. Antiseptic surgery : an address delivered at St. Thomas's Hospital : with the subsequent debate to which are added a short statement of the theory of the antiseptic method, a description of the materials employed in carrying it out, and some applications of the method to operations and injuries in different regions of the body, and to wounds received in war. aths of the tendons, after an injury to thefingers, in suppuration beneath the palmar or plantar apo-neuroses, it must be apparent that there are great practicaldifficulties in disinfecting the parts involved. In such cases we must freel
. Antiseptic surgery : an address delivered at St. Thomas's Hospital : with the subsequent debate to which are added a short statement of the theory of the antiseptic method, a description of the materials employed in carrying it out, and some applications of the method to operations and injuries in different regions of the body, and to wounds received in war. aths of the tendons, after an injury to thefingers, in suppuration beneath the palmar or plantar apo-neuroses, it must be apparent that there are great practicaldifficulties in disinfecting the parts involved. In such cases we must freely make many short incisionsinto the inflamed tissues, and into the suppurating tendinoussheaths. The wounds thus made are afterwards washed outwith 5-per-cent. carbolic solution, and numerous small drainsinserted. Serum and sero-pus will drain away in large 264 ANTISEPTIC SURGERY. quantities, and the inflammatory tension and pain will beshortly relieved. Hueter calls the wounds thus made button-holes. Insome cases he has inserted twenty to thirty drainage-tubes,in an inflamed fore-arm, for instance. He insists that allthe inter-muscular spaces must be opened and drained, andthat if this be done, an aseptic condition is arrived at in twoor three days. The procedure must be repeated if any freshsigns of inflammation exist; that is, further incisions must. Fig. 57.—Volkmanns suspension splint. The cross-piece is made reversible,so that the same splint will answer for either arm, and for both theexternal and internal aspects. be made when needed, and all the wounds washed out againwith the strong solution. Konig ^ has published some cases of diffuse suppurationin the tendinous sheaths of the fore-arm muscles, in whichhe laid open the sheath, allowed pus to escape, and then Konig, Antiseptisches Verfahren bei Infeetiosen Eiteningen, DeutscheZeitschrift fiir Chirurgie, vol. x. TREATMENT OF SEPTIC WOUNDS. 265 washed out the cavity. There was no subsequent necrosisof the tendons, and
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