The operating room and the patient; a manual of pre- and post-operative treatment . from the cut edges of the incisions,will penetrate and form new granulation material. The cir-culation in the foot should be supported by either a snug flannelbandage or circular strips of adhesive plaster, systematicallyapplied. These may reach to within about two inches of theedge of the ulcer. The ulcer itself is to be strapped in so-calledbasket strapping. This consists of strips of diachylon or 16 242 OPERATING ROOM AND THE PATIENT resin plaster, cut in lengths about one inch less than will besufficient to
The operating room and the patient; a manual of pre- and post-operative treatment . from the cut edges of the incisions,will penetrate and form new granulation material. The cir-culation in the foot should be supported by either a snug flannelbandage or circular strips of adhesive plaster, systematicallyapplied. These may reach to within about two inches of theedge of the ulcer. The ulcer itself is to be strapped in so-calledbasket strapping. This consists of strips of diachylon or 16 242 OPERATING ROOM AND THE PATIENT resin plaster, cut in lengths about one inch less than will besufficient to encompass the limb and not more than one inchwide. When practicable, it is better to cut the strips crosswiseto the piece as it is furnished by the manufacturer. Thisfacilitates their smooth application. Each strip, at the momentof application, is heated over the alcohol lamp. This sterilizesthe surface which is to be applied to the ulcer, and at the sametime increases its adhesiveness. The first strip is appliedhorizontally, and just overlaps the upper boundary of the flannel. Fig. 153.—Basket strapping for ulcer of the leg. A, Bandage applied tofoot and ankle; B, basket strapping; C, portion of ulcer remaining uncovered;D, incisions through base and edges of ulcer. (Fowlers Surgery.) bandage; it encircles the limb. The next strip is placed verti-cally, or at right angles to the above, and is likewise placed atleast two inches from the nearest border of the ulcer. The nextstrip is placed horizontally, and half overlaps the first. Thenext or fourth strip is placed vertically and half overlaps thesecond, or the vertical strip which has preceded it. The processis now continued in the same manner, alternate horizontal andvertical strips being applied until the entire surface of the ulcer CARE OF THE WOUND 243 is gradually covered (Fig. 153). The strapping is carried wellabove and beyond the margins of the ulcer. An antisepticcompress, made of crumpled gauze and large enough to
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