Manual of Surgery - Volume First: General Surgery. Sixth Edition. by Alexis Thomson;Alexander Miles
page 85 of 798 (10%)
page 85 of 798 (10%)
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There are cases on record where rapidly growing sarcomatous and angiomatous tumours, aneurysms, and the bruises that occur in hæmophylics, have been mistaken for acute abscesses and incised, with disastrous results. #Treatment of Acute Abscesses.#--The dictum of John Bell, "Where there is pus, let it out," summarises the treatment of abscess. The extent and situation of the incision and the means taken to drain the cavity, however, vary with the nature, site, and relations of the abscess. In a superficial abscess, for example a bubo, or an abscess in the breast or face where a disfiguring scar is undesirable, a small puncture should be made where the pus threatens to point, and a Klapp's suction bell be applied as already described (p. 39). A drain is not necessary, and in the intervals between the applications of the bell the part is covered with a moist antiseptic dressing. In abscesses deeply placed, as for example under the gluteal or pectoral muscles, one or more incisions should be made, and the cavity drained by glass or rubber tubes or by strips of rubber tissue. The wound should be dressed the next day, and the tube shortened, in the case of a rubber tube, by cutting off a portion of its outer end. On the second day or later, according to circumstances, the tube is removed, and after this the dressing need not be repeated oftener than every second or third day. Where pus has formed in relation to important structures--as, for example, in the deeper planes of the neck--_Hilton's method_ of opening the abscess may be employed. An incision is made through the skin and |
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