. A system of obstetrics . compressionand iee. if suppuration IS unavoidable, it is better to hasten it bv means «!:i warm linseed-meal poultice. When the abscess is formed, it should beopened, but as to the proper time for doing so there is a differencebetween the different kinds of abscesses. While the subcutaneousand the subglandular variety ii<_dit to be opened a- soon ;i- detected,it is better to let the glandular variety have time t«» approach subcutaneous variety is, a- a rule, -mall, and one moderatelythat i- necessary t empty it. On account of the 396 INFLAMMATION OF
. A system of obstetrics . compressionand iee. if suppuration IS unavoidable, it is better to hasten it bv means «!:i warm linseed-meal poultice. When the abscess is formed, it should beopened, but as to the proper time for doing so there is a differencebetween the different kinds of abscesses. While the subcutaneousand the subglandular variety ii<_dit to be opened a- soon ;i- detected,it is better to let the glandular variety have time t«» approach subcutaneous variety is, a- a rule, -mall, and one moderatelythat i- necessary t empty it. On account of the 396 INFLAMMATION OF THE BREASTS, ETC. tension of the skin over the gland it will gape less and form a lessvisible cicatrice if made in the direction of a radius from the nipple tothe circumference. If the abscess is situated partly within and partly without the areola,the incision ought either to be made entirely on the areola or entirelyoutside of it. The reason of this is that the pigmentation is apt to follow Fig. Pigment of the Areola following incisions (Richardson). the incision, and thus a permanent irregularity in the extension of thecolored part of the breast may be left as shown in Fig. The subglanclular abscess is opened where it points at the circum-ference, as a rule outward and downward. An incision an inch or morein length must be made parallel to the circumference of the gland, andif no counter-opening is deemed necessary a soft-rubber drainage-tubeshould be pushed into the depth of the cavity formed by the small safety-pin is pushed through the end of the tube, so a< toprevent it from being drawn too far in, and a little pad of cotton, lint,or gauze is placed under the pin in order to protect the skin frompressure. The glandular variety, as a rule, requires two or three openings inorder to ensure good drainage, but they need not be more than half aninch long. In order to avoid the lactiferous ducts they ought to be made in thedirection of a radius from
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
