Plastic and cosmetic surgeryKolle, Frederick Strange
Science
Plastic and cosmetic surgery
Kolle, Frederick Strange
Surgery, Plastic
In the type shown a single clamp arrangement is used (_a_). By the
turning of the hand screw (_b_) two planed metal faces (the upper surface
of the boiler and under surface of the cover) are brought together and
sealed. When the cover (_c_) is removed the entire inside of the boiler
is in sight and can be thoroughly cleansed, which should be done each
time the apparatus is used. The pipes through which the formaldehyd gas
passes after generation are arranged so that they can be taken off and
cleaned.
[Illustration: FIG. 3.—FORMALDEHYD DISINFECTING APPARATUS.]
The gas is generated in the boiler (_d_) and passes out from the top,
down through the pipe (_e_), and from thence through a series of pipes
(_f_) underneath the boiler, which are subjected to direct heat from the
lamp (_g_). By this means the gas becomes superheated, the polymerization
of the formaldehyd is almost entirely prevented, and a dry gas is insured
and given off at the pipe (_h_).
The room should be left closed overnight and thoroughly aired thereafter.
The bare floor must then be scrubbed with hot water and soda and flushed
with a three-per-cent carbolic-acid solution.
As little furniture as possible should be found in an operating room, and
this preferably of undecorated enameled iron.
=Instrument Cabinet.=—For the instruments and dressings there should be a
dust-proof cabinet of iron and glass, such as is shown in Fig. 4.
[Illustration: FIG. 4.—INSTRUMENT CABINET.]
=Operating Table.=—The operating table should be of like construction
and as plain as possible. Its top can be padded with sterilized felt,
protected from moisture by rubber sheets. A surgical chair of plain
construction might suffice, inasmuch as most plastic operations cover but
a small area and are usually about the head and often performed under
local anesthesia. A chair with head rest is much more comfortable, adding
much to the moral and physical comfort of the then conscious patient. A
very desirable chair is shown in Fig. 5.
[Illustration: FIG. 5.—OPERATING TABLE.]
=Instrument Table.=—An instrument table, such as is shown in the next
illustration, is quite necessary, upon which dressings and instruments
are laid during operation. In this the frame is of white enameled iron
and the top and shelf of plate glass.
[Illustration: FIG. 6.—INSTRUMENT TABLE.]
=Irrigator.=—An irrigator is often of service, especially in washing
out the fine pieces of bone resulting from chiseling or drilling. In
skin-grafting it may be used with sterilized three-per-cent salt solution
as described later. The best irrigators are those of germ-proof or
ground-glass stopper type. They are suspended from the wall by means of
an iron bracket or pulley service or placed upon a movable enameled stand
as shown in Fig. 7.
Irritating antiseptic solutions are to be avoided, their especial
indication will be found under antiseptic care of wounds.
CARE OF INSTRUMENTS
[Illustration: FIG. 7.—IRRIGATOR.]
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account