The practice of surgery . pus far more thoroughly than was possible by the oldblind method. Now disinfect carefully the whole hand. As for drainage and the after-treatment: Wicks are led out from all the pockets; a thin layer of gauze is felon; whitlow; paronychia; palmar abscess 751 spread over the whole exposed surface, and the skin-flap is laid backover the gauze. In the subsequent dressings, when necessary, theskin-flap maj^ again be turned aside and the depths of the wound mayagain easily be explored. Judging by experience, we should find theinflammation subsiding in a day or two, when th
The practice of surgery . pus far more thoroughly than was possible by the oldblind method. Now disinfect carefully the whole hand. As for drainage and the after-treatment: Wicks are led out from all the pockets; a thin layer of gauze is felon; whitlow; paronychia; palmar abscess 751 spread over the whole exposed surface, and the skin-flap is laid backover the gauze. In the subsequent dressings, when necessary, theskin-flap maj^ again be turned aside and the depths of the wound mayagain easily be explored. Judging by experience, we should find theinflammation subsiding in a day or two, when the wicks gradually willbe removed. By the end of a week the palm and the under surface ofthe flap will be covered with granulations. Then, if all looks clean andsound, we stitch the skin back into place and look for a rapid healingby a delayed first intention. To facilitate the sewing back of the flapwe usually pass so-called provisional stitches at the time of the originaloperation. When the time comes, they will be Fig. 463.—Brooks incision for palmar abscess. For the first four or five days it is well to dress the hand and fore-arm in a large creolin poultice with a splint, but this may be abandonedsoon for the gauze dressing with elastic compression and elevation. One is surprised to see how useful and comely a hand will resultfrom all this. The scar will be there, of course, but it will not be especi-ally troublesome, and the function of the hand will generally be muchbetter than was the case when multiple Hnear incisions were Again, let me warn the reader, that in spite of what I have said ofa flap at the thenar eminence one must never operate by rule of , this operation is a good operation, but diverse conditions willpresent themselves. No two cases are alike, and while one must strivealways to observe general principles, he must apply also a broadercommon sense. 752 MINOR SURGEUY—DISEASES OF STKLCTUHE BOILS; CARBUNCLES Boils.—The treatmen
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
