Preparatory and after treatment in operative cases . Fig. 212.—Mikulicz Tampon Grasped with Heavy Hysterectomy ForcepsReady for Fig. 213.—Mikulicz Tampon Twisted and Loosened from Sides of Wound,Ready to be Lifted Out. 270 SECONDARY HEMORRHAGE FOLLOWING OPERATIONS 271 to the contiguous raw surfaces, and its removal is likely to be at-tended with trauma to the small vessels, which have been ob-structed by coagulated blood, and when these clots are torn awayas the tampon is removed renewed hemorrhage may occur. Afterthe gauze strips have been withdrawn, hydrogen peroxid issyringed bene


Preparatory and after treatment in operative cases . Fig. 212.—Mikulicz Tampon Grasped with Heavy Hysterectomy ForcepsReady for Fig. 213.—Mikulicz Tampon Twisted and Loosened from Sides of Wound,Ready to be Lifted Out. 270 SECONDARY HEMORRHAGE FOLLOWING OPERATIONS 271 to the contiguous raw surfaces, and its removal is likely to be at-tended with trauma to the small vessels, which have been ob-structed by coagulated blood, and when these clots are torn awayas the tampon is removed renewed hemorrhage may occur. Afterthe gauze strips have been withdrawn, hydrogen peroxid issyringed beneath the edge of the square of gauze, and after themore externally located portions are thus loosened, the protrud-ing part is folded together and held in a clamp (Fig. 212) andslowly and carefully twisted (Fig. 213), at the same time con-tinuing the injection of hydrogen peroxid until the tampon isfinally lifted from its seat. The solutions used for the purpose should be hot (110° F.)with the view of arresting whatever oozing may occur. Thewound may now be closed with stitches previously introduced(Fig. 223), or be left open as


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Keywords: ., bookcentury1900, bookdecade1910, bookpublishernewyo, bookyear1910