Modern surgery, general and operative . orno pain. Treatment of Tuberculous Abscess.—For many years the majority ofsurgeons would not o|)en a tuberculous abscess unless it was on the j)oint ofrupturing. With the advent of antiseptic surgery it was assumed that asepticincision and drainage would be the proper treatment for these cases; butthe results, except in small superficial tuberculous abscesses, have been ex-tremely disappointing. If a large abscess is so treated, pyogenic infection will,in all probability, sooner or later occur, with all its possibilities of and drainag
Modern surgery, general and operative . orno pain. Treatment of Tuberculous Abscess.—For many years the majority ofsurgeons would not o|)en a tuberculous abscess unless it was on the j)oint ofrupturing. With the advent of antiseptic surgery it was assumed that asepticincision and drainage would be the proper treatment for these cases; butthe results, except in small superficial tuberculous abscesses, have been ex-tremely disappointing. If a large abscess is so treated, pyogenic infection will,in all probability, sooner or later occur, with all its possibilities of and drainage is the treatment for small and superficial abscesses. Treatment of Small Superficial Tuberculous Abscesses.—The surgeonmust remember that after one has opened an apparently superficial abscessit is his duty to make an examination to see that there is no channel connectingthe abscess with a deep or a distant focus. If he finds such a channel, he may bedisposed to follow one of the plans of treatment outlined below and on page Fig. —Case of cold abscess of the abdominal wall which had been treated as a hernia. It is also his duty to see whether there are sinuses tracking off from the abscess^and if these exist, he must slit them up. If there are loculi in the wall of theabscess, he must stretch their mouths. He must be particularly careful to seethat he is not dealing with a shirt-stud abscess, in which there is a little openingthrough the deep fascia connecting the abscess above with the abscess a shirt-stud abscess the deep fascia must be freely incised. After the ab-scess has emptied itself, its walls must be thoroughly scraped with a curet, andthe cavity must be irrigated with warm salt solution and drained with a tubeor with iodoform gauze. If the skin above a superficial abscess is diseased anddiscolored, and the abscess is on the eve of spontaneous rupture or has ruptured,the discolored skin must be cut aw-ay with scissors. If the discolored ski
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