_7._ =AUTOPSY TECHNIQUE.= _The object of the autopsy is to examine
thoroughly, in as short a time as possible, and in the easiest and
most convenient method, all of the organs and tissues of the body,
with reference to the occurrence of disease-changes, in such a way
that nothing will be overlooked or obscured._ The preservation of
relationships becomes, therefore, a very important matter; and
nothing should be done to disturb these until a complete pathologic
picture has been obtained. All unnecessary handling and cutting must
be avoided. No hasty or ill-advised cuts should be made. Careful
deliberation is often necessary as to the proper course to be
pursued in order to obtain the proper result. Each autopsy is a law
unto itself in this regard. New complications constantly arise and
must be studied before the right way of revealing the solution of
the pathologic problem is found. _Above all things nothing should
be destroyed until its relationships have been fully determined._
False steps taken in an autopsy cannot be retraced, and the complete
investigation and the successful attainment of a diagnosis may be
made impossible by improper methods of technique. As in all other
technical matters there is a _best_ way of carrying out the different
steps of the autopsy; and as this best way must be altered to suit
the conditions as they arise, it follows that there is both a
_science_ and _art_ of autopsy-making. Some general rules can be laid
down that apply consistently to all autopsies, but strict adherence
to one method is impossible in all cases. As in everything else the
prosector should be master of his technique and not let it master him.
When everything is ready for the autopsy the operator should take
his place at the right side of the cadaver, unless he happens to
be left-handed, when it may be more convenient for him to stand at
the cadaver’s left. This position at the cadaver’s side he does not
leave, except when opening the cranium, when he stands behind the
head. When the spinal cord is removed posteriorly he still remains on
the same side of the table, although the cadaver, having been turned
over, presents its left side toward him. The instruments arranged
in proper order should be on a tray close at his right hand, either
on a neighboring table or placed on the autopsy table. As they are
used they should be washed and returned to their proper place and not
allowed to lie on the body or table.
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