which caused them was
inflicted, that they have been kept antiseptically clean, and that the
patient by some means has been kept fairly still. This latter stipulation
is probably hardest to comply with. Quiet is an important factor in the
process of repair among the lower animals.
The second method of healing, namely, by granulation, which is, however,
the manner in which most wounds in animals heal, takes much longer. In
punctured wounds of any depth healing necessarily takes place in this way
only, and the treatment should be directed largely to alleviating pain and
moderating inflammation.
AFTER-TREATMENT AND DRESSING OF WOUNDS.--The dressing of wounds is one of
the most important branches of veterinary surgery, and one of the most
constant difficulties that the practicing veterinarian has to contend with
lies in the lack of cooperation on the part of owners in the care and
attention in the after-treatment of wounds.
In summarizing the treatment of wounds, the following recommendations
should be observed: wounds must be cleansed and kept clean, using
antiseptic solutions which do not produce irritation, and applying the
solutions with a syringe or with clean pieces of absorbent cotton. Bleeding
should be stopped before the closing of the wound by sutures or bandages.
An opening at the bottom of all wounds except small superficial wounds
should be provided as a drainage outlet for the escape of wound secretions
or pus if it should form. The edges of wounds and the muscles involved in
the wound should be kept as quiet as possible during the process of
healing. Every wound should be protected by a sterile or antiseptic
dressing whenever it is possible to retain a dressing in place. Dressings
should be changed when it is apparent that they have become drenched with
wound secretions or pus, or have become disarranged or too loose,
permitting dirt to enter between them and the skin. If swelling appears
beyond the edges of a bandage, it is an indication that it is too tight and
it should then be removed and again applied.
The hands of the operator and all instruments and dressings coming in
contact with a wound at any time should be made as clean as possible by the
use of antiseptics.
BARBED-WIRE CUTS.--We have specified these simply because in some sections
of the country there is a fixed idea that there is a specific poison in
barbed wire, causing injuries which require treatment differing from that
which is ap
|