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Updated: April 30, 2025
But he did not try so near death was he that his mighty muscles did not even quiver at the trenchant bite of the surgeon's tools. Von Steiffel and his aides, meticulously covered with sterile gowns, hoods, and gloves, worked in most rigidly aseptic style; deftly and rapidly closing the ghastly wounds inflicted by the weapons of the hexans.
I cannot watch, if you intend to demonstrate!" The man with thick glasses waved an arm. The Minister for Health went hastily out. Dr. Lett made a mirthless sound. "He would not make a medical man! Here is a para in this aseptic room. He is an unusually good specimen for study. He was my assistant and I knew him when he was sane. Now I know him as a para. I will show you his delusion."
They understood the principles of aseptic surgery very well. They declared that it was not necessary "that pus should be generated in wounds." Professor Clifford Allbutt says: They washed the wound with wine, scrupulously removing every foreign particle; then they brought the edges together, not allowing wine or anything else to remain within dry adhesive surfaces were their desire.
We must wait now for a sufficient period of time and then compare the value of myotic treatment with that of operations by means of which satisfactory filtration is produced. We are somewhat in the position that general surgeons occupied when aseptic methods first became prevalent.
If the part is aseptic it shrivels, and presents the ordinary features of dry gangrene. It is liable, however, especially in the lower extremity and when the veins also are obstructed, to become infected and to assume the characters of the moist type.
The subsequent changes depend upon whether or not the wound is infected with pyogenic bacteria. If it is so infected, suppuration ensues, a sinus forms, and persists until the foreign body is either cast out or removed. If the wound is aseptic, the fate of the foreign body varies with its character.
Formerly much larger amounts were considered normal, and, therefore, it is probable that modern aseptic treatment of child-birth has lessened the subsequent loss of blood. Toward the end of a week the lochia changes from a bright red to a brownish color, because the discharge now includes certain products of disintegration.
By using a small and sharp curette, one is enabled to cleanse the average wound quickly and almost painlessly. In such cases, equal parts of tincture of iodin and glycerin are employed. The wound is filled with this preparation and a quantity of it is poured upon a suitable piece of aseptic gauze or cotton and this is contacted with the wound.
Powders they regarded as too desiccating, for powder shuts in decomposing matters; wine after washing, purifying, and drying the raw surfaces evaporates. Almost needless to say these are exactly the principles of aseptic surgery. The wine was the best antiseptic that they could use and we still use alcohol in certain cases.
Sprains may be considered as fibrillary fractures of soft structures and since this form of injury is subsurface, and limited to fractional portions of tendons, the inflammation occasioned usually remains an aseptic one. Reaction to this form of injury is characterized by inflammation, the course of which is erratic and variable.
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