On the healing of aseptic bone cavities by implantation of antiseptic decalcified bone / by N. Senn.
- Nicholas Senn
- Date:
- 1889
Licence: Public Domain Mark
Credit: On the healing of aseptic bone cavities by implantation of antiseptic decalcified bone / by N. Senn. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![ASEPTIC BONE CAVITIES BY IMPLANTATION OF ANTISEPTIC DECALCIFIED BONE. By N. Senn, M.D., Ph.D., ATTENDING SURGEON TO THE MILWAUKEE HOSPITAL; PROFESSOR OF THE PRINCIPLES OF SURGERY AND SURGICAL PATHOLOGY IN THE RUSH MEDICAL COLLEGE, CHICAGO, ILLINOIS. The antiseptic treatment of wounds as now almost universally i;>rac- tised constitutes the greatest triumph of modern surgery. Since this treatment has become developed to its present state of perfection primary union is no longer the exception, but the rule. The failure to obtain healing by first intention of an intentional wound made by the knife of the surgeon through a.septic tissues, or of a recent accidental wound, in which parts of the same anatomical structure can be approximated and coaptation uninterruptedly maintained, must be looked upon as an evidence of a faulty technique or want of proper care on the part of the surgeon or his assistants in carrying out the principles of antiseptic surgery. Primary union in the sense in which this expression should be now used means the restoration of injured or lost parts without suppura- tion. It is a purely reparative process in which all the newly formed ti.ssues are utilized in permanently cementing together divided parts or in restoring tissues lost by injury or disease. If a definitive union or repair is accomplished without suppuration, it must be called primary union whether this result has been obtained with or without visible granula- tion tissue. ' An ideal ])rimary union is one where the surface and deep parts can be brought together and held in perfect approximation until in a few days, by interposition of new living tissue between the divided structures, the interrupted anatomical continuities have become permanently re- stored and the suspended physiological functions established. Practically such a result is not often obtainable. Even the most improved methods of approximation and coaptation frequently fail in securing such accurate apposition of similar tissues as to enable organic union to take place in such a short space of time and accomplished by such a small amount of reparative material. Under most circumstances spaces are left here and](https://iiif.wellcomecollection.org/image/b22396639_0005.jp2/full/800%2C/0/default.jpg)
