Plastic surgery; its principles and practice . ith one of the dyes, it is obviouslyunfair to denounce the dressing as the cause of the degeneration. All of these substances may be used in powder form in the desiredstrength, in any of the usual powders (talcum, stearate of zinc, boricacid, etc.) as a base. They may be incorporated in adhesive plaster 1 Davis, J. S. Anns. Surg., May, 1911, 703. 164 PLASTIC SURGERY or dissolved in paraffin wax, in all these combinations they have provedtheir value as epithelial stimulants, but so far as my observations gothey do not exert any antiseptic action. F


Plastic surgery; its principles and practice . ith one of the dyes, it is obviouslyunfair to denounce the dressing as the cause of the degeneration. All of these substances may be used in powder form in the desiredstrength, in any of the usual powders (talcum, stearate of zinc, boricacid, etc.) as a base. They may be incorporated in adhesive plaster 1 Davis, J. S. Anns. Surg., May, 1911, 703. 164 PLASTIC SURGERY or dissolved in paraffin wax, in all these combinations they have provedtheir value as epithelial stimulants, but so far as my observations gothey do not exert any antiseptic action. For Antiseptic Use.—C. E. Simon and Wood found that an aciddye, irrespective of its color (in the standard concentration of i to 100,-000 at least), is devoid of bactericidal properties, whereas a basicdye, likewise irrespective of its color, may possess inhibitory of these basic dyes in the laboratory showed a selective action forcertain bacteria. Methylene blue has been used for years as an antiseptic in i to 2per cent Fig. 121.—Chronic ulcer of the ankle following infection. ().—Healed in theOut-patient department by the ordinary methods, Dimazon ointment, 2 per cent., beingthe epithelial stimulant used. Dahlia (Basic fuchsin, and methyl violet), in 2 per cent aqueoussolution is very useful in overcoming infection in superficial have used it extensively, and have had excellent results. The granu-lations are dried and the dahha solution is painted on with a cottonswab. The tissues are stained a deep purple color. On abrasions, asingle apphcation of 2 per cent dahlia is often sufficient. The granu-lations soon become dry, and the discharge scanty. I often use dahliaon wounds which are to be exposed to the sun or electric hght, or overwhich paraffin wax is placed, and find that the infection is controlledmore rapidly, and healing is hastened. This substance seems to have the double quality of a germicide, and THE TREATMENT OF WOUNDS 16


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky