Manual of Surgery - Volume First: General Surgery. Sixth Edition. by Alexis Thomson;Alexander Miles
page 123 of 798 (15%)
page 123 of 798 (15%)
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ulcer and its surroundings, and any other sources of irritation must be
removed. If the patient's health is below par, good nourishing food, tonics, and general hygienic treatment are indicated. _Management of a Healing Sore._--Perhaps the best dressing for a healing sore is a layer of Lister's perforated oiled-silk protective, which is made to cover the raw surface and the skin for about a quarter of an inch beyond the margins of the sore. Over this three or four thicknesses of sterilised gauze, wrung out of eusol, creolin, or sterilised water, are applied, and covered by a pad of absorbent wool. As far as possible the part should be kept at rest, and the position should be adjusted so as to favour the circulation in the affected area. The dressing may be renewed at intervals, and care must be taken to avoid any rough handling of the sore. Any discharge that lies on the surface should be removed by a gentle stream of lotion rather than by wiping. The area round the sore should be cleansed before the fresh dressing is applied. In some cases, healing goes on more rapidly under a dressing of weak boracic ointment (one-quarter the strength of the pharmacopÅial preparation). The growth of epithelium may be stimulated by a 6 to 8Â per cent. ointment of scarlet-red. Dusting powders and poultice dressings are best avoided in the treatment of healing sores. In extensive ulcers resulting from recent burns, if the granulations are |
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