Authors: George M Dorrance
Publish Date: 1916/05/27
Volume: LXVI, Issue: 22, Pages: 1734-1734
Abstract
To the Editor —That the usual treatment of incised wounds involving tendons at their primary dressing is faulty is attested by the fact that a large number of fingers have to be amputated because of subsequent infection While a large number of cases are infected from beginning a certain percentage become infected from improper handling under unfavorable surroundings There is abundant evidence to prove that the operating room is the place to suture tendons and that only a limited number of cases are favorable for the immediate repair of the severed tendonsIn my hospital service I have insisted that patients with these injuries be sent at once to the operating room simply a sterile dressing being applied in the dispensaryAbsolute asepsis in the handling of these clean tendon cases is the first requisite for the delicate endothelial lining of the tendon sheaths has little or no resistance against
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