Plastic surgery; its principles and practice . rrounding theulcer, and passive motion of the part involved. The wound should betreated by any method deemed desirable, and in addition, the massageand passive motion should be used for the purpose of improvingcirculation and loosening adherent tissues. Cyriax reports good results following the use of massage and passive motion in the treatment of septic war wounds. He says that each11 l62 PLASTIC SURGERY treatment should take from lo to 15 minutes, and uses vibration andand kneeding (petrissage) around the wound. The joints and musclesare mobiliz
Plastic surgery; its principles and practice . rrounding theulcer, and passive motion of the part involved. The wound should betreated by any method deemed desirable, and in addition, the massageand passive motion should be used for the purpose of improvingcirculation and loosening adherent tissues. Cyriax reports good results following the use of massage and passive motion in the treatment of septic war wounds. He says that each11 l62 PLASTIC SURGERY treatment should take from lo to 15 minutes, and uses vibration andand kneeding (petrissage) around the wound. The joints and musclesare mobilized by passive and resisted movements, as well as by activemovement. Scar tissue should be stretched if necessary. As anadjunct to other forms of treatment in slow healing wounds and inintractable ulcers, this method should always be borne in mind. Organic Coloring Matters in the Treatment of Wounds. Anilin dyes have been used in the treatment of wounds for twopurposes: (i) For stimulating epithelial growth; (2) for their Fig. 120.—I. Varicose ulcer of the leg, 15X9 cm. (6 X inches) in a negro. by the use of scarlet red in three months. This patient has been under my observa-tion for ten years since healing, and there has been no recurrence. Note the invasion ofpigment into the newly healed area from the edges, and in a few isolated patches. 3. Thesame area taken three years later. Note the greater encroachment of the pigment fromthe edges, and the increase in the size of the patches. This area eventually became com-pletely pigmented. For the Stimulating of EpitheUum.—Since Schmieden, in 1908,directed atitenton to the clinical use of scarlet red for the stimulation ofepithelium much work has been done with this dye. A careful studyof the action of the dye on a large number of surface wounds has con-vinced me that scarlet red is a very valuable epithelial stimulant, andalthough it will not stimulate epithelial growth in every case, it is
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
