implicitly as an aseptic atmosphere, abandoning completely certain other
precautions which he had before deemed essential, proved conclusively to
his mind that the air might safely be left entirely out of consideration
in operating.[2] Thus he learnt that not the spray only, but all
antiseptic irrigations or washings of the wound also, with their
attendant irritation of the cut surfaces, might be dispensed with--a
great simplification, indirectly due to experiments with the spray. The
spray had also served a very useful purpose by maintaining a pure
condition of the entourage of the operation; not indeed in the way for
which it was devised, but as a very mild form of irrigation. And Lister
took care to emphasize the necessity for redoubled vigilance on the part
of the surgeon and his assistants when this "unconscious caretaker," as
he called it, had been discarded.
The announcement that he had given up the spray was absurdly interpreted
in some quarters to mean that he had virtually abandoned his theory and
his antiseptic methods. The truth is that the spray was only one of many
devices tried for a while in the course of the long-continued endeavour
to apply the antiseptic principle to the best advantage, and abandoned
in favour of something better. Two main objects were always kept
steadily in view by him--during the operation to guard the wound against
septic microbes by such means as existing knowledge indicated, and
afterwards to protect it against their introduction, avoiding at the
same time all needless irritation of the tissues by the antiseptic. Upon
the technical methods of attaining these ends this is not the place to
enlarge; suffice it to say that the endowments and the industry of the
discoverer, as seen in the rapidity and flexibility of mind with which
he seized upon and selected the best means, were little less remarkable
than the activity of the same faculties in his original ideas.
Public-domain text, read in full here on John Shaqi.
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