. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. n another protrusion. If stump does not disappear removemore of it. Skin Closure.—After very thorough hemostasis, sew the skin with atrocar-pointed needle. The following form of buttonhole continuoussuture will please those who have not seen it. After the first knot, thrust the needle through both flaps about 1cm. from their edges. With the skin thus transfixed, wind the slack LAPAROTOMY AND OPERATIONS UPON THE ABDOMEN.


. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. n another protrusion. If stump does not disappear removemore of it. Skin Closure.—After very thorough hemostasis, sew the skin with atrocar-pointed needle. The following form of buttonhole continuoussuture will please those who have not seen it. After the first knot, thrust the needle through both flaps about 1cm. from their edges. With the skin thus transfixed, wind the slack LAPAROTOMY AND OPERATIONS UPON THE ABDOMEN. 259 of the thread twice around the point, instead of once, as in the ordinarylock-stitch. Then draw it up until it is just tight between the stitches,but does not pucker. There is no back-slip, and each stitch holds by friction. This givesa ridge-shaped suture-line like a double row of stitches. Do not drain these wounds, except in rare cases where there is muchdissection and persistent oozing, when it is well to insert a small drainthrough an independent buttonhole—not through the angle of theincision. Seal the wound with collodion. Firmly bandage both groins with. Fig. 76.—Blakes Method for Radical Cure of Femoral Hernia. wide spica bandages. In children and restless patients it is sometimeswell to pad the hips, trunk and thighs with antiseptic cotton, and puta light cast or starch bandage from the chest to the knees. There is no advantage in redressing these cases. They are well onthe eighth or tenth day, and should be allowed to be up and take ordinaryexercise at once. Let no binder or truss be used after discharging thepatient. (E. Wyllys Andrews.) After-treatment.—The patient should observe the recumbent position,and must avoid all exertion and straining during the period of conva-lescence. He should not be allowed to lift himself in bed. It often 260 POSTOPERATIVE TREATMENT. happens that the comfort of the patient may be increased by allowingthe thighs to be kept


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