The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . ble will be best cured byoperation. After careful scrubbing and disinfection, the toe is renderedanaemic by constriction of its root with a piece of rubber tubing. Localanaesthesia is produced by either an injection of a cocaine solution or theuse of Eichardsons ether-spray. Thepoint of a bistoury is (Fig. 182)placed against the exuberant tissuesadjoining the nail, and is thrustthrough the margin of the toe. Itis carried forward until the integument is separated in the shape
The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . ble will be best cured byoperation. After careful scrubbing and disinfection, the toe is renderedanaemic by constriction of its root with a piece of rubber tubing. Localanaesthesia is produced by either an injection of a cocaine solution or theuse of Eichardsons ether-spray. Thepoint of a bistoury is (Fig. 182)placed against the exuberant tissuesadjoining the nail, and is thrustthrough the margin of the toe. Itis carried forward until the integument is separated in the shape of alongitudinal flap. Then the knifeis reversed and carried back well be-yond the matrix of the nail, wherethe flap (c) is cut off. The pointed blade of a straightpair of scissors is placed under the an-terior margin of the nail (Fig. 182, A, b) just beyond tlie limit of the disease,and, being thrust under it, cuts through the nail in an antero-posterior direc-tion well Vjack of the matrix. One blade of a stout pair of dressing-forceps isnext insinuated into the slit in the nail and under the loose segment. This,. Fifj. 182.—Operation for ingrown , 15, Line of section through the nailand matrix. DIAGNOSIS AND TREATMENT OF PHLEGMON. Ml being firmly grasped, is evulsed with an outward rotating motion. Goodcare must be taken not to leave behind any shreds of the cut-ott granulations are scraped away with a sharp spoon, and the Avound iswell irrigated with mercuric lotion. A strij) of rubber tissue well soakedin carbolic lotion, and just large enough to cover the wound, is placed nextto it; over this comes a strip of iodoformed gauze and a small disinfectedsponge, the latter to exercise elastic pressure for the prevention of unduehaemorrhage ; finally comes a light, compressive 7)ioist dressing, fastenedby a roller bandage. While the patients foot is held elevated, the rubberband is removed. The first dressing can be left on for a week or even twoweeks. Bei
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Keywords: ., bookcentury1800, bookdecade1880, bookpublishernewyo, bookyear1888
