Plastic and cosmetic surgeryKolle, Frederick Strange
Science
Plastic and cosmetic surgery
Kolle, Frederick Strange
Surgery, Plastic
The ideal operating room for the plastic surgeon need not necessarily
be large, since it requires less work to render it aseptic. Furniture
and possibly amphitheater accommodation are always a means of infection
unless scrupulously cleansed, a task of time, difficult at best.
The room should be provided with large windows, with facilities for the
introduction of the air from without. Two doors, and those well fitted,
are all the room should have—but one being used, if possible.
=The Walls.=—The walls should be of plaster, smoothly laid and well
painted, so that they may be readily washed down with antiseptic
solutions—a daily morning rule. Glass or tiled walls are much used now
and add considerably to the appearance and safety of the room, as plaster
in time will crack, while the paint, owing to the heat of sterilizers
or steam, often creeps and blisters, exposing an absorbing surface
which readily wears down, exposing parts inaccessible for even acute
cleanliness.
=The Floors.=—The floors of these rooms are now usually laid with tile
mosaic or marble or a composition resembling linoleum. The base should
be curved and all corners sloped off to improve drainage and to keep off
dust and dirt.
=Skylight.=—A skylight of metal and glass is a valuable accessory. It
should be fixed or never permitted to be opened during an operation.
=Disinfection.=—Spraying the room with an antiseptic is hardly necessary,
since all germ life descends to the floor and can best be removed by
washing with a 1-1000 bichlorid solution.
Should it be necessary to perform an unusually extensive operation in
a private house, the room must be cleared of all furniture, pictures,
drapery, and carpet. After plugging up the crevices in the windows and
doors it should be well fumigated either with sulphur candles, as now
commonly furnished, or, better, with formaldehyd.
The superiority of formaldehyd as a disinfecting agent is now well
established. An illustration of an apparatus, largely doing away with the
difficulties and dangers encountered in the use of the older and ordinary
styles of the pressure or nonpressure type, is shown in Fig. 3. The main
difficulty with these has always been their almost inaccessibility for
cleansing purposes, and in such where this is not the case, the size of
the aperture has been made so small that the inside could not be reached.
In the pressure apparatus the tops are bolted on, making them exceedingly
difficult to remove, with the result that the necessary cleaning was not
properly attended to. The corrosive action of formaldehyd gas is such
that under these conditions any apparatus would soon become useless.
Public-domain text, read in full here on John Shaqi.
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