Operative gynecology : . is useful. After shav-ing, the genitals should again bethoroughly washed with soap andwater. Green soap or soft soapserves admirably for the purpose;it can be thoroughly rubbed intothe skin, cleansing better than hard soap. All furrows between the labia and about the clitoris must be care-fully After the external parts have been cleansed, the assistant takes a pledget ofcotton covered with soap, and introducing it into the vagina with long forceps,under a stream of water from the irrigator, smooths out all furrows and scrubsthoroughly all accessible parts, s
Operative gynecology : . is useful. After shav-ing, the genitals should again bethoroughly washed with soap andwater. Green soap or soft soapserves admirably for the purpose;it can be thoroughly rubbed intothe skin, cleansing better than hard soap. All furrows between the labia and about the clitoris must be care-fully After the external parts have been cleansed, the assistant takes a pledget ofcotton covered with soap, and introducing it into the vagina with long forceps,under a stream of water from the irrigator, smooths out all furrows and scrubsthoroughly all accessible parts, so as to remove the discharges and accumulatedepithelial debris. Then the vagina is douched with a 10 per cent creolinsolution, which sterilizes, and acts as an efficient detergent. This solution isfollowed by a bichloride of mercury solution (1-2,000), and this again bywarm water. A thorough vaginal cleansing will require from three to fiveminutes. Long sterilized canton-flannel stockings are now drawn over the patients. Fig. 115.—Perineal Drainage Cushion with In-flatable Rubber Ring, in position on Tableto receive Patient in Lithotomy Posture. 216 GENERAL PRINCIPLES INVOLVED IN PLASTIC OPERATIONS. legs and fastened above the knees with a drawstring. A protector 1 meter(1 yard) square, composed of two thicknesses of gauze, is spread between thethighs, covering all the exposed parts, and hanging well down over the but-tocks onto the cushion; as the surgeon takes his seat he cuts a small open-ing in the protector corresponding to the vulva so as to expose the field ofoperation. Assistants.—For convenience of rapid work the surgeon will do best withfour assistants—one to give the anesthetic, two standing on either side of thepatient to help the operator, while the fourth hands the instruments and liga-tures as wanted. In operations conducted in a private house or private hos-pital the operator can make shift with two assistants—one to give the anestheticand one to assist
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
