On some important advantages to be secured by oblique section of the skin in surgical operations / by John H. Packard.

  • Packard, John H. (John Hooker), 1832-1907.
Date:
1880
Catalogue details

Licence: Public Domain Mark

Credit: On some important advantages to be secured by oblique section of the skin in surgical operations / by John H. Packard. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    In operations about the vagina the method of bringing broad surfaces together, as suggested by Dr. Post, was absolutely neces- sary. Dr. Lente said that he thought the suggestion of Dr. Packard would be a veiy useful one. In reference to closing up wounds at once, he thought it preferable not to do this in country practice, where the patients could only be seen once in two or three days. It was safer, he thought, to carry out the open treatment, and thus lessen the possibility of accidents. Dr. A. C. Post said that, in cases where a large cavity is left after the operation, there is no question about the necessity of keep- ing the wound open; but there was often an error in keeping the drainage-tube in too long. If not removed in two or three days after the operation, it was likely to become only a source of irrita- tion. Dr. Webster said that some six or eight weeks ago he wit- nessed the removal of a deeply-seated orbital tumor. The incision was made vertically, the tumor enucleated, and the wound closed with silk sutures. The wound closed immediately, there was a very slight scar, and the result seemed to be quite as good as that in the case reported by Dr. Packard. Dr. Robert F. Weir had twice used Dr. Packard’s method, and thought favorably of it. As regai'ds tlie possibility of sloughing, he said the incisions in cornese for cataract had for years been made obliquely, yet there had been no sloughing in such cases so far as he was aware, although the tissue was a non-vascular one. Dr. F. H. Hamilton said that Mr. Pierson, in his directions for opening cold abscesses, stated that the incisions should be made obliquely. He had followed this direction a few times, with satis- factory results. Dr. Harwood related a case of removal of tumor of the face. The wound was closed with sutures and dressed with carbolized oil. The next day the union had taken place, and a week later the scar was very slight. In this case the incision was vertical, and the dressing applied in the ordinary way. Dr. Packard, in concluding the discussion, said that, ist, as regards Dr. Wood’s open method, he was entirely in accord with him. He regarded the open, fresh air as a very much maligned