As a rule not, in order to avoid the possibility of too much destructive action, and consequent scarring.
Can scarring always be prevented?
In the average case, with skill and care, the use of an exceedingly fine needle and the avoidance of too strong a current, perceptible scarring (scarring perceptible to the ordinary observer or at ordinary distance) need rarely occur.
What measures are to be advised for the irritation produced by the operation?
Hot-water applications and the use of an ointment made of two drachms cold cream and ten grains of boric acid are of advantage not only in reducing the resulting hyperæmia, but also in preventing suppuration and consequent scarring. To lessen the chances of the latter, cleansing the parts with alcohol just before and after the operation is also of service.
Œdema Neonatorum.
Describe œdema neonatorum.
The essential symptoms are œdema and a variable degree of hardness and induration. It develops in the first few days of life, and usually upon the extremities, especially the lower. It may remain more or less limited to these parts, but, as a rule, slowly extends. The skin is of a yellowish, dusky, or livid color, and sometimes glossy or shining. There are general symptoms of drowsiness, subnormal temperature, weakened circulation, and impaired respiration, which gradually increase, and in eighty to ninety per cent. of the cases lead to death. It is believed to be similar to anasarca in the adult and to be due to like causes.
Treatment consists in maintaining the body-heat, sufficient and proper nourishment and stimulation.