Surgery, with Special Reference to PodiatryStern, Maximilian
Science
Surgery, with Special Reference to Podiatry
Stern, Maximilian
Foot -- Surgery; Surgery
A well pointed, narrow blade introduced here will find a plane of
cleavage between the growth and the surrounding tissue, through which
it is possible to dissect quite deeply without encountering blood.
When the dissection reaches the papillary layer in the skin, as
evidenced by the red color, further operative steps should cease.
In the treatment of soft and vascular growths it may frequently be
preferable to employ disintegrating solutions from the beginning.
Repetition of the treatment, as described in verruca, every second or
third day, will result in the gradual disintegration of the growth to
its extreme depth, and prove more satisfactory than the radical
operation.
Healing is rapid and with the use of properly shaped, and roomy
foot-gear, recurrence should not take place.
It is evident from the nature of helomata, that any “cure,” rubbed or
painted upon the affected surface, can only cause the softening of a
certain thickness of skin, and that no hope for cure is justified
unless the careful and complete removal of the growth is accomplished
and followed by the use of roomy foot-gear.
+Radical Cure.+ The total excision of corns, while disabling the patient
more or less for a few days, is in many instances justifiable. There
is little probability of recurrence if proper foot-gear is worn, and
the results are especially good if the skin graft operation as devised
by Dr. Robert T. Morris is employed, which is described in the next
paragraph.
After the excision of the growth, a small piece of skin is removed
from the leg and sewn to the denuded area. This prevents a tough
cicatrix forming and assures a normal skin covering to the area
previously occupied by the corn.
The Text Book of Practical Chiropody, now in course of preparation,
will contain lengthy and explicit articles on the subjects of verruca
and heloma. The purpose here has been largely to present the subject
from a broad surgical viewpoint. The strictly chiropodial features
will be thoroughly outline in the Text Book of Practical Chiropody
after a manner never before attempted and will include all details of
the chisel methods, the dissecting methods and the shaving
operations.
+DISEASES OF THE NAILS+
+INGROWN NAIL+
Although chronic inflammatory affections of the neighboring skin often
produce changes in the form, color and thickness of the nails, these
so rarely call for surgical interference that only those conditions
leading up to the development of ingrown nail will receive
consideration in the following.
Ingrown nail may be due to either a lateral hypertrophy of the nail
itself cutting into the soft parts, or to the primary hypertrophy of
the soft parts themselves, thus producing the same picture. An
accurate determination of which condition represents the original
etiologic element is important in deciding upon a course of treatment
directed to the radical cure of ingrown nail.
Public-domain text, read in full here on John Shaqi.
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