Modern surgery, general and operative . Fig. 119.—Halsteds subcuticular suture: A isj the true Fig. 120.—The quilled suture. and pull steadily upon it. During withdrawal the wound is supported by lightpressure on a superimposed piece of gauze. In very deep wounds or wounds in which there is much tension after ap-proximation the quilled suture (Fig. 120) or the button suture (Fig, 121) used. The twisted suture or hare-lip suture is shown in Fig. 122. Problems of drainage, dressing, etc., are discussed on pages 87 and 88. If infection occurs, the wound becomes swollen, tender, painf
Modern surgery, general and operative . Fig. 119.—Halsteds subcuticular suture: A isj the true Fig. 120.—The quilled suture. and pull steadily upon it. During withdrawal the wound is supported by lightpressure on a superimposed piece of gauze. In very deep wounds or wounds in which there is much tension after ap-proximation the quilled suture (Fig. 120) or the button suture (Fig, 121) used. The twisted suture or hare-lip suture is shown in Fig. 122. Problems of drainage, dressing, etc., are discussed on pages 87 and 88. If infection occurs, the wound becomes swollen, tender, painful and dis-colored, and the temperature of the patient soon becomes elevated. In such acondition cut the stitches, disinfect, and drain. Wounds of Mucous Membranes.—If the surgeon intends to inflict a woundupon a mucous surface, he should see to it that the patients general conditionis good. Thorough asepsis is impossible, and a good result depends largelyupon the vital resistance of the tissues. Before operating, irrigate the partfrequently with boric acid, peroxid of hydrogen, or normal sal
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