The Cure of Rupture by Paraffin InjectionsMiller, Charles Conrad
Philosophy
The Cure of Rupture by Paraffin Injections
Miller, Charles Conrad
Hernia; Paraffin injections
The presence of the paraffin will not interfere with the successful
performance of the open operation nor will it complicate the operation
so that the chances of a radical cure are not diminished from this
method, nor is the patient liable to a slower convalescence.
Vehement protests against the use of paraffin injections are to be
expected from surgeons doing the open operation, and unbiased readers
should not be misled by condemnatory remarks from inexperienced
sources.
PREPARATION OF THE SKIN.
The hair over the pubes and the groin of the affected side should be
cut rather close and then the parts scrubbed with a solution of green
soap. A small amount of a forty per cent. solution of formaldehyde may
be added to the soap solution as this agent is a very powerful
antiseptic.
Soap solution.
Formaldehyde solution, one dram (40%).
Green soap, four ounces.
Dilute alcohol to make one pint.
The dilute alcohol is made up of equal parts of ninety-five per cent
alcohol and water.
After the parts are thoroughly scrubbed with this solution the soap
should be removed with moist compresses and then the parts mopped with
a solution of seventy per cent alcohol. Finally the field of operation
should be flooded with ether as this agent is an effective antiseptic
and also acts as a solvent for any greasy matter not removed by the
soap.
PREPARATION OF THE HANDS OF THE OPERATOR.
Antiseptics cannot be as freely used upon the hands of the operator as
upon the skin of the patient as the repeated application of the
stronger antiseptics cause a scaling of the epithelial cells and
finally the development of an irritated state which prevents cleansing
of the hands sufficiently to permit operating.
It is well to scrub the hands with the soap solution and then to
follow with the use of the seventy per cent alcohol. The alcohol
solution is the least irritating of effective antiseptics and it is
the solution in which needles and leather washers should be kept, so
that they are at all times ready for use.
THE SYRINGE.
The sterilized paraffin syringe should not be handled until the hands
have been scrubbed. The washers and needles, just before using, should
be removed from the alcohol solution. It is unnecessary to wash the
alcohol from the fingers, washers or needles, in fact, it is
preferable to leave it upon them.
Using an extra large syringe it is possible to operate upon several
patients without resterilizing the syringe. This instrument may be
soaked in the alcohol solution, the needle changed and the operator
may continue until the syringe is empty.
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