. A manual of operative surgery . yed must depend upon thecircumstances of the individual case. Unlimited pressure wouldobviously not be employed in cases where the vascular supplyof the part is slight and the patient very old. In certain regions— the groin—one or more turns of elastic webbing bandageover the ordinary one will be found useful for maintaining evenpressure (Fig. 31). The simpler wounds, such as those following the radical CHAP. Vl] DRESSING THE WOUND 85 cure of hernia, need not be disturbed for a week or more. Ifmuch oozing be anticipated in any case, the wound may bedressed
. A manual of operative surgery . yed must depend upon thecircumstances of the individual case. Unlimited pressure wouldobviously not be employed in cases where the vascular supplyof the part is slight and the patient very old. In certain regions— the groin—one or more turns of elastic webbing bandageover the ordinary one will be found useful for maintaining evenpressure (Fig. 31). The simpler wounds, such as those following the radical CHAP. Vl] DRESSING THE WOUND 85 cure of hernia, need not be disturbed for a week or more. Ifmuch oozing be anticipated in any case, the wound may bedressed at the end of twenty-four hours, and then left for fouror five days. From our experience an ideal dressing for wounds in whichsome oozing is certain to occur— excisions of joints—isafforded by a moist sterilised gauze bandage. The bandage isnot one thickness of gauze only, but specially made of three orfour. This is dipped in weak carbolic solution, and applieddirectly over the wound, and made to cover the limb above. FIG. 31.—DRESSING COMPLETE AFTER RADICAL CURE OF LEFT INGUINAL HERNIA. Over the plain bandage is applied a figure-of-eight turn of elastic webbing bandage, thusexerting even piessure over the site of operation. and below for some distance. As the bandage dries it contracts,and therefore it must not be employed too tightly. Absorbentwool is applied outside this bandage, and secured with a secondone. The special advantages of this bandage dressing are : (1)Even support and pressure round the whole circumference ofthe joint or limb ; (2) all oozing which occurs in the next twelvehours or so is readily soaked up by the moist gauze, whereas withdry dressing its escape might be impeded. The wounded part should be kept in the open air— be as far as possible uncovered by the bed-clothes. This 86 GENERAL PRINCIPLES [part i will be more or less inevitable with wounds of the head, neck,and upper extremity. The lower limb, after operation, shouldbe
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