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Updated: May 26, 2025
The tension is relieved and death of skin prevented by scoring it freely with a sharp knife. Relaxation stitches should be removed in four or five days, and stitches of coaptation in from seven to ten days. On the face and neck, wounds heal rapidly, and stitches may be removed in two or three days, thus diminishing the marks they leave. Drainage.
Harding approved entirely, and it was decided that the two wounds should be dressed without attempting to close them by immediate coaptation. And now, did the colonists possess an efficacious agent to act against the inflammation which might occur? Yes. They had one, for nature had generously lavished it.
When there is any difficulty in bringing the edges of the wound into apposition, a few interrupted relaxation stitches may be introduced wide of the margins, to take the strain off the coaptation stitches. Stout silk, fishing-gut, or silver wire may be employed for this purpose. When the tension is extreme, Lister's button suture may be employed.
Merillat employed a weight to counteract muscular contraction. Treatment. Reduction of femoral fracture in the horse is practically impossible, and retaining the broken bones in coaptation is not possible by means of mechanical appliances. Consequently, prognosis is unfavorable in fracture of the body of the femur.
These stitches of coaptation may be interrupted or continuous. In small superficial wounds on exposed parts, stitch marks may be avoided by approximating the edges with strips of gauze fixed in position by collodion, or by subcutaneous sutures of fine catgut.
Harding approved entirely, and it was decided that the two wounds should be dressed without attempting to close them by immediate coaptation. And now did the colonists possess an efficacious agent to act against the inflammation which might occur? Yes. They had one, for nature had generously lavished it.
Frequent readjustment may be necessary, and time is well spent in this manner since this contributes materially toward a favorable termination by encouraging the subject to remain quiet so that coaptation of the broken bones may be maintained. Aside from slings, mechanical appliances that are helpful in the treatment of these cases are not yet in use.
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