The Treatment of War Wounds By W. W. Keen, M.D., LL.D. Emeritus Professor of Surgery Illustrated Philadelphia and London W. B. SAUNDERS COMPANY 1917 LANE LIBRARY. STANFORD UNIVERSITY M151 ков 1917 PREFATORY NOTE This Report has been much delayed by circumstances beyond my control. Happily the delay has had its compensations, as I have been enabled to add important matter from the large experience of several able surgeons actually in the conflict. I have been enabled also to include the work on Acriflavine, Proflavine and Brilliant Green (p. 162), Mercurophen, and the latest technic on the Paraffin Treatment of Burns, etc., which were not published until recently. But more especially am I gratified to be able to add, as the Report is passing through the press, two most important contributions to our knowledge one, the new antiseptic, Dichloramin-T, and the simplified technic of Dakin for the treatment of infection in wounds; and the other the most welcome announcement of an antitoxin against gas gangrene. This will be indeed a boon to many. I should have quoted Carrel and Dehelly (Le Traitement des Plaies infectées) and Dumas and Carrel (Pratique de l'Irrigation des Plaies dans la Méthode du Docteur Carrel) directly, but unfortu nately I was not able to obtain copies of these books until just after I had completed the text. I have, however, been able to utilize some cuts from Carrel and Dehelly by the kind permission of the authors and of Messrs. Masson & Cie, of Paris. I have reproduced some illustrations from the British Medical Journal of June 9, 1917, from a paper by Bowlby. The editor of the Journal gave his permission to use these, but I had to assume that of Sir Anthony, as it was impossible to wait for his permission. I have also to thank Colonel Thomas H. Goodwin, of the British Army, and the Editor of the Journal of the American Medical Association, for permission to use Fig. 2, the diagram from Colonel Goodwin's paper. WILLIAM W. KEEN Philadelphia, August 20, 1917. CONTENTS RESPECTS IN WHICH PRESENT WAR DIFFERS FROM PRE- Huge Numbers, 13; New Means of Transportation, 16; New Weapons, 28; Rampant Infection of Wounds and New Methods of Conquest of Infection, Preparation of the Solution, 41; Necessary Materials, 46; Operative Technic to Prepare the Wound,48; In- troduction of the Instillation Tubes, 50; After-care of the Wounds, 53; Bacteriologic Examination of the Wound, 54; Reunion of Wound, 55; Curve of Healing, 58; Objections to Method, 60; Dichloramin-T, 61. PAGE |
