The Clinical Journal, Vol. 3: A Weekly Record of Clinical Medicine and Surgery, With Their Special Branches; November, 1893 April, 1894; Second Year (Classic Reprint) - Softcover

Inhaltsangabe

Excerpt from The Clinical Journal, Vol. 3: A Weekly Record of Clinical Medicine and Surgery, With Their Special Branches; November, 1893 April, 1894; Second Year

We have now arrived at this point - that anti septic measures, in order to prove effectual, must be so adapted as (1) to secure asepsis by destroying septic material, which may be present in the lower part of the parturient canal: (a) to maintain asepsis by preventing the introduction of septic material from without.

The principle of securing and maintaining asepsis, and thereby shielding the patient from the risks of blood poisoning, is essentially the same in a labour case as in a surgical operation. Such as ovariotomy. In order to place the matter before you in a clearer light, I emphasize the fact that the measures adopted with this end in view should be strictly analogous in both instances.

Some time ago, when about to remove a tumour from the pelvis by abdominal section, I asked the patient's own doctor if he would wash his hands and steep them in antiseptic solution in case his assistance were required. He expressed the greatest surprise, saying that he thought that all such measures had been every where abandoned, and that it had been shown that they were quite superfluous. I mention this as an example of the erroneous impressions which now and again prevail on the subject of asepsis and the use of anti septics.

In order to prevent such misunderstanding, let me briefly mention what are usually considered the essential conditions for insuring asepsis in any such operation.

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