At the beginning of his report, the author describes in detail the environment in which he operates. The instruments immediately before the operation are boiled in water for 5 minutes, toothed instruments (tweezers, etc.) are calcined on an alcohol lamp; during the operation, they lie in boiled water. For seams, silk is used, boiled in a 5% carbolic solution and stored in a mixture of equal parts of a 1% (? Ref.) Solution of mercuric chloride and absolute alcohol; is used to apply a catgut disinfected previously lying in the course of 12 hours 0.1% mercuric chloride solution and then kept for several days in a mixture of 1 part ol juniperi and 2 parts alcohol. Sponges are rarely used - they are replaced by tampons from aseptic gauze, which are put into 1/2 solution of mercuric chloride at the time of the operation. The operator and his four assistants put on decontaminated rubber aprons; the sleeves are rolled up above the elbows; hands are washed with green soap and a brush, then with absolute alcohol and mercuric chloride solution. The patient is given a general bath on the eve of the operation and a laxative is given; then, when it is already chloroformed, the hair on mons Veneris is shaved off, the abdominal wall is thoroughly washed with green soap with a brush, sulfuric ether and 1 solution of mercuric chloride. After that, during the operation itself, the author does not use any disinfectant liquids; the abdominal cavity, if necessary, is washed with boiled water. After the operation, the edges of the abdominal wound are washed with mercuric chloride and pulverized with idoform; then sutures are applied, 3-4 deep, covering the entire thickness of the abdominal walls, and many superficial.
Notes on the fifty operations
