A Treatise on Regional Iodine Therapy for the Veterinary Clinician — John Shaqi
A Treatise on Regional Iodine Therapy for the Veterinary ClinicianSteffen, Mart R. (Martin Robert)
Science
A Treatise on Regional Iodine Therapy for the Veterinary Clinician
Steffen, Mart R. (Martin Robert)
Iodine -- Therapeutic use; Veterinary disinfectants; Veterinary medicine
Another practice that has come to be recognized quite generally among
surgeons is that of painting the edges of the surgical wound with pure
tincture of iodine just before the wound is to be closed with sutures.
Whether this is good practice, on general principles, is a matter that
is open to debate. If the painting is done carefully, so that a pool of
iodine tincture is not formed by the surplus gathering by gravitation
into the deeper recesses of the wound, this may be considered good
practice. On the whole, however, it would appear that the iodine could
act, in many instances, as an undesirable irritant when it comes in
contact with delicate, freshly incised tissues.
As the object, in modern surgery, is to eliminate all things, even the
slightest, that may hinder prompt repair and smooth healing of the
invaded tissues, the presence of such an active agent as pure tincture
of iodine in a surgical wound may be looked upon as interfering with
the carrying out of that object.
On the other hand, in surgical wounds of an already infected character
in which primary union would be out of the question, the application
of pure tincture of iodine, in liberal amounts, can not be too highly
endorsed.
The latter statement applies, with even greater force, to all wounds of
an accidental character in the fleshy portions of the anatomy.
It is also the practice of many veterinary surgeons to apply pure
tincture of iodine to the wound after the sutures have been put into
place. This is a very satisfactory practice, if the painting is done
gently and not too freely. An excess of the tincture of iodine--if
the wound edges have not been coapted perfectly--may result in cause
for stitch abscess when a considerable amount of the iodine becomes
pocketed in some part of the wound under the line of suture.
In certain animals, whose skins are very tender, the local application
of pure tincture of iodine, previous to surgical incision, is followed,
in a few days, by slight peeling of the integument. This is so rare an
occurrence, however, and of so little consequence, that it need not be
considered, and can not be looked upon as a drawback to this otherwise
salutary practice.
Aside from its use in the preparation of the surgical field, tincture
of iodine is also used, in a prophylactic sense, to prepare the
skin--in a similar manner--for the entrance of the hypodermic needle
whenever a subcutaneous injection is to be made. It is not practical,
nor necessary, in this instance, to shave away the hair; the site that
has been selected for the needle puncture is merely painted liberally
with the iodine. As in the case of a surgical incision area, so also
here, the parts to which the application is made must be perfectly dry.
2. THE USE OF IODINE AS AN ADJUNCT TO INTERNAL MEDICATION IN THE
CORRECTION OF ACUTE PATHOLOGICAL CONDITIONS.
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