The American Practitioner and News. Vol. XXV. No. 3. Feb. 1, 1898: A Semi-Monthly Journal of Medicine and SurgeryVarious
Science
The American Practitioner and News. Vol. XXV. No. 3. Feb. 1, 1898: A Semi-Monthly Journal of Medicine and Surgery
Various
Medicine -- Periodicals
This journal is devoted solely to the advancement of medical science
and the promotion of the interests of the whole profession. Essays,
reports of cases, and correspondence upon subjects of professional
interest are solicited. The editor is not responsible for the views
of contributors.
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the journal, should be addressed to the Editor of THE AMERICAN
PRACTITIONER AND NEWS, Louisville, Ky.
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JOHN P. MORTON & COMPANY, Louisville, Ky.
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THE ART OF NEGLECTING WOUNDS.
The New York Post-Graduate Clinical Society[2] was recently treated to a
moving discourse on the novel subject of “The Art of Neglecting Wounds,”
by Dr. Robert T. Morris, one of the instructors in surgery in the
Post-Graduate School.
Footnote 2:
The Post-Graduate, Vol. XIII, No. 13, January, 1898.
The author confined his remarks to wounds made by the surgeon when
operating, and hints pretty strongly, though he does not say so, that
their subsequent treatment even by the surgeon himself might not
inappropriately be called “meddlesome surgery.”
For instance: In incised wounds (the margins of which have not been
quite approximated) the capillaries begin to develop granulation tissue
in the coagulated lymph deposited upon the surface in a few hours if the
trophic nerves have not been much injured. This granulation tissue is
extremely delicate and will not bear handling. When such a wound is
suppurating freely the strong temptation to wipe away the pus with
sponge or gauze should be resisted for two reasons, first, “Granulation
tissue suffers traumatism whenever it is touched, no matter how lightly,
and, as a result of such traumatism, there will be developed exuberant
granulation tissue, which will be poorly supplied with blood-vessels. We
have in weak granulations, so to speak, what might be called ‘watered
stock.’ It is a very common result of our well-intentioned but
ill-directed efforts at keeping the wound clean.”
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