. Annals of surgery . ptgetting worse. Patient admitted to the hospital March 22, 1923. Local condition:marked swelling over the hand extending to the wrist. On motion therewas marked limitation of flexion and some limitation of extension withlimitation of motion at the wrist joint. Incisions made in centre of palm and over centre of wrist March applied. Case III.—Woman, one week before admission noticed painfulcallous-like spot in palm of hand. Whole hand quickly became incisions (February 20, 21 and 24) made by outside became steadily worse. Admitted
. Annals of surgery . ptgetting worse. Patient admitted to the hospital March 22, 1923. Local condition:marked swelling over the hand extending to the wrist. On motion therewas marked limitation of flexion and some limitation of extension withlimitation of motion at the wrist joint. Incisions made in centre of palm and over centre of wrist March applied. Case III.—Woman, one week before admission noticed painfulcallous-like spot in palm of hand. Whole hand quickly became incisions (February 20, 21 and 24) made by outside became steadily worse. Admitted February 26 with swelling of whole dorsum of hand, fore-arm and upper arm. Marked tenderness with restricted motion. Palmarand dorsal incisions February 26 under ether. Cage March i, 1923. Dr. Clarence A. McWilliams did not see how, if these weresimple subcutaneous infections, mobilizations could materially increase thedrainage. If, however, the sheaths were involved, motions of the contained 424. 1 enclosed in an light c^v^ COLECTOMY FOR CHRONIC INTESTINAL OBSTRUCTION tendons would undoubtedly facilitate external drainage through adequateincisions. Whether such motions would spread the infection further up anddown the sheaths and thus act injuriously, further experience alone wouldtell. There probably would be no deleterious effect because drainage alwaysoccurs towards the place of decreased pressure, in this case through theincisions. The great advantage of these mobilizations lies in the lack of thenecessity for gauze or rubber tissue or tube drains, hence one would expectless liability to tendon sloughs. If this revolutionary method of treating tendoninfections should prove as successful as Willems method of treating jointinfections, it will indeed be a wonderful advance. Dr. Walton Martin questioned whether the verj excellent results in thecases shown were due to the active mobilization or to correctly placed incisionsinsuring proper drainage
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
