Identifier: asepticsurgicalt00robb (find matches)
Title: Aseptic surgical technique : with especial reference to gynaecological operations : together with notes on the technique employed in certain supplementary procedures
Year: 1916 (1910s)
Authors: Robb, Hunter, 1863-1940
Subjects: General Surgery Gynecology Asepsis Asepsis and antisepsis Surgical instruments and apparatus Gynecology
Publisher: Philadelphia and London : J.B. Lippincott company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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or whitemarble Mosaic in three-quarter-inch cubes, embeddedin cement and polished, answers every purpose. Thewalls and ceiling are best plastered with Kings cement,which should be coated with white enamel paint. Thecorners of the room should be rounded, in order to doaway with crevices and nooks from which dust willbe hard to remove. The walls and floor can thus bescrubbed whenever necessary without injury. (Plate 150 ASEPTIC SURGICAL TECHNIQUE. XY.) The supply of light must be abundant. Electriclights should be provided for night work, and a mova-ble lamp is needed for throwing light into the depthsof a wound. One-half of the bulb of such a lampshould be silvered like a mirror on the inner surface,to act as a reflector. The same hemisphere is opaqueon the outside, so as to shield the operators eyes fromthe light. (Fig. 26.) A gas supply and fittings for Bunsen burners arenecessary. The room should be heated from the gen-eral heating apparatus of the hospital, but if possible Fig. 26.
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Movable incandescent lamp. ^2,^2>^:^ an open fireplace should be added. A thermometershould be suspended in the room, and the temperatureshould be carefully regulated at about 80° F. When the patient is placed upon the cold operating-table during the spring, autumn, and winter months,when the temperature of the room is between 60° and70° F., there is always a certain amount of risk, inspite of the use of coverings and hot-water bags. Theoperator is liable to fail to appreciate to what extentthe exposure may be affecting the patient, as he is onthe move most of the time, and is thus to a certainextent able to keep up his bodily heat. Then, too,the patient is still further exposed during the neces- OPERATING TABLES. 151 sary cleansing of the field of operation. Finally, weshall take into consideration the loss of heat pro-duced by the inhalation of ether. This chilling ofthe patient contributes in no small measure to theuntoward results that sometimes follow an operation, Fig. 27.

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