. Gyncology clinique, soins médicaux et chirurgicaux. nd toute la longueur nécessaire, de sorte que pour une personne versée dans l'opération mais une fewmoments sont nécessaires pour fermer une grande ouverture. La plaie doit becompletely couverts par la peau ainsi obtenu, le grand soin prises toplace la surface dénudée du greffon en apposition avec thedenuded soigneusement la surface du thorax. Lorsque l'ouverture est entièrement couverte,un morceau de peu d'huile de protection en soie doit être placé sur les greffes, ex-tendant un quart de pouce au-delà de la marge de la plaie. S'il n'est donc possible de couvrir la surface ouverte au moment de la

• Contributeur: The Reading Room / Alamy Banque D'Images
• ID de l’image: 2AFN59H
• Taille du fichier: 7,1 MB (148,4 KB Téléchargement compressé)
• Autorisations: Modèle - non | Propriété - non
• Dimensions: 1414 x 1767 px | 23,9 x 29,9 cm | 9,4 x 11,8 inches | 150dpi

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. Clinical gyncology, medical and surgical. nd any length required, so that for one skilled in the operation but a fewmoments are necessary to close a large opening. The wound should becompletely covered by the skin thus obtained, great care being taken toplace the denuded surface of the graft thoroughly in apposition with thedenuded surface of the thorax. When the opening is entirely covered, a piece of thin oil-silk protective should be placed over the grafts, ex-tending a quarter of an inch beyond the margin of the wound. If it isnot possible thus to cover the open surface at the time of the operation, on account of the feeble condition of the patient, it may be done at a laterperiod, should the opening be sufficiently large to demand it. In dressing the wound remaining after extirpation of the breast, whetherskin-grafts are used or not, an abundant sterilized dressing is required.A good method is first to express from the wound any small amount ofblood which may remain after closing it by suture. If this is done, the Fig. 15.. Bandage of the breast after operation. DISEASES OF THE FEMALE BREAST. VI I hemorrhage having first been carefully controlled and the surface of thewound held closely in apposition before and during the application of thedressing, no blood will remain beneath the flaps and no drainage will bonecessary. It out has not thoroughly stopped the bleeding, and is notexpert in the application of dressings, it would be unwise to omit drainage, since otherwise the retained blood may fail to organize, and suppurationmay result. After one has become thoroughly practised in the applicationof dressings, drainage may be done away with, and in a large proportionof cases the wound will heal through its entire extent by first intention, under the primary dressing. The dressing should cover the surface to awide distance from the border of the wound, and a firm pad should beplaced under the arm, so as to press upward into the axilla. Sufficientgauze and cotton sho

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