larly scrubbed with a brush and cleanly shaved. Subsequently the
hands of the operator, assistants, and nurses, and the field of
operation should be immersed in, or thoroughly washed with, corrosive
sublimate solution (1:1,000 or 1:2,000). Finger rings, bracelets,
bangles, and cuffs worn by the surgeon, assistants, or nurses must be
removed before the cleansing is begun; and the clothing covered by a
clean white apron, large enough to extend from neck to ankles and
provided with sleeves.
The instruments should be similarly scrubbed with hot water and soap,
and all particles of blood and pus from any previous operation removed
from the joints. After this they should be immersed for at least
fifteen minutes in a solution of beta-naphthol (1:2,500), which must
be sufficiently deep to cover every portion of the instruments. After
cleansing the instruments with soap and water, baking in a temperature
a little above the boiling point of water is the best sterilizer.
During the operation the sterilized instruments should be kept in a
beta-naphthol solution and returned to it when the operator is not
using them.
[The antiseptic solutions mentioned here are too irritating for use in
operations within the abdomen and pelvis. Water made sterile by
boiling is usually the best agent for irrigating these cavities, and
for use on instruments and sponges. The instruments and sponges must
be previously well sterilized.]
Sponges should be kept in a beta-naphthol or a corrosive sublimate
solution during the operation. After the blood from the wound has been
sponged away, they should be put in another basin containing the
antiseptic solution, and cleansed anew before being used again. The
antiseptic sutures and ligatures should be similarly soaked in
beta-naphthol solution during the progress of the operation.
No one should touch the wound but the operator and his first
assistant. No one should touch the sponges but the operator, his first
assistant, and the nurse having charge of them. No one should touch
the already prepared ligatures or instruments except the surgeon and
his first or second assistants.
None but those assigned to the work are expected to handle
instruments, sponges, dressings, etc., during the operation.
When any one taking part in the operation touches an object not
sterilized, such as a table, a tray, or the ether towel, he should not
be allowed to touch the instruments, the dressings, or the ligatures
un
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