. Transactions of the Western Surgical Association. th surface of theabscess wall sufficiently scarified either by rubbing itroughly with gauze or even resorting to a mild curet-tage. This is done for the purpose of producing afavorable condition for the adhesion of the skin flap. The cavity being dry, the tips of the skin flaps aredrawn into the very deepest recesses by means of for-ceps. Gauze is packed tightly against them, to keepthem in contact with the raw surfaces of the abscesscavity. No suture whatever is used. The denuded surfaces from which the skin flapsare taken are then covered w
. Transactions of the Western Surgical Association. th surface of theabscess wall sufficiently scarified either by rubbing itroughly with gauze or even resorting to a mild curet-tage. This is done for the purpose of producing afavorable condition for the adhesion of the skin flap. The cavity being dry, the tips of the skin flaps aredrawn into the very deepest recesses by means of for-ceps. Gauze is packed tightly against them, to keepthem in contact with the raw surfaces of the abscesscavity. No suture whatever is used. The denuded surfaces from which the skin flapsare taken are then covered with sterile gauze, and noattempt is made to reduce the size. At this stage the operation is completed, while inthe Estlander a great deal more work is necessary tocomplete it. The procedure should not last more than100 minutes in the very extensive cases and can bedone in 60 minutes in the less extensive ones. Froma series of nine cases I cite only two for illustrations. EMPYEMA PLEURiE, WITH SINUS The procedure just described was carried out on a. O bD13 Pi s
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