A system of practical surgery / by William Fergusson.

  • William Fergusson
Date:
1852
Catalogue details

Licence: Public Domain Mark

Credit: A system of practical surgery / by William Fergusson. Source: Wellcome Collection.

    75/878 (page 51)
    Whether a wound be punctured, contused, lacerated, poisoned or gun-shot, it is usually a good object to bring it as nearly into the condition of a simple incised one as circumstances will permit It is evident that this cannot be effected in all these instances • never hf :bier Thuaf in' d°ne *y 3 judici°US P-‘itionernCteo Card lS. °bj®ct- \hns> “ a Puncture, a portion of the sharp point with »h.ch ,t has been inflicted, may have been left in the par Ind if th.s were allowed to remain, it would be almost certain to retardThe *• A?aw’ “ .contusions and lacerations, there may be ureat effusion of blood m the surrounding tissues, or there may be fofeiun ?• Tn mt° ''I™' In P°isoned rounds there l a peculfar ce of irritation, and in those termed gun-shot, if foreign bodies remain in contact with the textures, the® result is almost invari clean m°re tr°UbleSOme than when the track is left comparatively Sometimes it is improper, or impossible, to remove foreign materials at the commencement of treatment. In gun-shot injuryX^Se a large portion of the wound may be deprived of life, land can onlv separate by sloughing; or the most skilful surgeon may not be able 11 remove a_ foreign body which may be in the part. Then in effu itsTscl^lhifsho01Mdinf neralibe ir?pr0per t0 make an in’cision for ts escape. this should be done only when it has become evident that it is a source of irritation, and that it is not likely to be absorb the SpffainS afdmllg^ ,contusions>the ecchymosis (or, in other words* the effusion of blood) invariably disappears. In simple fractures and’ timnsTifaeieX!rara-i0n iS alwa’/S absorbed in the Pro«res8 of time, as it is also m the instance of thrombus, which occurs durino- i“he vein.’ “ “ the skin is not keP‘ Meetly over thaf Avnln^aTati0n iS’-in nmy °Pinion’ the inevitable consequence of all “? °therS’ *° be diferent STStfa mauon. The difference, however, seems to me to be more in demon treatment. The immediate removal of everv car,** nf • a^as tbi may b possible^, thereforerSTen0 ““Tr’n^ Tf practice. Some foreign substances, which must of necessity he left s hg^iires and stitches, are known to produce a very small additional U’ h-rr’amply ““P‘nsaaled fo“b^