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Surgical Treatment of Suppurating Venereal Bubo.
—Karl Szadek thus describes the treatment carried out at the Military Hospital at Kiew:In beginning bubo, so long as there is no fluctuation, or redness of the skin, simply rest and prevention of irritation or injury to the inguinal region, at the same time appropriate treatment is employed for the soft sore.If the skin is reddened but fluctuation not well established over the abscess, hot compresses, made with a carbolic solution, are to be applied until there is established complete suppuration of the swelling. Painting with the tincture of iodine does not meet with favor. As soon as fluctuation is made out in the whole abscess and it is ripe, a surgical opening is necessary. A mild degree of chloroform narcosis is recommended, as the necessary steps are very painful. After most careful cleansing of the skin in the inguinal and
MEDICAL PROGRESS.. JAMA. 1888;XI(12):414–416. doi:10.1001/jama.1888.02400640018003