded dreadful but I knew that it interested him and helped in a way nothing else could.

The mode of regeneration of these tissues under aseptic conditions has already been described as the type of ideal repair. In highly vascular parts, such as the face, the reparative process goes on with great rapidity, and even extensive wounds may be firmly united in from three to five days. Where the anastomosis is less free the process is more prolonged.

In such rooms, centuries before, plants had been grown from antiseptic-soaked seeds and chicks hatched from germ-free eggs, and even small animals delivered by aseptic Caesarean section to live in an environment in which there was no living microorganism. From rooms like this men had first learned that some types of bacteria outside the human body were essential to human health.

Primary suture should not be attempted so long as the wound shows signs of infection, as it is almost certain to end in failure. The ends should be sutured, however, as soon as the wound is aseptic or has healed. #Secondary Suture.# The term secondary suture is applied to the operation of stitching the ends of the divided nerve after the wound has healed. Results of Secondary Suture.

Without trying the speculative and dangerous method of treatment by compression, or the application of an india rubber bandage, the surgeon now without loss of time cuts down upon the artery, and applies an aseptic ligature close above the dilatation.

Such a wound in virtue of the absence of infection is said to be aseptic, and under these conditions healing takes place by what is called "primary union" the "healing by first intention" of the older writers.

Farnham and Street went at once to the operating-room to make their hands and wrists aseptic. Campbell had gone downstairs to his smoking-room. It had been decided though contrary to custom that Lloyd should administer the chloroform. At length Street tapped with the handle of a scalpel on the door to say that he was ready.

Already even in Chauliac's practice, however, some of the finer elements of the technique that made surgery antiseptic to a marked degree, if not positively aseptic in many cases, were not being emphasized as they were by his predecessors, and there was a beginning of surgical meddlesomeness reasserting itself.

It was a marvellous place, that antiseptic or rather aseptic kitchen, with its white tiling and enamel, its huge ice-box, and cooking- utensils for every purpose, all of the most expensive and modern make.

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