The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . The case wascured. XoTE.—The time of changesin the house-staff of the surgicalwards of hospitals is generallysignalized by unexpected suppu-rations. The author has learnedto dread the loss of a good andwell-trained assistant, who is occasionally replaced by an ineflHcient, uncleanly, and indolent personage. Disaster can beaverted at such times only by increased vigilance and redoubled diligence on the part of thevisiting surgeon in personally supervising the details of the s
The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . The case wascured. XoTE.—The time of changesin the house-staff of the surgicalwards of hospitals is generallysignalized by unexpected suppu-rations. The author has learnedto dread the loss of a good andwell-trained assistant, who is occasionally replaced by an ineflHcient, uncleanly, and indolent personage. Disaster can beaverted at such times only by increased vigilance and redoubled diligence on the part of thevisiting surgeon in personally supervising the details of the service. The third case was mentioned in the paragrajih on perityphlitic abscess. The last case of erysipelas within the authors experience was that of ayoung woman suffering from caseous cervical glands. For cosmetic reasonsthe glandular swellings were punctured with a narrow bistoury, and, a smallcurette being introduced into the broken-down center of the gland, its case-ous contents were scraped out. The small wounds were drained with cat-gut. ErysijDelas, commencing from one of the punctures, set in, but ended. Fi 1JO.—Section of erysipelatDUs skin of head (70Odiameters i. (Koeli.) 260 EULES OF ASEPTIC AND ANTISEPTIC SURGERY. iu cure. Undoubtedly either the bistoury or, more likely, the sharp spoonwas the carrier of the virus. There is not one among the many topical remedies recommended by thewriters for erysipelas that is pre-eminent in limiting or stopping the affec-tion. The authors local treatment consists in moist antiseptic dressingsinclosing the affected parts, with a general supporting treatment by propernourishment and stimulants. The much-praised specific effect of the tinct-ure of iron is, to say the least, very problematic. Note.—Lately Kraske has published a series of cases in which multiple scarification andpuncture of the affected parts, especially along the line of the spread of the disease, has led toprompt cure. The little operation is followed by the
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Keywords: ., bookcentury1800, bookdecade1880, bookpublishernewyo, bookyear1888