A Text-book of Diseases of WomenPenrose, Charles B. (Charles Bingham)
Science
A Text-book of Diseases of Women
Penrose, Charles B. (Charles Bingham)
Women -- Diseases
_The Cumol Method for the Sterilization of Catgut, employed at the
Johns Hopkins Hospital._--1. Cut the catgut into the desired lengths,
and roll 12 strands in a figure-of-8 form, so that it may be slipped
into a large test-tube.
2. Bring the catgut gradually up to a temperature of 80° C., and hold
it at this point for one hour.
3. Place the catgut in cumol, which must not be above a temperature of
100° C., raise it to 165° C., and hold it at this point for one hour.
4. Pour off the cumol, and either allow the heat of the sand-bath to
dry the catgut, or transfer it to a hot-air oven, at a temperature of
100° C. for two hours.
5. Transfer the rings with sterile forceps to test-tubes previously
sterilized as in the laboratory.
The cleanest specimens of the crude catgut should be obtained for
surgical purposes. There is no doubt that some specimens of crude
catgut are more difficult to sterilize than others. A special apparatus
has been introduced for sterilizing catgut which renders the process
safe and certain.
The writer uses catgut only for suture of the abdominal fascia and
muscles. Large-sized gut is employed.
=The Dressing.=--The dressing of the abdominal wound consists of ten
or twelve layers of sterilized gauze, covered by a large sterilized
abdominal pad about 1 inch thick, 13 inches long, and 9 inches broad.
The pad is made of absorbent cotton enclosed in a layer of gauze. The
dressing is retained in place by a six-tailed sterilized abdominal
binder of flannel.
If no drainage through the abdominal incision is employed, the use
of celloidin with the gauze dressing is of advantage. It retains the
dressing securely in position for an indefinite period, and, if used
liberally, it acts as a splint for the abdominal wall. Either of the
two following formulæ given by Robb may be used:
℞. Ether (Squibb’s),
Absolute alcohol, _āā_. ℥viss;
Of a solution made of 15 grains of
bichloride crystals dissolved in 11
drams of absolute alcohol, ♏xvj.
Mix, and add of Anthony’s “snowy cotton” enough to give the solution
the consistence of simple syrup.
℞. Absolute alcohol, ℥viss;
Iodoform powder, ʒxiiss;
Mix, and add ether, ℥viss.
Mix, and add of Anthony’s “snowy cotton” enough to give the solution
the consistence of simple syrup.
The celloidin should be poured over the edges of the first layers of
gauze that are placed upon the wound.
CHAPTER XL.
THE TECHNIQUE OF GYNECOLOGICAL OPERATIONS (Continued).
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