84 FISTULA AND POLL-EVIL 



arranged in wads of different sizes so that it 

 can be packed into the recesses piece by piece 

 where it will press directly upon the bleeding 

 vessels and thus arrest the hemorrhage at once. 

 If indifference is displayed in this connection, 

 the bleeding may force its way between the 



Fig. 8. — The Drainage Tube Inserted. 

 This shows the position of the drainage tube in an atypical 

 case of fistula before the would is sutured. In typical fistula 

 the tube would be inserted more anterior, making its exit at 

 the point marked X. 



layers of the surrounding tissues. Once well 

 packed the wound is closed with sutures deeply 

 inserted into each lip. The wound must be 

 closed tight to prevent any further blood loss. 

 Dressmg. When the patient rises to its feet, 

 its body is washed free of all blood accumula- 



