. Surgery, its principles and practice . , both forthe removal of the growth and the covering of denuded areas. During operations of this kind the field of operation should be irrigatedfrequently with a tepid saturated solution of boric acid, and after theflaps have been adjusted and stitched into fine silk sutures,there should be a free irrigation with physiologic salt solution. Nextthe flaps are covered with protective, and over this several layers of anti-septic gauze secured with a few turns of a roller bandage. The dressingneed not be removed for seventy-two hours, and great ca
. Surgery, its principles and practice . , both forthe removal of the growth and the covering of denuded areas. During operations of this kind the field of operation should be irrigatedfrequently with a tepid saturated solution of boric acid, and after theflaps have been adjusted and stitched into fine silk sutures,there should be a free irrigation with physiologic salt solution. Nextthe flaps are covered with protective, and over this several layers of anti-septic gauze secured with a few turns of a roller bandage. The dressingneed not be removed for seventy-two hours, and great care must be takenin lifting it from its position lest the flaps are disturbed. Exfoliatedepithelium should be trimmed and the edges of the flap anointed withboric acid ointment. At this time any area which remains uncovered bythe skin flap may be covered with Thiersch grafts. These, too, may beapplied if any portion of the flap should slough after the sloughing tissuehas been separated. Occasionally there is a necrosis of the upper layer.
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