File:Surgical after-treatment; a manual of the conduct of surgical convalescence (1911) (14578253330).jpg

Identifier: surgicalaftertre00cran (find matches)
Title: Surgical after-treatment; a manual of the conduct of surgical convalescence
Year: 1911 (1910s)
Authors: Crandon, L. R. G. (Le Roi Goddard), b. 1873
Subjects: Surgery, Operative
Publisher: Philadelphia and London : W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Infectiononce started calls for more frequent irrigations and the relentless useof the knife. All the tissues must be laid wide open. Hot soaks in asitz-bath are invaluable and comforting. Uncontrolled infections havea direful tendency to spread upward along the urinary tract, where thedifficulty of combating them is doubled.33 514 OPERATIONS ON PENIS, SCROTUM, URETHRA, AND PROSTATE Comfort of the Patient.—Hardly anything more uncomfortablecan be imagined than the postoperative genito-urinary case, with hisurine constantly dribbling away, beyond his control, keeping his dressingwet and diffusijiig a rank odor of stale urine. Nothing can be too trivialto perform which will add an atom of comfort. Use large absorbentdressings and change them every hour if necessary. A little mentholor charcoal sprinkled in the dressing will disguise or absorb the odormarkedly. Keep the edges of the wound and the surrounding skinsmeared with zinc-oxid ointment to protect the skin, which easily becomes
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Fig. 169.—Convenient Method for Perineal Dressings. red, burning, and itching from the constant bath of urine. Bed-soresform quickly if the patient lies for hours in a wet dressing or a wet bed,and are difficult to heal. CIRCUMCISION The method of dressing whereby a roll of gauze is tied along thewound by the long ends of the interrupted catgut sutures is ingenious,but is not to be commended. • This ring of gauze gets heavy and sti£fwith blood, gets foul in odor, and gets loose here or there irregularly,according as one or another stitch gives way. Interrupted catgut stitchesshould be used, cut short. MEATOTOMY 515 At the end of operation on an adult the glans should be coveredwith a plentiful mass of eucalyptus vaselin (5 per cent.), the region ofthe wound bandaged with a few turns of some kind of chemical gauze,held in place by a narrow adhesive strip, barely tight enough to holdit. An infant needs no fixed dressing. A mass of absorbent cottonshould now envelop the organ, and t

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