North Carolina Medical Journal, Vol. 39: January 5, 1897 (Classic Reprint)

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Excerpt from North Carolina Medical Journal, Vol. 39: January 5, 1897Aseptic wound treatment applies to a fresh wound, antiseptic wound treatment to a wound already infected and to prevent the extension of this infection.In this discussion for to-night I will only take up the subject of asepsis as applied to fresh wound treatment. I think every one admits that perfect cleanliness would be desirable, but so many physicians, in private practice particularly, think it im possible to carry out a systematic node of asepsis, preferring to depend upon the antiseptic, usually, carbolic acid or the bichloride. The great objection to the use of the solutions is that one is apt to place too much dependence upon them and thus overlook the fact that they require for their action a very long time and that it is practically impossible to sterilize any thing with them during the short time we have preliminary to an operation. I believe that any physician, doing country work or not, may carry out to its fullest extent the sterilization of hands, instruments, etc., and thus enable him to get as good results in private practice as is obtained in the best equipped hospitals, that is in so far as our immediate efforts go, for I am not forgetful of the good results of hospital treatment and nursing, Iwill take the liberty of giving in brief some ideas and modes of carrying out an aseptic Operation. While I know that some men will differ from me in many things, still I can not but feel that, in View of the usual good results I get, I am justified in keeping on with my methods. In the first place let me say that I try to get along without the antiseptics, excepting heat of course, just as much as possible. They are irritating, speaking of the bichloride and carbolic acid more particularly, and in a measure favor suppuration by destroying the external layers of the cells, giving frequently a nidus for baccillar growth.About the PublisherForgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.comThis book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.