interrupted suture, and these are not productive of bad consequences
which have been by some attributed to them. When neatly applied, they
can produce but little irritation, more especially if removed as soon
as their presence is unnecessary, that is, as soon as adhesion has
fairly commenced, and the natural bond of union is of such strength
as to need no artificial assistance. By these the edges of the wound
are more neatly and suitably placed than by any other means; they meet
easily, without the puckering or overlapping of each other; and, from
the circumstance of sutures obtaining a more just coaptation, they can
be sooner discontinued. In most wounds no other dressing is required;
but in some a combination of sutures, adhesive plaster, and compress,
is necessary.
Of late, I have greatly dispensed with stitches and the common adhesive
plaster, using, instead of the latter, slips of glazed riband smeared
with a saturated solution of isinglass in brandy, which is much less
irritating and more tenacious than the common adhesive compost. The
parts are fixed temporarily with a single stitch, or two at most, and
cloths dipped in cold water are placed over the wound; the ribands are
not applied till the adhesive substance has partly congealed, and the
oozing of blood ceased. The divided margins being approximated by the
fingers of an assistant, the ribands are laid gently over, and held for
a few seconds. Soon after a sufficient number have been applied the
stitches are withdrawn, being no longer necessary. No other dressing
is required unless suppuration occur; the ribands will adhere firmly
till the completion of the cure, and thus the pain and irritation
caused by frequent dressing is avoided. Even the largest wounds, as
after amputation, are treated in this manner with the most satisfactory
results. Of late years a plaster, made by coating oiled silk with a
solution of isinglass, has been used instead; the glazed surface of
the slips is moistened, and applied as here directed.
Public-domain text, read in full here on John Shaqi.
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