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January 25, 1890


JAMA. 1890;XIV(4):130. doi:10.1001/jama.1890.02410040022002

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Rapid Cure of Buboes by the Injection of Iodoform Vaseline.  Prof. Poutan claims to obtain excellent results in the treatment of buboes by the injection of vaseline impregnated with iodoform, which makes a kind of permanent iodoform dressing in the interior of the ganglion. His operation is as follows:

  1. Antiseptic cleansing of the parts with Van Swieten's solution.

  2. Puncture with a lancet if the skin is thin; with a bistoury if the pus is deep seated.

  3. Evacuation of the pus, with complete expression of the liquid contents.

  4. Injection of liquefied vaseline containing iodoform.

  5. Dressings of bichloride cotton.

The puncture need not be made in a dependent position, as there is no subsequent flow. It should be central, so that the pus may be forced into it from all sides. The evacuation of the pus should be complete and gradually made, although it is sometimes quite painful.

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