Licence: Public Domain Mark
Credit: Gunshot injuries / by Sir Thomas Longmore. Source: Wellcome Collection.
Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.
692/764 page 646
![layer at least a quarter of an inch in thickness, and extending a considerable dis- tance, say tkree inches, beyond the oiled-silk in all directions, the outer layer being made somewhat larger than the rest, so that the margin of the mass of cloth may be thin. Cover the oily cloth with a piece of thin giitta-percha tissue sufficiently large to overlap it on all sides by an inch or more, and retain it securely in position by a roller steeped in the antiseptic oil. Round this again wrap a still larger piece of folded cloth, say a folded towel, also steeped in^'the oily solution of carbolic acid, and cover it with a piece of oiled-silk or gutta- percha.'—'A Method of Antiseptic Treatment Applicable to Wounded Soldiers in the Present War/ by J. Lister, F.R.S., &c. Antiseptic applications, note 17, ^wi/e 341. ' On the Treatment of Gunshot Wounds bv Chloride of Zinc,' by Wm. R, Smart, M.U., O.B., Ins. Gen. R.N., Brit. Med.'Journal,- Oct. 22, 1870, p. 434. See also a paper in the Lancet, Oct. 1870, p. 562, by Dr. Smart. Note 18,])a(/p. 341.—'On the Treatment of Gunshot Wounds by Chloride of Zinc,' by Mr. 0. de Morgan, F.R.S., &c., in the Brit. Med. Journal, Oct. 16, 1870, p. 410. See also a communication ' On the Use of Chloride of Zinc,' in the Brit, and For. Med. C/tir. lienew, for Jan. 18GG, p. 201. Note 19, pa{/e 341.—Die nntisentische Wundbehandluug in der Kriegschi- rurgio von Dr. F. l^smarch, &c. Vortrag, gebalten in der ersten Sitzimg des Oougrossos am 19 April, 187G. Trowitzsch und Sohn, Berlin. Druinaye tubes, note 20, page 342. Dr. F. Ohristot has publislied reports of a considerable number of gimshot wounds in wliic-h the u.^e of drainage tubes formed a special part of the treats ment, in his panqtlilet, * Drainage dans les Plaies par Armes de Guerre,' Paris, l^ailliore, 1871, pp. 04, &c. He e.Ytols the drainage system very highly, ad lead- ing to a more speedy cure in many cases, and as ' a valuable means of warding o(l the accidents which are apt to follow gunshot wounds of soft parts. It gives happy results in cases of long and narrow, muscular, and aponeurotic wounds, when tliey are complicated wth dilhise inflammation and extensive suppuration. Owing to the opportunity of How which it aflbrds to the pus and septic fluids of all kinds, it constitutes a good means of checking traumatic fever and prevent- ing or dispelling septicemia. Its application seems especially advantageous in cases where the inflammatory phenomena ha^'e been excited by the pro- longed ])resenco of foreign bodies in the tissues—projectiles, bits of clothuig, splinters, &c.' Drainnr/e tubes, note 21, page 343. A full description of Mr. ElUs' -wnre drainage tubes may be found in the Lancet of the 24th of July, 1869, p. 116. Sir J. Paget has given the weight of his high authority in their favour. He ascribes to them the following advan- tages:—1. They can be jdaced in sinuses of very small diameter, and with equal advantage whether the sinus has one or more openings. 2. Their bore is not diminished by bending them to any angle. 3. They cannot be flattened or shut up by contraction of the orifice of the sinus. 4. They can be inserted with great fiicility. 5. They can be worn for any length of time in fit cases without causing irritation. 6. They are cleanly and excite no decomposition in pus or other fluids. Dressings used in foreign hospitals, note 22, page 347. ' Lessons on Hygiene and Surgery from the Franco-Prussian War,' by C. A. Gordon, M.D., CD., &c., London, 1873, p. 124. Treatment by hermeiically sealing, note 23, js^rf/c 848. Dr. J. Julian Ohisobn, Professor of Surgery in the Medical College of South Carolina, and author of a very handy and concise ' Manual of Military Surgery](https://iiif.wellcomecollection.org/image/b21511421_0692.jp2/full/800%2C/0/default.jpg)
