The steps of the Cesarean section : the do's and the don't's / by Howard A. Kelly.

  • Howard Atwood Kelly
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: The steps of the Cesarean section : the do's and the don't's / by Howard A. Kelly. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    111. Do not cut the placental tissue, thus bleeding the child, in placenta previa cesareana. IY. Do not waste time picking off small shreds of decidua from the inner surface of the uterus. Y. Do not do a conservative Cesarean operation when the uterus is already septic. If the uterus is infected, do a supra- vaginal amputation after Porro’s method. YI. Do not use catgut of any kind as a uterine suture. It has proven dangerous and uncertain. Y1I. Never use a continuous suture in the uterus. YIII. Do not attempt to drain t]ie abdominal cavity; it cannot he done effectually. IX. Do not douche out the vagina, as a matter of routine, .after the operation. It must be carefully disinfected before- hand ; afterwards an aseptic genital tract will need no active antiseptic regime. X. Lastly, let all the preparations be so fully and carefully made beforehand that no time shall be lost, and each succes- sive step shall follow its predecessor with the utmost rapidity consistent with accuracy, and the whole be completed with despatch. I have thus endeavored to insist that a certain simple, rational technique, now shown by an abundant experience to contain all the factors of success, shall be universally adopted. I must insist that my countrymen, in particular, shall cease making useless experiments, unwittingly repeating over and over again the errors of their predecessors. No man has any longer a right, unless upon the basis of a large experience, to materially modify any details of this operation, if lie be unwilling to bear the imputation of un- warrantable trifling with the most sacred trusts committed to his care.
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