File:The breast- its anomalies, its diseases, and their treatment (1917) (14570307330).jpg

Identifier: breastitsanomali00deav (find matches)
Title: The breast: its anomalies, its diseases, and their treatment
Year: 1917 (1910s)
Authors: Deaver, John B. (John Blair), 1855-1931
Subjects: Breast Breast X-rays Breast Diseases Breast Neoplasms Radiotherapy
Publisher: Philadelphia, P. Blakiston's Son & Co
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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and the incision to reheve it be made sufficiently remote fromthe nipple. Nursing at the healthy breast is seldom discontinued by his patients.Most European surgeons follow a similar line of treatment, but it is the custom amongAmerican surgeons to advise weaning the child when suppuration takes place in themothers breast. Gastro-intestinal disorders are common enough in infants suckled at infected breasts,but it is surprising to find that Damourette observed five fatal cases among a series of27 infants who were suckled at breasts the milk ducts of which alone were affected. Great stress is laid upon this source of danger to the child by Baumgarten and 1 THE INFECTIOUS DISEASES OF THE BREAST 177 Boissard, while numerous obstetricians hold that infantile marasmus is often due to theingestion of bacteria-laden milk from a mother whose milk ducts alone are infected. Dervaux and Salmon report the case of an infant in whom erysipelas and osteomyelitisfollowed nursing at an infected breast.
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Fig. 100.—Showing proper method of draining an intramammary abscess. Infected milk other than mothers milk may also be a source of danger to the child,as is illustrated by the fatal cases of infantile purpura and melena reported by Gibbons,in which the source of the infection was traced to an abscess in the udder of a donkey. Treatment of Mammary Abscesses.—The treatment of mammary abscesses con-sists of incision and drainage. Incisions into the breast may be made either inside or 178 THE BREAST outside of the areola but must radiate from the nipple to avoid severing the milk ducts.They must be in sufficient number and so placed that free drainage is provided forevery collection of pus. 1. Subcutaneous Abscesses.—A single incision usually suffices in the small superficialtypes of mammary abscess. In these cases it is unnecessary to explore the abscesscavity, and a small piece of rubber tissue is all that is required to secure adequatedrainage. When a subcutaneous collection of p

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