Eminent doctors: Their lives and their work; Vol. 2 of 2Bettany, G. T. (George Thomas)
History
Eminent doctors: Their lives and their work; Vol. 2 of 2
Bettany, G. T. (George Thomas)
Medicine -- Great Britain -- History; Physicians -- Great Britain
Mr. Lister’s first paper on the subject, published in the _Lancet_
for 1867, struck a chord which the editor of that journal emphasised
as follows on August 24 of that year (p. 234): “If Professor Lister’s
conclusions with regard to the power of carbolic acid in compound
fractures should be confirmed by further experiment and observation,
it will be difficult to overrate the importance of what we may
really call his discovery. For although he bases his surgical use
of carbolic acid upon the researches of M. Pasteur, the application
of these researches to the case of compound fractures, opened
abscesses, and other recent wounds, is all his own.” The risk of
blood-poisoning after operations in themselves slight, was declared
to be the one great opprobrium of surgery. There was no limit to
the operative skill of surgeons, but a miserable and serious risk of
fatal after-consequences against which the surgeon had no defence.
Mr. (now Sir James) Paget had in 1862 given forth an idea of which
we can now more clearly see the bearing, when he said that the best
results he had seen in cases of pyæmia were with patients kept night
and day in a current of wind. We now see that this in fact amounted
to continually passing over the patient air less charged with germs
than that of the room or ward in which he was placed. Mr. Lister
contemplated the destruction of these germs at the seat of the wound,
and the prevention of the access of fresh germs.
An example will perhaps illustrate the matter better than a
theoretical account. An experiment was performed on the 31st December
1868 on a young calf a few days old, under chloroform, namely, the
tying of the carotid artery on the antiseptic system, with threads
composed of animal tissue. The threads employed had all been soaked
for four hours in a saturated watery solution of carbolic acid, which
swelled and softened them. The hair near the wound was cut short,
and a solution of carbolic acid in linseed oil rubbed well into the
skin to destroy any putrefactive organisms lying amongst the roots
of the hair. The sponges employed in the operation were wrung out of
a watery solution of the acid, and all the instruments introduced
into the wound, together with the fingers of the operator’s left
hand and the copper wire used for sutures, were treated with the
same lotion, some of which was poured into the wound after the
introduction of the last stitch, at one of the intervals left for
the escape of discharge, to provide against the chance of any fresh
blood which might have oozed out during the process of stitching
having passed back and taken fresh germs in with it. The external
dressing was a towel saturated with the oily solution of carbolic
acid, folded as broad as the length of the neck, wrapped so as to
extend freely beyond the wound, and prevented by several contrivances
from slipping. A sheet of gutta-percha tissue was applied outside to
prevent contamination of the antiseptic towel from without. A few
Public-domain text, read in full here on John Shaqi.
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