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During the past two years I have used Beck's bismuth paste in a variety of conditions and with more or less favorable results.
It may be said a priori that bismuth paste is useful not solely in chronic conditions. Many recent sinuses and sloughing wounds, etc., are quite amenable to this form of treatment.
The first series of cases were those of tubercular adenitis, twelve cases in all, ten cervical and two inguinal. In this condition, in which some of the glands are caseating or suppurating, it is almost impossible to keep a perfectly aseptic field during operation and, even when the glands have not broken down, the size of the cavity after their removal, often filled with blood as it is, encourages pus formation. It appeared that if this cavity were filled with bismuth paste before the last closing suture was inserted, suppuration would be prevented. This proved to
BELL FM. EXPERIMENTS WITH BISMUTH PASTES. JAMA. 1912;LVIII(18):1339–1341. doi:10.1001/jama.1912.04260050015005
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