Infections of the hand : a guide to the surgical treatment of acute and chronic suppurative processes in the fingers, hand and forearm / by Allen B. Kanavel ... illustrated with 133 engravings.

  • Kanavel, Allen B. (Allen Buckner), 1874-1938.
Date:
1912
Catalogue details

Licence: Public Domain Mark

Credit: Infections of the hand : a guide to the surgical treatment of acute and chronic suppurative processes in the fingers, hand and forearm / by Allen B. Kanavel ... illustrated with 133 engravings. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    k'np:lh of the infected area, for fear of impairing the nutrition of the flaps. The entire area, however, was undermined and gauze saturated with hot boric acid solution carried to the edge. An immediate cessation of the process took place except at the wrist, where a subsequent incision had to be made, owing to the inadequacy of the early incision. When the flaps finally healed, it was found that no grafting was neces- sar}^ So much of the skin had retained its vitality that the denuded areas were soon covered by epithelium. At times I have been compelled to cover a small denudation by a Thiersch graft from the patient's body. This should be done as soon as a good granu- lating base has been assured. This, in my experience, is more often necessary on the dorsum of the finger than on the back of the hand. The illustrations show, in both cases, beginning carbuncles (Figs. 13 and 14). The one on the finger had been treated a week before it came under my observation, and, after incision, was dressed only twice and was entirely well in a week. The one on the dorsum of the hand had been treated for six days after a simple incision. After opening it properly and applying the Bier suction cup, which I have used at times with success, entire healing followed in a week. This picture of an apparently simple case is presented, since it is in such that the diagnosis is not made. They are considered simple abscesses. The more severe cases with the punctate areas of pus are recognized by all if they are acute. Differential Diagnosis,—Oidiomycosis.—There is a more chronic type of infection of this area which may be mistaken for oidiomycosis (blastomycosis), and, conversely, an oidiomycosis may be construed to be a subacute carbuncle. The appearance of these