Manual of Surgery Volume First: General Surgery. Sixth Edition. — John Shaqi
Manual of Surgery Volume First: General Surgery. Sixth Edition.Thomson, Alexis
Science
Manual of Surgery Volume First: General Surgery. Sixth Edition.
Thomson, Alexis
Surgery
Before applying leeches the part must be thoroughly cleansed, and if
the leech is slow to bite, may be smeared with cream. The leech is
retained in position under an inverted wine-glass or wide test-tube till
it takes hold. After it has sucked its fill it usually drops off, having
withdrawn a dram or a dram and a half of blood. If it be desirable to
withdraw more blood, hot fomentations should be applied to the bite. As
it is sometimes necessary to employ considerable pressure to stop the
bleeding, leeches should, if possible, be applied over a bone which will
furnish the necessary resistance. The use of styptics may be called for.
_Wet-cupping_ has almost entirely been superseded by the use of Klapp's
suction bells.
_General blood-letting_ consists in opening a superficial vein
(venesection) and allowing from eight to ten ounces of blood to flow
from it. It is seldom used in the treatment of surgical forms of
inflammation.
_Counter-irritants._--In deep-seated inflammations, counter-irritants
are sometimes employed in the form of mustard leaves or blisters,
according to the degree of irritation required. A mustard leaf or
plaster should not be left on longer than ten or fifteen minutes, unless
it is desired to produce a blister. Blistering may be produced by a
_cantharides plaster_, or by painting with _liquor epispasticus_. The
plaster should be left on from eight to ten hours, and if it has failed
to raise a blister, a hot fomentation should be applied to the part.
_Liquor epispasticus_, alone or mixed with equal parts of collodion, is
painted on the part with a brush. Several paintings are often required
before a blister is raised. The preliminary removal of the natural
grease from the skin favours the action of these applications.
The treatment of inflammation in special tissues and organs will be
considered in the sections devoted to regional surgery.
#Chronic Inflammation.#--A variety of types of chronic and subacute
inflammation are met with which, owing to ignorance of their causations,
cannot at present be satisfactorily classified.
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