. American practice of surgery ; a complete system of the science and art of surgery . mall lesions. (Fig. 43.) The ringed curettes are also good instruments for this work. The bleeding can be checked by compression with a sponge or with cotton. Tatters of tissue can be clipped off with the scissors. After the surface has been well scraped out, it is a good plan to go over it again with the Paquelin cautery, which stops the bleeding and at the same time destroys the tubercle bacilli. As the best form of dressing to employ after such treatment, Lang suggests Fig. —Different Patterns ofCuret
. American practice of surgery ; a complete system of the science and art of surgery . mall lesions. (Fig. 43.) The ringed curettes are also good instruments for this work. The bleeding can be checked by compression with a sponge or with cotton. Tatters of tissue can be clipped off with the scissors. After the surface has been well scraped out, it is a good plan to go over it again with the Paquelin cautery, which stops the bleeding and at the same time destroys the tubercle bacilli. As the best form of dressing to employ after such treatment, Lang suggests Fig. —Different Patterns ofCurettes. A, Unnas double cu-rette ; B, Piffards curette; C,Hebras curette. SURGERY OF DISEASES OF THE SKIN. 321 iodoform. He warns the surgeon, liowever, to look out for iodoform poison-ing, wliich is especially likely to occur in lesions about the face, because ofthe constant inhalation of the drug. The Paquelin cautery and the galva-no-cautery can also be used, but the ol^jection to such use is that they affordno aid in determining when sound tissue is reached, and consequently the. Fig. 44.—Case of Lupus Vulgaris of the Face, Fig. 45.—The same case as that shown in Fig. under Treatment with the Roentgen Rays. 44, but at a later stage of the treatment. (Scholtz, (Scholtz, in Neissers Stereoscopischer-medici- op. cit.)nischer Atlas.) operator must use his judgment—an unreliable guide—in estimating how deepto go. The Hollander lamp is an apparatus which enables one to force a current ofair, heated to about 300° C, through a slender metal tube. When this appa-ratus is employed in the treatment of lupus the tissues are burned and driedup by the current of hot air forced against them. The objection to this planof treatment is that it leaves tremendous scars. The pyrogallic-acid treatment, as recommended by Jarisch, is carried out asfollows: VOL. II.—21 322 AMERICAN PRACTICE OF SURGERY. It is best first to scrape the surface well, and then to swab it ^yith a five- oreven a
Size: 1707px × 1463px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906
