The principles of surgery . e use of tonics and stimuli—of the latter, cantharides is often amost efficient form. A view towards this indication must always pervadeour fulfilment of the fifth. 10. Remedy deformity. In spite of allefforts to moderate contrac-tion, and to maintain duerelation of position, defor-mity is of frequent occur-rence, when much loss ofsubstance has been sus-tained. A simple incisionmay sometimes suffice, whenthe treatment has been ne-gligent. Mere division ofa tight cicatrix may permitthe parts to be normallyreadjusted; and then, theproper retentive means be-ing employe
The principles of surgery . e use of tonics and stimuli—of the latter, cantharides is often amost efficient form. A view towards this indication must always pervadeour fulfilment of the fifth. 10. Remedy deformity. In spite of allefforts to moderate contrac-tion, and to maintain duerelation of position, defor-mity is of frequent occur-rence, when much loss ofsubstance has been sus-tained. A simple incisionmay sometimes suffice, whenthe treatment has been ne-gligent. Mere division ofa tight cicatrix may permitthe parts to be normallyreadjusted; and then, theproper retentive means be-ing employed, a better heal-ing may be obtained. Or,by means of a subcutane-ous wound, a depressed andadherent cicatrix may beset free. But perhapsthere has been no faultytreatment; everything hasbeen done to prevent dis-placement, and yet it has occurred. Or it may be that, to save thesystem and obtain a cure, the moderating means have been less ener-getically employed towards the close, than at the first. In short, there Fig. Bum of the neck. Deformity caused by contraction of thecicatrix. 608 LITERATURE OF BURNS AND SCALDS. has been much loss of substance; and the part could not have healedat all, without very considerable contraction of the old textures. Insuch cases, the deficiency must be supplied. By incision, the cicatrixis divided; the parts are replaced in their proper position; and then aportion of integument and subcutaneous tissues, of suitable dimensionsto occupy the gap, having been detached by incision from the vicinity,is adjusted in its new place, and there retained by sutures and plasters;a connecting slip being left undivided, whereby its vitality is adheres, and effectually prevents recontraction; the parts retain theirnormal position, and the deformity is—at least in some degree— wound, whence the atoning flap was taken, is brought together,and treated for either adhesion or granulation, according to its form andcircumstances. Som
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