Plastic surgery; its principles and practice . s caused by this gas were practically unknown before the introduc-tion of this barbarous method of warfare by the Germans. They mayoccur during its manufacture, but much more commonly in gas majority of these burns are superficial, but occasionally there isdestruction of the skin and the underlying tissues to various depths,producing a tendency to great sluggishness and successive layers ofsloughing. THE TREATMENT OF WOUNDS 137 The insidiousness of the gas and the difficulty in handling theburns without causing further damage to both a
Plastic surgery; its principles and practice . s caused by this gas were practically unknown before the introduc-tion of this barbarous method of warfare by the Germans. They mayoccur during its manufacture, but much more commonly in gas majority of these burns are superficial, but occasionally there isdestruction of the skin and the underlying tissues to various depths,producing a tendency to great sluggishness and successive layers ofsloughing. THE TREATMENT OF WOUNDS 137 The insidiousness of the gas and the difficulty in handling theburns without causing further damage to both attendant and patientfrom the contents of the blisters makes the early care quite tr>^ng. It is hoped that this type of burn will hereafter be practically ehmi-nated, and that the manufacture and use of mustard gas will nowcease for ever. Recent burns seldom come under the care of the plastic cases are usually referred to him when they have become granu-lating wounds, therefore I shall consider burns only from that Fig. 115.—A crush burn of the palm of the hand and lingers. Duration three deep destruction of tissue would eliminate the successful use of a thin graft in thiscase, except as a preliminary measure. The only chance of restoring function is to coverthe palm and fingers with pedunculated flaps of skin and fat. The Care of the Skin Surrounding a Wound The care of the skin surrounding a wound is important, as its healthycondition means much in the healing process. If the skin is infected, orirritated, it is difficult to put the wound in a healthy condition, and inaddition the dressings are seldom comfortable. Irritation may be caused by wound secretions, by the drugs applied,or by the constant use of adhesive plaster in the same places. Ether,benzine, or gasoline are probably the best solutions for cleansing the skinimmediately surrounding the wound, as they remove secretions and 138 PLASTIC SURGERY oily substances and do not irri
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
