. Surgical differentials. ill the gland, ice bags LYMPHATICS OF FEMALE GENITALS. 59 and rest will do no good. These agents, however, should al-ways be employed, and it is well to remember that in practicallyall cases of acute inflammation, cold is indicated during thefirst 36 hours and moist heat after that time. Moist is muchmore efficacious than dry heat. The radical method of treatment consists in free incisionand drainage. The after-treatment is very tedious. Attemptsto heal these lesions rapidly by the application of the principleof Schedes moist blood clot have been successful. The techn
. Surgical differentials. ill the gland, ice bags LYMPHATICS OF FEMALE GENITALS. 59 and rest will do no good. These agents, however, should al-ways be employed, and it is well to remember that in practicallyall cases of acute inflammation, cold is indicated during thefirst 36 hours and moist heat after that time. Moist is muchmore efficacious than dry heat. The radical method of treatment consists in free incisionand drainage. The after-treatment is very tedious. Attemptsto heal these lesions rapidly by the application of the principleof Schedes moist blood clot have been successful. The technicafter opening and curetting is simply to swab the cavity outwith pure carbolic acid, douching it immediately with stops further action of the acid. This method of treatingabscess cavities has recently been widely adopted by many NewYork surgeons. It has been used with favorable results inthousands of cases at the Hudson Street Hospital. After irri-gating with the alcohol, the incision is tightly closed with. qi***** /—- ****-«£. «k- VuLva Fig. 12 Lymphatic drainage of Female Genitals. (Frequently asked) 60 IMPORTANCE OF LYMPHATICS. sutures. Chronic inflammatory conditions have been found todo well under this form of treatment, it having been used manytimes for tuberculous bone disease. Chronic Lymphadenitis occurs typically in the course ofthree general diseases,—tuberculosis, syphilis and pseudoleuke-mia. In the first the glands are often removed ; although thismay be followed by general infection. In the second, theyare treated constitutionally and sometimes locally by mer-curials. In the third, they are, unless seriously threatening tolife or function, left alone. A most admirable series of diagrams showing the relationof the lymphatics and their nodes to surgical procedures aregiven on page 428 et. seq. of Parks Surgery. Eisendrathalso devotes much attention to the subject. These studies of lymphatic drainage have been the deter-mining factors in estab
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