. Minor surgery and bandaging, including the treatment of fractures and dislocations .. . be continued for hours before the desired result is ob-tained. Hot compresses applied in this manner are fre-quently employed in treating inflammatory conditions ofthe eye, and are also of the greatest service in keeping upthe vitality of parts ivhich have been subjected to severeinjury interfering with their blood-supply. I have seencontused limbs, which were cold and seemed to be doomedto gangrene by reason of diminished blood-supply, havetheir temperature and circulation restored by the patient andpers
. Minor surgery and bandaging, including the treatment of fractures and dislocations .. . be continued for hours before the desired result is ob-tained. Hot compresses applied in this manner are fre-quently employed in treating inflammatory conditions ofthe eye, and are also of the greatest service in keeping upthe vitality of parts ivhich have been subjected to severeinjury interfering with their blood-supply. I have seencontused limbs, which were cold and seemed to be doomedto gangrene by reason of diminished blood-supply, havetheir temperature and circulation restored by the patient andpersistent use of this dressing. After the vitality of sucha part is restored it should be covered with cotton and aflannel bandage and surrounded by hot-water bags or hot-water cans. IRRIGATION. 159 Irrigation. This may be accomplished by allowing the irrigatingfluid to come in contact with the wound or inflamed part,or by allowing the cold or warm fluids to pass throughrubber tubes which are in contact with or surround thepart; the latter method is known as mediate irrigation. Fig. Apparatus for continuous irrigation. (Esmabch) In employing irrigation in the treatment of wounds orin inflammatory conditions, a funnel-shaped can with astop-cock at the bottom, or a bucket is suspended over thepart at a distance of a few inches (Fig. 100), or a jar with 160 MINOR SURGERY. a skein of thread or lamp-wick arranged to act as a siphonmay be employed. (Fig. 101.) The can or jar is filledwith water, and this is allowed to fall drop by drop uponthe part to be irrigated, which should be placed upon apiece of rubber sheeting so arranged as to allow the waterto run off into a receptacle so as to prevent the wettingof the patients bed. The water employed may be eithercold or warm, and this is decided by the indications inspecial cases, and if it is desired to make use of antisepticirrigation the water is impregnated with carbolic acid or Fig. 101.
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectbandagesandbandaging
