. Surgery, its principles and practice . A B Fig. 411.—Showing a Perforation into the , External appearance; B, from the mucous surface with the appendix opened. 740 SURGERY OF THE APPENDIX VERMIFORMIS. ischemia of the edematous and infected mucosa, which increases the toxic and bioticdestructive effect of the micro-organism. Second: Virulence of the micro-organism hastens the : Pus products in all parts of the body are rapidly absorbed when heldunder tension; there is also more rapid destruction of tissue. The inelasticity ofthe wall of the appendix contributes to
. Surgery, its principles and practice . A B Fig. 411.—Showing a Perforation into the , External appearance; B, from the mucous surface with the appendix opened. 740 SURGERY OF THE APPENDIX VERMIFORMIS. ischemia of the edematous and infected mucosa, which increases the toxic and bioticdestructive effect of the micro-organism. Second: Virulence of the micro-organism hastens the : Pus products in all parts of the body are rapidly absorbed when heldunder tension; there is also more rapid destruction of tissue. The inelasticity ofthe wall of the appendix contributes to this high tension. The ischemia producedby the compression favors the rapid invasion and early biotic and toxic necrosisof the tissues. Complete gangrene of the mucosa has been observed as early asseven hours after the initial colic (Fig. 409). The gangrenous process mayinvolve all of the walls in a circumscribed area, or all of the appendix from tip to base (Fig. 410). Thisstrangulation is notdue to occlusion ofthe artery, but to ani
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