The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . e arm presented a terrible condition ofphlegmonous destruction. Not one tendon, no Joint, was free from suppuration, anda number of phalanges were necrosed ; tbe skin was extensively detached and repre-sented a boggy bag, from which pus flowed copiously through a number of smallerand larger defects due to sloughing. Diphtheria of the throat, tongue, and mouth hadalso developed the day before the consultation, and the wretched general condition ofthe y)atient put any operativ
The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . e arm presented a terrible condition ofphlegmonous destruction. Not one tendon, no Joint, was free from suppuration, anda number of phalanges were necrosed ; tbe skin was extensively detached and repre-sented a boggy bag, from which pus flowed copiously through a number of smallerand larger defects due to sloughing. Diphtheria of the throat, tongue, and mouth hadalso developed the day before the consultation, and the wretched general condition ofthe y)atient put any operative measure out of question. The inquiry, how such a stateof things could come about, drew the reply that there were plenty of openings, theyseemed to dischargeyree^jr und nicely, and tlierefore surgical interference was refrainedfrom. Neglected cases, where the suppurative process has attained wide pro-portions, should be treated on general princii)les laid down regarding themanagement of complicated abscesses. All recesses should be found out,seyjarately incised, and drained. Where in the course of a long-continued. u R Fig. 178.—Straight lines markin;the places where incisions can besafely made. The space betweenthe first and last strokes of thecapital M, marking the palm,should be avoided. (From Vogt.) DIAGNOSIS AND TREATMENT OF PHLEGMON. 235 process the soft tissues luive been more or less permeated by the septicpoison, and multiple small abscesses with a sanious discharge have estab-lislied themselves, the enormous swelling will render efficient drainage very-difficult or even impossible. Vertical suspension on Volkmantis arm-splint with continuous irriga-tion will often do here very effective service. Its detail is as follows : After the proper incisions are made and the requisite number of drainage-tnbes have been inserted, the arm is enveloped in gauze, is loosely attachedto the splint (Fig. 179) by a roller bandage, and is suspended from the ceil-ing or a suitable fra
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Keywords: ., bookcentury1800, bookdecade1880, bookpublishernewyo, bookyear1888
