alls into apposition.
If these precautions have been successful, the wound will heal under the
original dressing, which need not be interfered with for from seven to
ten days, according to the nature of the case.
#Dressings.#--_Gauze_, sterilised by heat, is almost universally
employed for the dressing of wounds. _Double cyanide gauze_ may be used
in such regions as the neck, axilla, or groin, where complete
sterilisation of the skin is difficult to attain, and where it is
desirable to leave the dressing undisturbed for ten days or more.
_Iodoform_ or _bismuth gauze_ is of special value for the packing of
wounds treated by the open method.
One variety or another of _wool_, rendered absorbent by the extraction
of its fat, and sterilised by heat, forms a part of almost every
surgical dressing, and various antiseptic agents may be added to it. Of
these, corrosive sublimate is the most generally used. Wood-wool
dressings are more highly and more uniformly absorbent than cotton
wools. As evaporation takes place through wool dressings, the discharge
becomes dried, and so forms an unfavourable medium for bacterial growth.
Pads of _sphagnum moss_, sterilised by heat, are highly absorbent, and
being economical are used when there is much discharge, and in cases
where a leakage of urine has to be soaked up.
#Means adopted to combat Infection.#--As has already been indicated, the
same antiseptic precautions are to be taken in dealing with infected as
with aseptic wounds.
In _recent injuries_ such as result from railway or machinery accidents,
with bruising and crushing of the tissues and grinding of gross dirt
into the wounds, the scissors must be freely used to remove the tissues
that have been devitalised or impregnated with foreign material.
Hair-covered parts should be shaved and the surrounding skin painted
with iodine. Crushed and contaminated portions of bone should be
chiselled away. Opinions differ as to the benefit derived from washing
such wounds with chemical antiseptics, which are liable to devitalise
the tissues with which they come in contact, and so render them less
able to resist the action of any organisms that may remain in them. All
are agreed, however, that free washing with normal salt solution is
useful in mechanically cleansing the injured parts. Peroxide of hydrogen
sprayed over such wounds is also beneficial in virtue of its oxidising
properties. Efficient drainage must be provided, and stitch
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