File:Aseptic surgical technique, with especial reference to gynæcological operations (1916) (14777103592).jpg

Identifier: asepticsurgic00robb (find matches)
Title: Aseptic surgical technique, with especial reference to gynæcological operations
Year: 1916 (1910s)
Authors: Robb, Hunter, 1863- (from old catalog)
Subjects: Surgery, Aseptic and antiseptic. (from old catalog) Women
Publisher: Philadelphia, J. B. Lippincott company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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e (2 per-cent.) maybe applied to the inflamed urethra, a toothpick wrappedwith absorbent cotton being convenient for this purpose.Such applications are made about every other day.Bladder irrigations of a quart of a saturated solution ofboric acid and normal saline solution (equal parts) maybe used daily if the cystitis is severe. When the acutecondition and fever have subsided, the uterus shouldbe thoroughly curetted, and then irrigated. As to theuse of antiseptics and powerful caustics in the uterinecavity, they are much better omitted. They cannotreach deep into the tissue, anyhow, and their only effectis to cause a local necrosis, and later a slough whichsubsequently provides in itself an ideal culture mediumfor micro-organisms. The tissue removed by curetting in such cases isabundant. On section, the picture is typical of acute PLATE XXIII. f* Jt* ** * //jv-i;- */»■ *-v & #%- • • ■• • •**■ Fig. 1.—Interstitial exudative endometritis. (After Winter and Ruge.)
Text Appearing After Image:
Fig. 2.—Hypertrophy of uterine glands. (After Cullen.) a, a, section ofnormal glands ; b, normal glands distorted by curette ; c, c, c, all portions of onegland, cut across its folds; d, d, like c, except that the continuity can betraced ; e, hypertrophied, but less convoluted than c and d. ENDOMETRITIS. 261 inflammation. The epithelial cells of the glands aremuch swollen, and frequently their nuclei stain poorly.Many are desquamated, and the gland lumen is filledwith cast-off cells and leucocytes. The stroma cells arealso swollen, and separated by an exudate, in whichgreat numbers of leucocytes, chiefly polymorphonu-clear, are seen. At times, typical gonococci may bestained within these leucocytes. The blood- and lymph-spaces are dilated, and some local hemorrhagic areasmay appear. When the curetting has been done, as itshould be, at the end of the acute attack, the picturemay present features less definite than those justdescribed. (Plate XXIIL, Fig. 1.) Septic Endometritis.—The

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