File:Modern surgery, general and operative (1914) (14779717554).jpg

Identifier: modernsurgerygen1914daco (find matches)
Title: Modern surgery, general and operative
Year: 1914 (1910s)
Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933
Subjects: Surgery Surgery, Operative
Publisher: Philadelphia, London, W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ctions. It may abolish the infection, prevent suppuration, andhasten the process to a conclusion. It does certainly lessen pain and favor Repair 115 absorption. The elastic band may be used upon an extremity, a testicle, thescrotiun, and the head. In other regions cupping glasses are used, a partialvacuum being established in the glass by means of a pump or a rubber bulb. Sir Almroth Wrights Views Upon Inflammation and Its Treat=ment.—Wright mamtains that a free supply of blood and lymph is necessaryfor repair, that both the blood and lymph should contain a sufficiency of pro-tective materials, and that it is essential that numerous active leukocytes enterthe area of disease. When there is a large serous effusion and few leukocytes, a conditionmet with often in tuberculous pleurisy, repair does not take place. In abscess the leukocytes are dead and the material obtained from deadleukocytes retards healing. If the fluid exudate does not contain protectivematerial the process extends.
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Fig. 59.—Constructed for the treatment of the hand. A soft-rubber band wound around the cuffmakes it fit air-tight around the arm (Meyer and Schmieden). Repair is retarded by induration, or by the formation of a fistula or asinus. If there is a small amount of fluid exudate, there is little protective sub-stance thrown into the inflamed part and repair is retarded. If there be a large effusion and few leukocytes, cure is favored by removingthe fluid. This is done in abscess and in serous effusion. If there is toolittle lymph in the part salt solution and citric acid should be used locally,and citric acid should be administered internally. The administration ofproper bacterial vaccines will increase the protective qualities of the lymph.(See Wright, The Pathology of Inflammation, and the resume of his viewsin Progressive Medicine, Sept. i, 1908, p. 31.) IV. REPAIR A damaged tissue reacts to the injury and Nature attempts to effectrepair. It is held by many that inflammation is a dest

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