. The breast: its anomalies, its diseases, and their treatment . e method just described. The best of these are as follows: Sheilds Operation.—Sheild advises that as soon as elasticity and deep fluctuationcan be demonstrated in intra-mammary abscess, an incision be made, radiating fromthe nipple, and just large enough to admit the operators index-finger. The opening isdeepened until the pus flows, when the abscess cavity is explored with the finger, andall septse are broken, thus bringing all outlying pockets into free communication with acentral cavity. The success of the treatment largely de
. The breast: its anomalies, its diseases, and their treatment . e method just described. The best of these are as follows: Sheilds Operation.—Sheild advises that as soon as elasticity and deep fluctuationcan be demonstrated in intra-mammary abscess, an incision be made, radiating fromthe nipple, and just large enough to admit the operators index-finger. The opening isdeepened until the pus flows, when the abscess cavity is explored with the finger, andall septse are broken, thus bringing all outlying pockets into free communication with acentral cavity. The success of the treatment largely depends upon the thoroughnesswith which this is carried out. The most dependent part of the common abscesscavity is then located, and in most instances it will be found that the end of the finger maybe brought fairly near the surface at the thoraco-mammary junction. This, as Sheildpoints out, is the most desirable place for the scar since it is hidden from view when thebreast is in its normal position. After making a counter-incision at this point, the Plate I. ilamman abscess. {Hirst.) I THE INFECTIOUS DISEASES OF THE BREAST 179 abscess cavity is irrigated and a large fenestrated rubber drainage tube is inserted andanchored to the edges of the incision. The anterior incision is then closed with inter-rupted horse-hair sutures and covered with collodion. Primary union takes place, as arule, and the scar that remains is almost invisible. The after-treatment of these cases,as given by Sheild, is similar in all essentials to that given above, although he disadvisesflushing the cavity with antiseptic solutions. As soon as healing begins, he uses com-pression. A large fiat soft Turkey sponge is wrung out of carbohzed solution andplaced upon the breast; an opening is made in the sponge through which the drainagetube is drawn and a firm binder is applied. The arm is bound to the chest wall to pre-vent traction by the pectoral muscles upon the walls of the abscess cavity or sinuseswhic
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectbreast, bookyear1917
