The American Therapist Volume 11

The American Therapist Volume 11

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1902 edition. Excerpt: ...stated why sponge is the best dead tissue to use. Charcoal and calcined bone might also be utilized in cases where a strong framework was desirable in order that contraction may be avoided--but in the cases in which I have made use of sponge, such as burned tissues near a joint, and where there is often considerable contraction if skingrafting is performed, I have found little or no contraction where the sponge was used. It should only be applied where a vacuity is to be filled. Hamilton's experiments have shown that if it is forced between two portions of a muscle, without a portion of the muscle excised, organization does not proceed nearly so equally as where a piece of tissue is removed and the sponge takes its place. The reason of this is obvious, as it merely presses against blood vessels and obstructs circulation, causing inflammation. Finally, to be successful with this treatment, asepsis must be rigidly enforced. The wound must be made thoroughly aseptic, also the sponge. There is no reason why a patient should not be allowed to move about if practicable, after the sponge is firmly fixed, which will be about ten days. I have found, however, that some parts of a sponge become organized more quickly than others. This the surgeon must carefully watch, as, if too free movement is allowed before the whole sponge becomes organized, bleeding is apt to take place, which is to be guarded against. The process is a long one, but, in my opinion, the results far outweigh the disadvantage of delay. I should strongly advise any of you who have an intractable ulcer or much loss of tissue, especially near a joint, to give this process a careful trial. OBSERVATIONS ON THE TREATMENT OF PNEUMONIA WITH CREOSOTAL By James J. Philips, M.D. more

Product details

  • Paperback | 152 pages
  • 189 x 246 x 8mm | 286g
  • United States
  • English
  • black & white illustrations
  • 1236784715
  • 9781236784711