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Her modesty forbade her summoning medical aid for three days, during which time the wound was undergoing most primitive treatment. After suturing, cicatrization followed without delay. Trompert mentions a case of rupture of the vagina by the horn of a bull. There is a case recorded in the Pennsylvania Hospital Reports of a girl of nineteen who jumped out of a second-story window.
#Primary Suture.# The reunion of a recently divided nerve is spoken of as primary suture, and for its success asepsis is essential. As the suturing of the ends of the nerve is extremely painful, an anæsthetic is required.
It is believed that this functional heart trouble is caused by the increased connective-tissue fibers of the sexual organs acting in some unknown way on the terminal fibers of the sympathetic; and it is not infrequently due to the formation of scar tissue at the seat of a cervical laceration, and has often been promptly and permanently relieved by removing the cicatricial tissue and suturing the wound.
Where extensive suturing of tissues has been necessary, subjects must be kept quiet. They are best confined in box stalls and not taken out for several weeks. Particularly is this true where transverse division of extensors has taken place. Sutures are removed at the end of from ten days to three weeks as cases permit.
Immediate suturing of the ends does not affect the degeneration of the distal segment. The peripheral end undergoes complete degeneration in from six weeks to two months.
When we consider the varicosity of this organ we can readily believe the possibility of the foregoing facts, and there is little doubt that more precaution in suturing severed portions of the nose would render the operation of nose making a very rare one.
The hair along the margins of the wound should be trimmed, and all tissue that is so torn and detached as to interfere with healing cut away. Drainage for the wound secretions and pus should be provided. The advisability of suturing the wound depends on its character and location. A contused-lacerated wound should not be closed with sutures unless it is clean and shows no evidence of sloughing.
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