. Surgery, its principles and practice . s having regular edges and in which the damage to underlyingtissues has not been great, sutures may be tried, but in deep large irregularones in which, exclusive of considerations for the almost certain infection,any approach to healing by first intention could not be expected, drainage-tubes must be introduced and the area of exposed raw surface reducedby approximating edges and binding detached integument to under-lying tissues with bridge and tack sutures. Blind wounds with smallinlets must be enlarged for convenience of examination and the removalof
. Surgery, its principles and practice . s having regular edges and in which the damage to underlyingtissues has not been great, sutures may be tried, but in deep large irregularones in which, exclusive of considerations for the almost certain infection,any approach to healing by first intention could not be expected, drainage-tubes must be introduced and the area of exposed raw surface reducedby approximating edges and binding detached integument to under-lying tissues with bridge and tack sutures. Blind wounds with smallinlets must be enlarged for convenience of examination and the removalof foreign bodies, and at the same time with a view to preventing anyaccumulation of discharge afterward. Regional Wounds.—As most persons injured generally showseveral wounds, any classification of the seat of injury is more or lessarbitrary, and the tal^ulation must be according to the most severewounds.^^^ Statistics for recent naval battles show that the number ofinjuries caused by projectiles, arranged according to locality, except. Fig. 527.—Compound Fracture of the Frontal Bone. complete destruction of the whole body and extensive burns, is greatestin the region of the head; then, in order of frequency, the lower limbs,the upper extremities, the abdomen and lumbar region, the chest andback, and, last, the neck.^^* Wounds of the Cranium.—Some of the most disconcerting anddifficult cases are those with wounds about the head and face. Thedestruction of tissue and disfigurement is often frightful, as where aman has the jaw shot away or the outer wall of the orbit blown off,leaving the eye and its attendant nerves and muscles exposed to view.^*The cranium may be completely crushed, with pulpification of the enceph-alon, or it may sustain any variet}^ and degree of fracture in one or anotherof the cephalic regions—basal, occipital, frontal, parietal, or inner table of the skull, as a rule, is liable to be broken more widelythan the outer, and, accordingly, i
Size: 1769px × 1413px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectg, booksubjectsurgery
