The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . used a bit of sponge for thispurpose, but the following experience has shown that sponge is not a safematerial: Case.—Theresa Kops, housewife, aged forty-eight. February 10, 1883.—Ampu-tation of left breast, with evacuation of the contents of the axilla for scirrhus of themammary gland. Wound sutured throughout; drainage by counter-incision throughlatissimus dorsi. Aseptic dressing. After feverless course, first change of dressingson February 21st, when the wound was found u
The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . used a bit of sponge for thispurpose, but the following experience has shown that sponge is not a safematerial: Case.—Theresa Kops, housewife, aged forty-eight. February 10, 1883.—Ampu-tation of left breast, with evacuation of the contents of the axilla for scirrhus of themammary gland. Wound sutured throughout; drainage by counter-incision throughlatissimus dorsi. Aseptic dressing. After feverless course, first change of dressingson February 21st, when the wound was found united. Drainage-tube was 22d.—Severe chill, phlegmonous infiltration of axillary region. Feb. 23d.—Incis-ion through cicatrix, and evacuation of a large quantity of pus, followed by a smallfragment of sponge; drainage. Uninterrupted liealing of the axillary abscess bygranulation. In removing the axillary glands a small vein was put on the stretch,and, being ruptured, retracted so far that it could not be found. A good-sized sponge was stuffed temporarily into the recess from which the hfemor-. FiG. 25. —Thierschs SPECIAL APPLICATION OP THE ASEPTIC METHOD. 43 rhage issued, and the operation was finished. When the sponge was ex-tracted, it came away, as usual, with some resistance, due to tlie mattingof the blood-clot into its meshes. The sponge was a very soft and brittleone, and its own cohesion was apparently less than the cohesion of itssurface to the tissues matted to it. A small portion of the sponge tore offand was left behind in the wound. It caused no trouble for eleven days,and only after the disturbance of its relations by the removal of the drain-age-tube did its decomposition set in. Since that time a strip of iodoformedgauze was used for the mentioned purpose by the author, which would nottear, and could not be overlooked, as its end is carried out of the woundfor a mark. Close attention to the details enumerated above wil
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Keywords: ., bookcentury1800, bookdecade1880, bookpublishernewyo, bookyear1888
