Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


The surgeon is called upon to treat two distinct classes of wounds: (1)
those resulting from injury or disease in which _the skin is already
broken_, or in which a communication with a mucous surface exists; and
(2) those that he himself makes _through intact skin_, no infected
mucous surface being involved.


Infection by bacteria must be assumed to have taken place in all wounds
made in any other way than by the knife of the surgeon operating through
unbroken skin. On this assumption the modern system of wound treatment
is based. Pathogenic bacteria are so widely distributed, that in the
ordinary circumstances of everyday life, no matter how trivial a wound
may be, or how short a time it may remain exposed, the access of
organisms to it is almost certain unless preventive measures are
employed.

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