Surgical Experiences in South Africa, 1899-1900: Being Mainly a Clinical Study of the Nature and Effects of Injuries Produced by Bullets of Small CalibreMakins, George Henry
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Surgical Experiences in South Africa, 1899-1900: Being Mainly a Clinical Study of the Nature and Effects of Injuries Produced by Bullets of Small Calibre
Makins, George Henry
Gunshot wounds; South African War, 1899-1902; Surgery, Military
5. _Clinical course of the wounds._--The tendency of simple wounds such
as are above described to run an aseptic course was very marked, and,
given satisfactory conditions, deep suppuration and cellulitis were
distinctly rare. It may also be confidently affirmed that when
suppuration did occur, with apertures of entry and exit of the normal
small type, this was always the result of infection from the skin, or
infection subsequent to the actual infliction of the wound. The
infrequency of suppuration depended on the aseptic nature of the injury,
the smallness of the openings, the small tendency of the track to weep
and furnish serous discharge in any abundance, the comparative rarity of
the inclusion of fragments of clothing or other foreign bodies, and
possibly in some degree on the purity and dryness of the atmosphere,
which favoured a firm dry clotting of the blood in the apertures of
entry and exit, and consequent safe 'sealing of the wound.'
As to the aseptic nature of the injury, it will be well to first
consider the question of the sterility of the bullet. Putting laboratory
experiments on one side, the large experience of this campaign seems to
prove to absolute demonstration that, bearing in mind the very large
proportion of instances of primary union in simple tracks, the surgeon
has nothing to fear on the part of the bullet itself. This is the more
striking when we remember that these bullets shortly before their
employment were carried in a dirty bandolier, and freely handled by men
whose opportunities of rendering either their hands or implements
aseptic were as bad as it is possible to conceive.
Public-domain text, read in full here on John Shaqi.
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