It is sometimes desirable to treat open wounds by application of penicillin solution. In cases when a penicillin saturated pack cannot be applied in such a way as to reach all the recesses or when the contour of the wound is such that it will not hold the solution, a device for sealing the entrance of the wound to retain the solution is of value.
In patients with external biliary fistulas the constant saturation of the dressings with bile makes the patient wet and uncomfortable. The same is true in the case of fistulas of the small intestine, and in addition secretions digest the skin if it is not protected. There is often a need for a device which will collect the secretions and at the same time protect the skin.
The need for some way to collect the fluid and protect the skin was quite urgent in the case of a
Crile G. A DEVICE FOR PROTECTING THE SKIN AND COLLECTING FLUID FROM FISTULAS: OR FOR KEEPING PENICILLIN SOLUTION IN CONTACT WITH A WOUND. JAMA. 1945;129(3):207–208. doi:10.1001/jama.1945.92860370001009
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