. 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. Fig. 9. The leaden-plate suture. will differ in its details. In passing the deep stitches theneedle should be made to transfix the deepest part of thewound, and where deep sutures are used, the drainage mustbe very carefully attended to.
. 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. Fig. 9. The leaden-plate suture. will differ in its details. In passing the deep stitches theneedle should be made to transfix the deepest part of thewound, and where deep sutures are used, the drainage mustbe very carefully attended to. They should only be em-ployed when the approximation of the wound-surface isdifiicult or impossible otherwise, and they should be retainedas short a time as possible when other than catgut, as theytend, by reason of the tension, to excite suppuration. It is a good thing also to remove the superficial points 144 ANTISEPTIC SURGERY. of suture early. On the third day, in many cases, the ;alternate stitches may be cut out, and the rest the follow-ing day. Wire and Button Suture. Where a considerable gap exists, as after the removal ofa tumour, in which the skin is implicated, deep stitches,for the purpose of drawing the wound-surfaces and margintogether with the least amount of tension, are of great. Fig. 10. Professor Thierschs Bead Suture. value in facilitating healing, and should generally be wire is the material to employ; gut would scarcelyanswer the purpose. Various forms of the old button suture may be usedwith advantage. The drawing displays a modification of it,employed by Professor Lister. A leaden plate, about one-twentieth of an inch thick, is cut in the shape shown inthe figure ; it has a central perforation for the wire to pasSthrough, and two wings, which can be turned up, and to . BUTTON SUTURE. 145 wliich the wire may be secured by winding it round in afigure of 8 form. See fig. 9. The figure represents a wound in diagram, with deepand superficial sutu
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