Surgery, with Special Reference to PodiatryStern, Maximilian
Science
Surgery, with Special Reference to Podiatry
Stern, Maximilian
Foot -- Surgery; Surgery
Heat has the effect of dilating the blood vessels and hastens repair
in bruised, strained, or torn tissues. This is a variety of hyperemia
treatment which is especially useful in the absence of bacteria. In
infected areas the growth of bacteria, and increased pus formation,
would be encouraged and heat is contraindicated.
We are yet without an antiseptic material which can be used in
sufficient strength to affect the growth of germs and yet not injure
the patient. Injury of the part treated, and absorption into the
circulation are both to be avoided. The application of dressings, wet
with corrosive sublimate, or other chemical solutions to the unbroken
skin over inflamed areas, is a fallacy. Any benefit which has been
observed to follow their use, has undoubtedly been due to the effect
of the moisture and warmth or cold, according to the temperature of
the dressing, thus obtained, while local sloughing and general
constitutional poisoning are a common result of such applications. A
light gauze dressing, applied cold, and kept constantly wet with any
evaporating solution, will greatly relieve the congestion and so
assist the inflamed tissues in their contest with any irritating
materials.
A thick wet dressing made with a hot solution, and well protected
against evaporation so that it will retain its heat, will produce the
same effect as a poultice, although less powerful. When there are
discharging wounds or raw surfaces, unprotected wet gauze should be
employed, for poultices are then inadmissible, and the weak antiseptic
solution will inactivate and wash away bacteria.
Astringent solutions have an excellent effect upon inflammatory
processes and the most generally useful of these is the 50 per cent.
solution of acetate of aluminium.
The following is a modified Burow’s solution:
Alum 24 gms., or 6 drachms
Lead acetate 38 ” ” 9-1/2 ”
Water 1000 ” ” 2 pints
Filter after mixture has been allowed to stand for 24 hours.
Ointments are employed by many in the treatment of small areas of
inflammation; they are useful, though not as efficient as hot or cold
wet dressings. Over the unbroken skin, they can only act like a
poultice and should not be employed where infection exists. On clean
wounds they are unnecessary, but upon ulcers or wounds which show no
tendency to heal, such ointments as Peruvian balsam, 5 per cent., or
scarlet red, 4 per cent., are extremely valuable.
+THE PROCESS OF REPAIR+
+Regeneration of Tissues.+ The reparative powers of the tissues of the
human body are considerable, although not comparable with those of the
lower animals, in the lowest orders of which the reproduction of an
entire limb, or even one-half of the body, may take place. In order to
understand the regeneration of tissue, we must first consider briefly
the life history of the cells.
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