JOURNALS
1918
The Lancet
A BOOK such as this will serve as an excellent record of the work as carried out by the men who wrote it and of the method that they have chosen as the best for dealing with the wounds of war. The authors have had a considerable experience in war surgery both in France and Salonika, and as a result thereof have come to the conclusion that the best method of obtaining a rapid sterilisation of wounds is by the Carrel-Dakin method, thus allowing of the performance of secondary suture with the
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... quent early restoration of function of the part affected. They are insistent, and quite rightly, that in order to obtain good results the method should be rigidly carried out after the fashion originally described by the originators. The authors have been fortunate in being able to organise their methods in a given area from the firing line to the base, and thus maintain a continuity of treatment which is not often possible in many of the theatres of war. Under these conditions it is interesting to find that the results that they have obtained correspond to those of others who have adopted the same methods ; there are so many difficulties in carrying out the treatment efficiently, combined with the large amount of bacteriological investigation necessary, that the authors are to be congratulated on the results of their efforts. It is with these methods, as applied in their hands to lesions in various parts of the body and in different areas of fighting from the firing line to the base, that this book is largely occupied, and the description is done well. It is a little disappointing to find, however, that so little attention has apparently been paid to the methods of primary and delayed primary suture, which have so largely supplanted the necessity of secondary suture during the last two years of the war. These methods are coming to the fore as results become better known, and in a book such as this the newest line of treatment should be encouraged. There is also a tendency to decry the value of certain drugs, such as fiavine and bismuth-iodoform paste, which in the hands of many have met with considerable success. These are details, however, as compared with the general principles which are laid down and well described in this book. Considering the great difficulties under which the authors must have laboured, far away from books of reference and skilled artists, the
doi:10.1016/s0140-6736(00)58986-7
fatcat:yhe6s4fwrfbo3ltflbugvcaozi