Surgery : its theory and practice / by William Johnson Walsham.

  • William Walsham
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: Surgery : its theory and practice / by William Johnson Walsham. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    abtmdance of tlie capillaries in the graniilation tissue, becomes pale as these are obliterated by the contraction of the fibrous tissue, into which the granulation tissue is converted, and though, in the course of time, in conse- quence of the fibrous contraption, it becomes smaller, a permanent cicatrix will remain. _ In wounds attended by loss of substance, m which heabng by the second intention is the normal process, a traiuuatic inflammation is set up in the tissues unmechately ad- iacent to the surface of the wound, and the conditions lor healing being otherwise favourable, a coagulable material, as described above, is formed over the suriace, and the serum drains away. Loops of new capillaries, derived from the old, spring up amongst the cells lormiug the co- agulable exudation, and the wound heals and cicatrizes as has lust been described, mere there is much lacera- tion or contusion of the surface of the wound, the dead tissues aro cast off by ulceration in the way mentioned ''''s^XSr^V i^rd 7«f.»^-o».-mcn the two layers of granulations covering the flaps of the wound are placed and kept in contact, the capillanos m the one ayer meet with those in the other, and so ^-^ f^^hsh a vascular conncticm between the two flaps, and the heal- ing of the woun.l then proc Is m the way described under uni(m by the iirst intention. 4 Healhui under a scah.-Tho minute changes of heal- in- under a scab require no special description. TKEvrav-vr ov woUNPS.-The general]inncip es which should guide us in the treatm.nit of wounds will bo con- sklcred under the following heads Arrest of h™-
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