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June 2, 1888

Multiple Incisions for Indolent Ulcers.

JAMA. 1888;X(22):689. doi:10.1001/jama.1888.02400480021007

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—Harbordt's method of treating indolent ulcers, which has been in use in the St. Spiritus Hospital in Frank-fort-on-the-Main for some years, is thus described by Dr. F. Späth, in Centralbl. für Chirurgie, No. 14: The whole ulcer is divided lengthwise by a deep incision extending a considerable distance into the healthy tissue, after which cross incisions are made through the callous tissue into the healthy tissue at intervals of about 1.8 cm. The incisions should extend through the skin and the subjacent fascia, so that the wounds will gape widely. Hæmorrhage, which is sometimes profuse, is controlled by tampons, and the whole wound is dressed with iodoform dressings. The dressing is removed in from 8 to 14 days. when healthy granulations will be seen springing from the incisions; they soon cover the whole surface, to the level of the surrounding skin, from which there is a rapid growth of new

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