Modern surgery, general and operative . fiicientlyearly is thorough extirpation while the patient is anesthetized. The entirearea of the infection is thus removed, and the large wound heals by granulationand is subsequently skin-grafted. When the condition is too far advanced toadmit of complete extirpation, the following useful plan should be employed: Give ether, make free crucial incisions, remove dead and necrosing tissueand also the points of the skin-flaps with the scissors and forceps, curet pockets,arrest hemorrhage by pressure and hot water, cauterize with pure carbolic acid,dust with
Modern surgery, general and operative . fiicientlyearly is thorough extirpation while the patient is anesthetized. The entirearea of the infection is thus removed, and the large wound heals by granulationand is subsequently skin-grafted. When the condition is too far advanced toadmit of complete extirpation, the following useful plan should be employed: Give ether, make free crucial incisions, remove dead and necrosing tissueand also the points of the skin-flaps with the scissors and forceps, curet pockets,arrest hemorrhage by pressure and hot water, cauterize with pure carbolic acid,dust with iodoform, pack with iodoform gauze, and dress with hot antisepticfomentations. Cover the gauze with a piece of some impermeable materialand lay a hot-water bag upon the dressing. Every day, or several times a day,remove the dressings, wash with peroxid of hydrogen, irrigate with corrosivesublimate solution, dust with iodoform, and reapply the iodoform gauze andantiseptic fomentation. Keep up this treatment until sloughs are Fig. 75.—Infiltration of connective tissue of cutis (X 500) with beginning suppuration in the center (Senn). then dress with dry antiseptic gauze. Secure sleep by morphin, give quinin,milk-punch, and nourishing diet, and maintain the action of the bowels andkidneys. Acute Abscesses.—^An acute abscess is a circumscribed cavity of new for-mation containing pus. We emphasize the fact that it is a circumscrihed cavity—circumscribed by a mass of leukocytes and proliferating fibroblasts. A puru-lent infiltration is not circumscribed, hence it does not constitute an essential part of the definition is the assertion that the pus is in a cavityof new formation, in an abnormal cavity; hence pus in a natural cavity(pleural, pericardial, synovial, or peritoneal) constitutes a purulent effusion,and not an abscess, imless it is encysted in these localities by waUs formed ofinflammatory tissue. An acute abscess is due to the deposition and mul
Size: 2129px × 1174px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
