Fistula of the withers and poll-evil . Fig. 9.—The Drainage Tube After the Wound Has BeenSutured, Typical Fistula. the sutures are removed and the packing liftedout carefully. There is at this time still some,danger of bleeding if the interior of the cavityis harshly handled. We, therefore, advise thatno attempt be made to clean out the blood clotsattached here and there about the cavity untilthe end of forty-eight hours, but that we con-tent ourselves with a second packing of oakum S6 FISTULA AND POLL-EVIL or gauze soaked in mercuric chlorid solutionand bound down with the withers bandage. At
Fistula of the withers and poll-evil . Fig. 9.—The Drainage Tube After the Wound Has BeenSutured, Typical Fistula. the sutures are removed and the packing liftedout carefully. There is at this time still some,danger of bleeding if the interior of the cavityis harshly handled. We, therefore, advise thatno attempt be made to clean out the blood clotsattached here and there about the cavity untilthe end of forty-eight hours, but that we con-tent ourselves with a second packing of oakum S6 FISTULA AND POLL-EVIL or gauze soaked in mercuric chlorid solutionand bound down with the withers bandage. Atthe end of forty-eight hours we give the wholecavity a good cleaning under strict aseptic pre-cautions, removing the blood clots attached tothe tissue completely. The cavity is nowsprinkled with iodoform and then filled up with. Fig. 10.—The Drainage Tube After the Wound Has BeenSutured, Atypical Fistula. a mixture consisting of iodoform five per centand boric acid ninety-five per cent and thewithers protected again with clean cotton andthe bandage. In cases where the wound has not been soiledduring the operation a daily renewal of theantiseptic powder after wiping out the old will TREATMENT 87 answer for the after-care, but where the cavitywas found badly infected or in instances wherethe operation was not a perfectly clean one, itis essential that the powder be renewed no lessfrequently than three times a day for the firstfour days. By attending with great care tothis large wound, the discharges will not beabundant, but when the whole area of exposedflesh is allowed to become contaminated the is-sue is copious. It is, therefore, important topay strict attention to the wound, treating itskillfully during the first four days. Afterfour days there is less danger of grave infec-tions gaining any headway in th
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectho, booksubjecthorses
