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
ounces of the oily solution were poured daily over the towel for the
first week, after which the dressings were left untouched for three
days and then entirely removed. The wound was found quite dry, and
free from tenderness. When the animal was subsequently killed, the
ligatures were seen to be converted into living tissue; and such
experiments proved how valuable animal fibres might be as ligatures
under the antiseptic system.
Again, a portion of cotton wool was impregnated with about one
two-hundredth part of its weight of carbolic-acid vapour, and the
surface of a granulating sore and surrounding skin was washed with
a dilute solution of the acid. A piece of oiled silk of the size of
the sore was then applied, to prevent the dressings from sticking
through becoming dry. Over this was placed a piece of folded linen
rag of rather larger size, and similarly impregnated with carbolic
acid vapour to the cotton wool; this being intended to absorb any
discharge from the sore. Lastly, an overlapping mass of carbolised
cotton wool was securely fixed over all. The result was that although
all chemical antiseptic virtue left the dressing by evaporation of
the volatile carbolic acid in a day or two, yet putrefaction was
practically excluded by the cotton wool for any length of time.
Subsequently another variety of protective material was adopted,
namely antiseptic gauze, a loose cotton fabric, the fibres of which
were impregnated with carbolic acid lodged in insoluble resin. The
interstices between the fibres were kept free from these ingredients,
so that the porous fabric might readily absorb discharges. By
arranging this in a sufficient number of layers and covering the
whole with a layer of mackintosh, the discharge was compelled to
pass through the whole length of the antiseptic dressing. Thus it
was almost certain that if no putrefactive mischief were left in a
wound or abscess, none would enter it, however profuse might be the
discharge.
If a wound was presented for treatment, inflicted by some other
than the surgeon, some dust was sure to have been introduced, which
probably contained putrefactive germs. The energy of these had
first to be destroyed by washing the raw surface with some strong
antiseptic agent. But in operating upon a previously unbroken skin,
Mr. Lister considered that he could prevent the septic particles
from entering at all, by operating in an antiseptic atmosphere. This
was provided by producing a shower of spray of carbolic acid of the
finest character. This answered exceedingly well when the solution
producing the spray consisted only of one part of carbolic acid to
100 parts of water.
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