American practice of surgery : a complete system of the science and art of surgery . all points ofundue pressure and between opposed surfaces—especially at the point of the elbow, at whichstill further security of attachment is gained bymaking a slit in the plaster—proper padding shouldbe interposed. When axillary pads are insertedcare should be exercised that undue pressure benot made on the axillary vessels and nerves. Theapplication of a muslin bandage over this dress-ing (Yelpeau), for the purpose of meeting thesame indications, is favored by some surgeons. The seat of the fracture should
American practice of surgery : a complete system of the science and art of surgery . all points ofundue pressure and between opposed surfaces—especially at the point of the elbow, at whichstill further security of attachment is gained bymaking a slit in the plaster—proper padding shouldbe interposed. When axillary pads are insertedcare should be exercised that undue pressure benot made on the axillary vessels and nerves. Theapplication of a muslin bandage over this dress-ing (Yelpeau), for the purpose of meeting thesame indications, is favored by some surgeons. The seat of the fracture should be lightlycovered to protect it against being disturbed, but local pressure for correctionpurposes is no part of the Sayre method of treatment, and, if employed, shouldbe carefully observed, in order that any objectionable effects from undue press-ure may be at once obviated. This dressing may require removal once a week,when the surface should be thoroughly cleansed with soap and alcohol; it shouldbe worn about four weeks. Excoriations are to be treated in the usual Fig. 29.—Velpeaus Bandage. 120 AMERICAN PRACTICE OF SURGERY. I have found Sayres dressing to be very effective. Occasionally I haveused satisfactorily two pieces of strong muslin in place of the long adhesivestrips. The time-honored Veljteaus bandage (Fig. 29), so long regarded as classic,I have found very servicable. It is rendered more effective, 1 believe, by theemployment of an axillary pad, applied With the precautions mentioned children and even in restless adults, it may be found advantageous to fortifyit with a thin layer of plaster of Paris, silicate of sodium, or starch, which willrender it more permanent. Velpeaus bandage is simple, meeting the threeimportant indications of treatment. Mayors scarf or sling also has its advocates. Btimson (op. cit.) briefly de-scribes it as follows: It is made of a square of muslin the diagonal of whichis long enough to extend easily around the bod
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Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1900, bookyear1906
