Principles of Surgery

Cover Principles of Surgery
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Fortunately, we are in possession of a very simple diagnostic expedient, which, if resorted to, as it should be, in all doubtful cases, will enable the surgeon, with in- fallible certainty, to ascertain the presence or absence of pus in an in- flammatory swelling, and this is the use of the exploring syringe. An ordinary hypodermic needle with a long point will answer the purpose, although every surgeon should be supplied with an exploring syringe made for this special purpose. The needle must ...be rendered thoroughly aseptic by heating it in the flame of an alcohol-lamp, or, still better, by boiling in soda solution (1 per cent.). The surface where the puncture is to be made is thoroughly disinfected, and the needle is inserted somewhat obliquely toward the centre of the swelling and pushed boldly forward in this di- rection until resistance ceases, which is an indication that it has reached a cavity; the piston of the syringe is now slowly withdrawn and the fluid aspirated is examined; if it is pus the diagnosis is made and the needle is withdrawn.

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