Modern surgery, general and operative . Fig. 926.—Buttonliole perforation of theprepuce foUoTi\-ing phagedenic chancroid (Hor-witz). Fig. 927.—Buttonhole perforation of theprepuce following phagedenic chancroid (Hor-witz). sores were followed by s^-phiHs. It is probable that a mixed infection existed,and that induration was overlooked, because a papular initial lesion was beneaththe chancroidal ulcer. When inflammation in chancroids is high, a rapidlydestructive ulceration known as phagedena may arise (Figs. 926 and 927), butthis process is more common in s^phiHtic sores. Treatment,—Ordinar}^

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Modern surgery, general and operative . Fig. 926.—Buttonliole perforation of theprepuce foUoTi\-ing phagedenic chancroid (Hor-witz). Fig. 927.—Buttonhole perforation of theprepuce following phagedenic chancroid (Hor-witz). sores were followed by s^-phiHs. It is probable that a mixed infection existed,and that induration was overlooked, because a papular initial lesion was beneaththe chancroidal ulcer. When inflammation in chancroids is high, a rapidlydestructive ulceration known as phagedena may arise (Figs. 926 and 927), butthis process is more common in s^phiHtic sores. Treatment,—Ordinar}^ cases of chancroid are treated by spraying vdthperoxid of hydrogen, dndng with cotton, touching each sore first with purecarboHc acid and then -vs-ith pure nitric acid, and dressing with black washor dusting -^ith iodoform or ^dth calomel. Ever\ few hours the patientsoaks the penis in hot salt water (a teaspoonful of salt to a pint of water),sprays the sores \d\h. peroxid of hydrogen, dries -^-ith cotton, and dresses withblack wa

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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery