File:Gynaecology for students and practitioners (1916) (14758832446).jpg

Identifier: gynaecologyforst00eden (find matches)
Title: Gynaecology for students and practitioners
Year: 1916 (1910s)
Authors: Eden, Thomas Watts, 1864-
Subjects: Gynecology Gynecology
Publisher: New York : Macmillan
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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on of the usual procedurewill be found advisable. This consists in the administration of aquarter of a grain of opium in pill, or a full dose of the Mist. Catechu,c. Opio B.P. after the enema has been given on the night previous tothe operation. This will arrest peristalsis for the time being, and thusprevent the contents of the upper part of the colon from making theirway into the rectum. This is much better than repeating the enemaan hour or two before the operation, which excites peristalsis in thecolon at a time when it is desirable to suppress it. In this mannersoiling of the field of operation can best be avoided. GENERAL CONDUCT OF THE OPERATION 729 Vulva and pubes should be completely shaved, and the skin preparedwith spirit-soap. The vagina cannot be prepared by douching alone,although this is useful in removing secretions. Disinfection must becarried out under ansesthesia immediately before the operation isbegun. The iodine method yields good results, the watery or alcoholic
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mi^ Fig. 410. The Position and Coverings for a Vaginal Operation. solution being rubbed firmly, first into the vaginal walls with the aidof a speculum, and then into the skin of the labia, perineum, and inneraspects of the buttocks and thighs. It is generally speaking undesirable to perform plastic vaginaloperations during menstruation ; when the secretions are obviouslyunhealthy, e.g. purulent or offensive, such operations are absolutelycontra-indicated until healthy conditions have been restored. The Isolation of the Field of Operation. The operation-area havingbeen thus prepared as far as possible, it is important that, during the 730 GYNECOLOGY operation, this part of the body should be so surrounded by sterileprotective coverings that it is completely shut off from other partsof the body, or of the body-coverings. This is effected by coveringup the entire surroundings of the field with sterilized cloths andwaterproofs. The general arrangements are sufficiently indicated inFigs. 4

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