Plastic and cosmetic surgeryKolle, Frederick Strange
Science
Plastic and cosmetic surgery
Kolle, Frederick Strange
Surgery, Plastic
The aseptic hospital washstand, as shown in Fig. 9, will be found an
ideal piece of furniture; it has a frame constructed of wrought iron,
white enameled. The top is of one-inch polished plate glass, with two
twelve-inch holes.
[Illustration: FIG. 9.—ASEPTIC WASHSTAND.]
The entire stand can be moved away from the wall, to permit of thorough
cleaning of basins, supply pipes, etc. The basins are the best annealed
glass, and are supported by nickel-plated traps, with connections for
vent pipes. The water supply is controlled by foot valves, which enable
the operator to draw either cold, medium, or hot water at will. The waste
is also controlled by a foot valve, as shown.
The systematic law of cleansing the hands should be insisted upon at all
times. Rules for the method followed might be displayed in abbreviated
form in the operating room by glass or enameled signs hung on the wall
over the basin and reading as follows:
+----------------------------------------------------------+
| YOUR HANDS |
| |
| I. Clean nails. |
| II. Scrub with very hot water and soap for five minutes.|
| III. Wipe in sterile towel. |
| IV. Brush with eighty per cent alcohol. |
| V. Dip into antiseptic solution. |
+----------------------------------------------------------+
Green soap is commonly used and is to be preferred to powdered or cake
soap. The powder cakes and clogs the container in damp weather, while
the latter collects impurities from the air. Synol soap, also liquid,
is perhaps the most ideal, a two per cent solution of which forms an
excellent lavage for cleaning instruments, as well as washing down
furniture in the operating room.
The brushes to be used are of the common wooden-back, hard-bristle make,
which can be boiled without injury. There should be several of these,
marked on their backs as desired, so that one brush can be used for
the one purpose only. In cleansing the hands, the forearms, and even
the elbows, should be similarly treated. After scrubbing with soap, as
directed, they are to be rinsed, dried with a sterilized towel, again
scrubbed with alcohol, and then dipped or flushed with a bichlorid
solution.
GOWNS
No woolen garments should be allowed to come in contact with the site of
the operation, nor is it well to allow such material in the operating
room while working.
Freshly laundered linen gowns of Von Bergman’s pattern, reaching to the
shoes, should be worn. They should contain half sleeves and be buttoned
on the back. See Fig. 10. These may be sterilized in the steam sterilizer
or washed in one-per-cent soda solution. When soiled or blood-stained
they should be relaundered.
Public-domain text, read in full here on John Shaqi.
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