Surgery, with Special Reference to PodiatryStern, Maximilian
Science
Surgery, with Special Reference to Podiatry
Stern, Maximilian
Foot -- Surgery; Surgery
7. 2 per cent. solution of creolin or lysol;
8. U.S.P. lead and opium wash;
9. aqueous solution of ichthyol (varying from 5 to 50 per
cent. according to the indications);
10. black wash (made by dissolving 64 grains of calomel in a
pint of lime water—this solution only being used in luetic
cases).
11. white wash (prepared by mixing zinc oxide, 2 drams,
solution of subacetate of lead, 3 drams, glycerine, 4 ounces
and lime water, 4 ounces);
12. Dakin’s solution (hypochlorite of soda), prepared as
follows:
chlorinated lime (bleaching powder) 200 gm.
sodium carbonate,dry 100 gm.
sodium bicarbonate 80 gm.
Put the chlorinated lime in a 12 litre flask with 5 litres of ordinary
water and let stand over night. Dissolve the sodium carbonate and
bicarbonate in 5 litres of cold water; then pour this into the flask
and shake it vigorously for a minute and let it stand to permit the
calcium carbonate to settle. After half an hour, siphon off the clear
liquid and filter it to obtain a perfectly limpid product. The
antiseptic solution is then ready for surgical use: it contains about
0.5 gm. per cent. of sodium hypochlorite with small amounts of neutral
salts. It is practically isotonic with blood serum. Never heat the
solution, and always keep it from the light. If in an emergency it is
necessary to triturate the chlorinated lime in a mortar, do so only
with water, never with the solution of the soda salts.
This solution has been used extensively abroad in the treatment of
infections and wounds and has given splendid results.
(A proper quantity of Dakin’s solution for office purposes would be
about one-tenth of the prescription above given.)
+DUSTING POWDERS+
These are employed either as antiseptics or as astringents or for both
purposes. Their use is limited, and they are employed only where the
secretion is scanty.
Among the various powders used are: aristol, dermatol, boric acid,
orthoform, calomel, protonuclein, zinc oxide, alum, scarlet red, etc.
_Thymoliodide_, or _aristol_, is a splendid antiseptic powder and
enjoys the advantage over iodoform of being inodorous.
_Iodoform_ should only be used in tubercular conditions.
_Dermatol_, or _bismuth subgallate_, combines the astringent and
mildly antiseptic qualities of bismuth and gallic acid.
_Boric acid_ is mildly antiseptic.
_Calomel_ should only be used in syphilitic conditions.
_Zinc oxide_ and _alum_ are both astringent.
Scarlet red (5 per cent.) with boric acid (95 per cent.) is indicated
for the stimulation of granulations.
+Solutions.+ Among the various solutions used are silver nitrate, in
various strengths, zinc and copper sulphate, ichthyol, balsam of Peru,
nitric acid, sulphuric acid, trichlorand monochloracetic acid.
_Silver nitrate_ is employed for its astringent action, as are also
the _copper_ and _zinc sulphates_.
Balsam of Peru is used for its stimulating action.
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