Preparatory and after treatment in operative cases . enchymatous oozing and capillary bleeding if not ar-rested with hot applications call for tamponade. The use ofastringents is to be avoided. THE MIKULICZ TAMPON For the purpose the Mikulicz tampon is exceedingly tampon is introduced with its apex in the bottom of thewound, and the cavity filled with strips of gauze (Fig. 210).The gauze tampon should have its edges turned in to obviate un-raveling, and consists of four layers of gauze (Fig. 211). At the same time sutures may be introduced into the wound,as shown in Fig. 223, to
Preparatory and after treatment in operative cases . enchymatous oozing and capillary bleeding if not ar-rested with hot applications call for tamponade. The use ofastringents is to be avoided. THE MIKULICZ TAMPON For the purpose the Mikulicz tampon is exceedingly tampon is introduced with its apex in the bottom of thewound, and the cavity filled with strips of gauze (Fig. 210).The gauze tampon should have its edges turned in to obviate un-raveling, and consists of four layers of gauze (Fig. 211). At the same time sutures may be introduced into the wound,as shown in Fig. 223, to be tied when the tampon is the hemorrhage is arrested, stimulants may be given andthe case treated as described under shock. REMOVAL OF MIKULICZ TAMPON The Mikulicz tampon should remain in situ for forty-eighthours. At the end of this time the gauze strips are moistenedwith a hot antiseptic or aseptic solution, in the manner describedunder dressing of wounds. The object of having the tampon SECONDARY HEMORRHAGE FOLLOWING OPERATIONS 269. Fig. 210.—Mikulicz Tampon in situ. Gauze square rilled with strips of gauze. square in contact with the wound surface is to permit of removalof the bulk of the pressure agent without disturbance of the sur-face of the wound. The tampon square is, of course, adherent
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishernewyo, bookyear1910
