Journal of the Medical Society of New Jersey . meddle-some handling and examination of the in-jured parts, which is often done throughthoughtlessness and to satisfy a curiosityas to the extent of the injury. We shouldbe careful to make no examination whichwould necessitate the putting of the fingersor instruments or any other material intothe wound. There should be no scrubbing,shaving or cleansing of the surrounding softparts except in cases where oily substancesare found on the skin, which can be re-moved by benzine, but which should not beallowed to enter the wound. The paintingof the skin
Journal of the Medical Society of New Jersey . meddle-some handling and examination of the in-jured parts, which is often done throughthoughtlessness and to satisfy a curiosityas to the extent of the injury. We shouldbe careful to make no examination whichwould necessitate the putting of the fingersor instruments or any other material intothe wound. There should be no scrubbing,shaving or cleansing of the surrounding softparts except in cases where oily substancesare found on the skin, which can be re-moved by benzine, but which should not beallowed to enter the wound. The paintingof the skin around the wound with the tinc-ture of iodine is sufficient so far as anti-septic precaution is concerned. The onlyuse of instruments allowable in the woundwould be in the removing of loose frag-ments of bone and in the trimming of theedges of the skin in cases where it isbruised sufficiently to cause a slough. Thesoft parts should then be brought togetherby the use of either silkworm gut or horse-hair sutures, the latter being preferable un-. Fig. 6. (The same as Fig. 5.) OperationOctober, 1912; nales are still in place; no painor tenderness; leg 1% inches short; patientgained 40 lbs.; following usual occupation. less there is considerable tension, in whichcase the silkworm gut would give betterresults. The wound should then be coveredwith a large 5% carbolized gauze dressingsufficiently thick and heavy to soak up all of 276 JOURNAL OF THE MEDICAL SOCIETY OF NEW JERSEY. June, 1914 the discharges, and the limb should be putat rest in splints best suited to the part in-jured; no re-dressings should be made fora period of 10 days unless symptoms suchas a rise of temperature, which would indi-cate sepsis, should occur. A rise of tem-perature to 101 or 102 during the first 48hours need cause no alarm., but after thislength of time such temperature shouldabate if the wound is clean and has notbecome infected. At the end of from toto 12 days, we can feel quite sure that wehave no lon
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