. La chirurgie, ses principes et sa pratique . la grande andutilité parmi les opérations standard. Dans le passé, il y avait des points très essentiels et importants de la différence entre la chirurgie appliquée à terre et à flot comme exprimé dans les CONDITIONS de CUIRASSÉ alors DE NOS JOURS. 1023 propreté chirurgicale inaccessible, qui repose davantage sur l'asepsie thanantisepsis. Puis, aussi, un mauvais éclairage et une mauvaise ventilation et une assistance et des soins infirmiers adéquats ont été défavorables à l'efficacité de la conduite d'une opération et à l'après-progression équitable de l'affaire. Mais aujourd'hui, avec les exceptions trouvées dans le reste de l'ancien

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. Surgery, its principles and practice . ty andutility among standard operations. In time past there were very essential and important points of differencebetween applied surgery ashore and afloat as expressed in the then BATTLESHIP CONDITIONS OF THE PRESENT DAY. 1023 unattainable surgical cleanliness, which relies more upon asepsis thanantisepsis. Then, too, poor illumination and bad ventilation and in-adequate assistance and nursing were unfavorable to the efficient con-duct of an operation and the after fair progress of the case. But today, with the exceptions found in the remnant of the old navy, operationsof whatever gravity cannot be deferred legitimately on the ground ofinsufficient material equipment or conditions unfavorable to the im-mediate purposes of the operation and the after-care of the patient duringconvalescence. Indeed, every convenient fitting for a strict compliancewith advanced surgical technic is provided, and the principles whichat all times and under the most trying conditions should guide the surgeon. Fig. 509.—Dispensary, U. S. S. Connecticut. here in his work must be the same that are recognized as good surgeryby the profession at large and practised in all civilized hospitals the worldover. ^ As has been said, academically speaking, there is no reason underordinary conditions on board ship why any operation should not be per-formed with eciually gratifying and happy results to both surgeon andpatient, but we nevertheless hold that, owing to possible attending cir-cumstances, such as rolling at sea, coaling ship, saluting, etc., nounnecessary or deferable operation of a major character should be under-taken, if with entire justice to the patient he can be sent to a hospital. Inthis connection it may be further said that each case of serious illnessor endangered life needlessly retained on board, through its mere presence 1024 NAVAL SURGERY. cripples by just so much the efficiency of the ship and has a very real andevident depressing infl

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