FREE BOOKS

Author's List




PREV.   NEXT  
|<   261   262   263   264   265   266   267   268   269   270   271   272   273   274   275   276   277   278   279   280   281   282   283   284   285  
286   287   288   289   290   291   292   293   294   295   296   297   298   299   300   301   302   303   304   305   306   307   308   309   310   >>   >|  
gain both inner and outer faces of the reverted skin-flaps. This done the flaps are allowed to fall into position and sutured there with carbolized silk or gut. Another liberal application of an antiseptic dressing follows this. Iodoform, iodoform and boracic acid, or chinosol, is freely dusted over the wound and for some distance around it. Bayer, however, again prefers a dressing of the wound, and especially the moistening of the line of sutures with the 1 in 5 solution of iodoform in ether. Over the wound is then placed a protective layer of gauze, impregnated either with boric acid, with a mercuric salt, or with iodoform. Finally, numerous small and lightly-rolled balls of dry carbolized tow are packed regularly over the whole of the operation wound, and the foot bandaged. Practical points to be remembered in this after-dressing are: (1) The balls[A] of tow should be numerous enough to exercise pressure upon the sutured flap when the foot is finally bandaged. (2) The bandage should be run on from the coronet downwards, in order to insure pressure being exerted in the exact position over the sutured flap. (3) Bandages should be used in abundance, commencing always from the coronet, and carefully applied so as to exert an even and uniform pressure. (4) The bandages should be of clean, unused linen. [Footnote A: Bayer recommends that the tow be rolled into cylindrical tampons, each long enough to cross the wound. These are placed on the wound in alternate horizontal and vertical layers, so that when rolled round by a bandage they are pressed into an even and compact pad.] Once the bandages are adjusted, the hobbles may be removed, and the tourniquet loosened. Directly the tourniquet is removed there is a steady oozing of blood through the bandages, no matter how many we have put on. This should occasion no alarm, as experience has taught that the careful attention to antiseptic measures observed throughout the operation has the effect of maintaining the lowermost dressings, those next to the wound, in a state of asepsis. The bandaged foot should now be wrapped in a piece of thick clean cloth or placed in a boot. If our antiseptic precautions have been thorough, the dressings and bandages so adjusted may be allowed to remain without disturbance for from eight to fourteen days. In this, however, the veterinary surgeon must be largely guided by the symptoms of his patient. If, at the end of the first three o
PREV.   NEXT  
|<   261   262   263   264   265   266   267   268   269   270   271   272   273   274   275   276   277   278   279   280   281   282   283   284   285  
286   287   288   289   290   291   292   293   294   295   296   297   298   299   300   301   302   303   304   305   306   307   308   309   310   >>   >|  



Top keywords:

bandages

 

antiseptic

 

dressing

 

iodoform

 
pressure
 

rolled

 

bandaged

 

sutured

 
operation
 

tourniquet


removed
 
numerous
 

dressings

 

adjusted

 

bandage

 

coronet

 

carbolized

 

position

 

allowed

 

attention


careful
 

measures

 

matter

 

taught

 

experience

 

occasion

 
Directly
 
pressed
 

compact

 
horizontal

vertical

 

layers

 
observed
 

steady

 

oozing

 
loosened
 
reverted
 

hobbles

 

maintaining

 

veterinary


surgeon

 

fourteen

 

disturbance

 
largely
 

guided

 
symptoms
 

patient

 

remain

 

asepsis

 
effect