. Minor surgery and bandaging, including the treatment of fractures and dislocations .. . Apparatus for continuous irrigation. (Esmabch) In employing irrigation in the treatment of wounds orin inflammatory conditions, a funnel-shaped can with astop-cock at the bottom, or a bucket is suspended over thepart at a distance of a few inches (Fig. 100), or a jar with 160 MINOR SURGERY. a skein of thread or lamp-wick arranged to act as a siphonmay be employed. (Fig. 101.) The can or jar is filledwith water, and this is allowed to fall drop by drop uponthe part to be irrigated, which should be placed u
. Minor surgery and bandaging, including the treatment of fractures and dislocations .. . Apparatus for continuous irrigation. (Esmabch) In employing irrigation in the treatment of wounds orin inflammatory conditions, a funnel-shaped can with astop-cock at the bottom, or a bucket is suspended over thepart at a distance of a few inches (Fig. 100), or a jar with 160 MINOR SURGERY. a skein of thread or lamp-wick arranged to act as a siphonmay be employed. (Fig. 101.) The can or jar is filledwith water, and this is allowed to fall drop by drop uponthe part to be irrigated, which should be placed upon apiece of rubber sheeting so arranged as to allow the waterto run off into a receptacle so as to prevent the wettingof the patients bed. The water employed may be eithercold or warm, and this is decided by the indications inspecial cases, and if it is desired to make use of antisepticirrigation the water is impregnated with carbolic acid or Fig. Irrigating apparatus. (Erichsen.) bichloride of mercury; a 1 : 5000 to 1 : 10,000 bichloridesolution, or a 1 : 60 carbolic acid solution, is frequentlyemployed with good results. Antiseptic irrigation employed in this manner will befound a most useful method of treating lacerated and con-tused wounds of the extremities in which the vitality ofthe tissues is much impaired; and in such cases the warmwater should be preferred to cool water, the temperaturebeing from 100° to 110°. Under the use of warm irrigation it is surprising to seehow tissues apparently devitalized regain their vitality;the absence of tension from the non-introduction of sutures IRKIGATION. 161 and firm dressings, and the warmth and moisture keptconstantly in contact with the wound by this method ofirrigation, are the important factors in the attainment ofthis favorable result. Mediate Irrigation. In this method cold or warm irrigation is applied to thepart by means of cold or warm water passing through arubber tub
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectbandagesandbandaging
