. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. CE HANDBOOK OF THE MEDICAL SCIENCES. Nerve. that portions of its substance come through the wound,there is not very much to do save to wash away, withextreme care, with a gentle irrigating stream, so much aswill easily come away, and then provide for drainage. All indications having been met, there remains only toproperly close and dress the wound. In a serious com-pound fracture with deep laceration, the dura should besutured over the woundi
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. CE HANDBOOK OF THE MEDICAL SCIENCES. Nerve. that portions of its substance come through the wound,there is not very much to do save to wash away, withextreme care, with a gentle irrigating stream, so much aswill easily come away, and then provide for drainage. All indications having been met, there remains only toproperly close and dress the wound. In a serious com-pound fracture with deep laceration, the dura should besutured over the woundin the braiu, leaving roomfor drainage either ofcatgut, horse-hair, decal-cified bone or rubber, ac-cording to the exigenciesof the case or the prefer-ences of the operator. Ifit be so decided, the pieceof bone may be replacedand the pericranium unit-ed over it in such a wayas to hold it in place, stillproviding whatever out-let may be deemed bestfor the drains from be-neath. The periosteumis best sewed with catgut,and the union should bemade as neat and com-plete as possible. Overthis the scalp is united,preferably with catgut. Fig. 4069.—Capelline Bandage. silk or hare-lip pins being usedonly when considerable tension is expected, and withsuch attention to drainage outlets as the condition beneathdemands, a fresh opening or a counter-opening beingrnade if more direct outflow may thereby be an absolutely aseptic exploratory operation there willscarcely arise any occasion for drainage, and it will beenough to omit a suture here and there. When discharge of pus or any fluid is expected, it iswell to provide for it in the dressing. In this case apiece of protective, perforated opposite the drain outlets,
Size: 1326px × 1884px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
