The Surgery of the Hand, Being the Carpenter Lectureship Address Before the New York Academy of Medicine

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A tumefied condition of the fascial band often precedes the contracted stage, and can be readily cut across by open incision, after which the wound melts away invariably, though in a year or two the band is apt to recontract through the scar.
This dissolving of the tumefied cord when severed is as if the nerve filaments being cut, the path of irritation is 12 CARPENTER LECTURESHIP.
broken, and tlie products of inflammation are quickly ab- sorbed.
I now give decided preference to tbe cutting out
... of con- tracted bands, wbicb, tbough a somewbat delicate opera tion to do, is thorough and enduring in its results. No where is the use of cocaine more satisfactory. Yet I have found, as has been observed also by others, that, from some yet unexplained cause, cocaine will occasionally yield very slight anaesthesia. I have seen this on two or three occa- sions only. A fine hypodermic needle must be used, and a two-per-cent. solution of cocaine. Not more than ten or twelve drops will be needed if properly placed in the derma at points one third of an inch apart along the proposed in- cision over the band.

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