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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    of undue contraction of surroiinding tissues, as seen, for example, after a burn. The edges are healthy, but the granuiations rise up above the surface, and are turgid, dark red, redundant, and readily bleed. The discharge is purulent. Treatment.—Solid nitrate of .silver should be rubbed over the granulations until they are reduced to healthy proportions. Tlia oidemalous or treak ulcer generally occm-s in con- nection with strumous bones or joints, hut any ulcei- may become cedematous if healing is delaj'ed by the too long use of emollient applications. The edges and sruToimd- ings are generally healthy; and the granulations upraised, f^abbJ^ bulbous, somi-translucent, waterj-, and friable. The discharge is profuse and watery. Treatment.— Eemoval of the cause where possible ; uniform pressiu-e; and application of nitrate of silver lotions^ or like astringents. The riiflaitimatori/ and inflamed vlccr.—These tenns are applied to ulcers in which the inflammatory pheno- mena are the most marked feature. The inflammation may depend on some constitutional disturbance conse- quent upon alcoholism, poor living, and the like; or it may be the result of local irritation appbed to any ulcer whatever its previous character. For the piu-pose of dis- tinction, the term iuflammatory is appbed to the foraier condition, whilst the term inflanied is generally restricted to ulcers of the latter class. Inflammatory ulcers have generally an irregular shape, the edges are ragged and shi-eddy, or abrupt or sharp-cut, the sm-roundiug skin is red and cedematous, the base void of granulations, cby. livid-red, or covered with a serous, sauious discharge mixed with tissue deluis, and if the inflamination is very acute, yellow slouglis. When iuflannuation attacks a previouslv granulating ulcer, the gi-auulations become florid anil swollen, and generally slough. M'hilst the surrounding jiarts present the ordinary inilammatory phenomena. Tlie treatment should consist of rest, the elevation of the ]->art, the removal of all local irritation, the apiilication of warm antiseptic lotions, as boric acid, on lint, a,nd attention to the constitutional state and regulation of the secretions. 'The sloughiixi 7f/cvr.—This is merely a severer degree of the former, anil differs from it in that the inflammatory process is more intense and of a spreading and infective character. It is seldom met Avith except in couuectiou with
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