A textbook of obstetrics . had half thatnumber of drainage-tubes throughthe glands in a woman who hadbeen ill for six weeks or more withmammary abscesses, in spite of a fewineffective and insufficient incisionsin the breasts, made from time totime by her medical attendant. In incising a mammary abscess, the incisions, so far as possible,should radiate from the nipple, so that they run parallel withthe lacteal ducts. Otherwise, a duct may be cut across anda lacteal fistula may result. The incision should, if possible,avoid the area of pigmentation, or should be confined whollywithin it, as the
A textbook of obstetrics . had half thatnumber of drainage-tubes throughthe glands in a woman who hadbeen ill for six weeks or more withmammary abscesses, in spite of a fewineffective and insufficient incisionsin the breasts, made from time totime by her medical attendant. In incising a mammary abscess, the incisions, so far as possible,should radiate from the nipple, so that they run parallel withthe lacteal ducts. Otherwise, a duct may be cut across anda lacteal fistula may result. The incision should, if possible,avoid the area of pigmentation, or should be confined whollywithin it, as the pigmentation follows the cut, disfiguring thebreast (see Fig. 479). The abscess-cavities should be compressed,after being opened, by a firm mammary binder, and they shouldbe irrigated with sterile water daily. In the case of a postmammary abscess, the whole breast islifted off the chest, and there are no signs of suppuration withinthe gland itself. The systemic symptoms of this kind n\ mam-man abscess are usually Fig. 483.—Pigment of theareola following incisions ( Kit li-ar d son). 658 PATHOLOGY OF THE PUERPERIUM. Treatment.—The incision should be made beyond the per-iphery of the gland at the most dependent part as the woman lieson her back, and a counteropening must be made upon theopposite side. A drainage-tube is passed under the gland by adressing-forceps, and the cavity is irrigated daily. A galactocele is a milk-tumor due to occlusion of one of thelactiferous ducts. It is usually of no pathological importance,unless it should, as rarely happens, reach a large size, when itmust be tapped and drained. Other mammary tumors, especially adenomata, may take ona very rapid growth in pregnancy, and may become so engorgedand painful when lactation begins that their removal is one of my cases an adenoma grew during pregnancy fromthe size of a walnut to that of a cocoanut, and I was obliged toexcise it on the third day of the puerperium. Relaxation of t
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
