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

  • William Walsham
Date:
1889
Catalogue details

Licence: Public Domain Mark

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

    112/864 page 96
    quence of the fibrous contraction, it becomes smaller, a permanent scar will remain. In wounds attended with loss of substance, in which heal- ing by the second intention is the normal process, a tra\i- matic inflammation is set up in the tissues immediately ad- Pjq_ 21.—Diagram of a granulating wound. jacent to the surface of the wound, and the conditions for healing being otherwise favourable, a coagulable material, as described above, is formed over the sm-face, and the serum drains away. Ijoops of new capillaries, derived from the old, spring up amongst the cells replacing the coagulable exudation and softened adjacent tissues, and the wound heals and cicatrizes as has just been described. Where there is much laceration or contusion of the surface of the wound, the dead tissues are cast off by ulceration in the way mentioned under gangrene. 3. Healing hj the third inicution.—Vi'hon the two layers of granulations covering the flaps of the wound are placed and kept in contact, the capillaries in the one layer meet with those in the other, and so establish a vascular con- nection between the two flaps, and the healing of the wound then proceeds in the way described under union bv the first intention. ^ i i 4. 7/eaZ/7)</M»At a The minute diangos of heal- ing under a scab require no special descri]ition. Tre vt.ment of wounds.—The general lu-inciples which should guide us in the treatment of woiinds will be con- sidered under the following heads Arrest oi hremor- rha-o • 2. Cleansing of the wound and removal ol foreign bodTes; :5, Drainage; 4, Closing the wound and keeping it subsequently at absolute rest: o, rrovention of putre- faction, fennei'itation, and infective processes; and 6, Con- stitutional treatment.
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