Plastic and cosmetic surgeryKolle, Frederick Strange
Science
Plastic and cosmetic surgery
Kolle, Frederick Strange
Surgery, Plastic
This is necessary, as the surgeon must introduce his finger into the
mouth and behind the cheek to mold out the mass injected subcutaneously,
and infection could easily be introduced by his fingers during this
procedure.
Externally a generous field of the operation is scrubbed with a brush
dipped into green soap and water.
The skin is then thoroughly washed with gauze sponges steeped in absolute
alcohol, followed with spongings with a 1-5,000 solution of bichlorid
of mercury. The whole surface is then wiped off with a sponge dipped in
ether and covered for the time being with a pad of sterilized gauze until
the operator is ready to proceed with the operation.
PREPARATION OF THE INSTRUMENTS FOR OPERATION
The manner of preparing the necessary mixture of paraffin has been
described on page 244. After such preparation, the mixture, still hot,
may be poured into test tubes, which are sealed and put away for further
use, each tube holding just enough to fill the syringe two thirds full.
When a syringe is to be filled, one of the tubes is opened and the
contents are again boiled over a spirit flame, or simply liquefied and
poured into one of the types of heaters already described for the same
purpose of resterilization.
From the test tubes or the heater, the boiling mixture may be drawn up
into the sterilized syringe to the required amount or it may be poured
into the opened piston screw cap end.
In the latter event the ready cooling of the mixture as it enters the
needle will permit it to be retained in the barrel, or the needle may be
immersed in sterile water as the paraffin is poured into the syringe, yet
even if a few drops escape from the needle in the former method, no harm
is done, as such loss amounts to nothing and helps to eventually fill the
syringe evenly and free of air.
If the mixture is drawn up into the barrel to the required height, more
or less air enters, which must be removed by turning the syringe, needle
up, and screwing up the piston rod until either the liquid or cylindrical
thread of the cooled mixture appears.
If the mixture is poured into the syringe the piston is slowly pressed
into the barrel, thus allowing the air to escape along its sides if
the mixture is set, or if warm the syringe is turned up and the piston
screwed into place. As this is done the few drops of cooled paraffin
will be forced from the needle before the air is exhausted. The screw is
turned until the paraffin emerges evenly from the needle.
The syringe must now be laid aside, or placed in sterile water of the
temperature of the room, to allow the liquid within to set evenly and
become uniform in consistency.
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