. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. these operations do not always heal so kindly as might be expected,and often compare unfavorably with like woundsin the hand. In a few cases this may be due tothe fact that the operation is an imperfect one—amere trimming of a mangled part—and is the out-come of a desire to remove as little tissue aspossible. The less free circulation of the part, and thecircumstance that the wound is less convenientlyplaced for drainage
. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. these operations do not always heal so kindly as might be expected,and often compare unfavorably with like woundsin the hand. In a few cases this may be due tothe fact that the operation is an imperfect one—amere trimming of a mangled part—and is the out-come of a desire to remove as little tissue aspossible. The less free circulation of the part, and thecircumstance that the wound is less convenientlyplaced for drainage, may serve in other cases toexplain the tardier healing when compared withoperation wounds of the fingers. There is littledoubt, however, that the chief reason lies in im-perfect disinfection of the skin before clefts between the toes are unrivaled breeding-grounds for an amputation in this region the most sedulous care should bepaid to repeated disinfection with alcoholic solution of mercury biniodidor of carbolic acid. If the aseptic precautions are thorough, the woundwill probably heal as well here as in any other part of the Fig. 133.—Amputationof Toe.—{Hare.) win r \ noxs. 409 Removal of Sutures, Drainage, etc.—As the skin of plantar flapsis usually thick and stiff, sutures should be so applied as to retain a goodhold of the parts. They should not be removed too soon, as the flapmay give way. Silkworm-gut sutures may often be left in for ten oreven fourteen days. The smaller amputations require ordinarily nodrainage. In operations upon the great toe, a fine tube, or a tubesplit in halves, or strands of silkworm-gut, or a gauze drain may beretained for the first twenty-four hours. In case of the removal of thegreat toe, together with its metatarsal bone,the foot should be allowed to lie a little uponits inner side, provided direct pressure is notmade upon the wound. When the fifth toehas been removed in a similar manner, thefo
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