A system of surgery : pathological, diagnostic, therapeutic, and operative . lular tissue first,then muscle, next tendon andaponeurosis, then vessels andnerves, and, lastly, cartilageand bone ; the latter being al-ways detached with extremedifficulty, on account of thelarge quantity of the earthy sub-stance which it contains. It isowing to this circumstance that several months commonly elapse before the con-nection is finally severed, and then the proceeding is often anything but surgical,the stump thus made being rarely well covered with integument, a matter of somuch consequence in the subse
A system of surgery : pathological, diagnostic, therapeutic, and operative . lular tissue first,then muscle, next tendon andaponeurosis, then vessels andnerves, and, lastly, cartilageand bone ; the latter being al-ways detached with extremedifficulty, on account of thelarge quantity of the earthy sub-stance which it contains. It isowing to this circumstance that several months commonly elapse before the con-nection is finally severed, and then the proceeding is often anything but surgical,the stump thus made being rarely well covered with integument, a matter of somuch consequence in the subsequent progress of the case, and the ultimate well-being of the patient. The separation of the dead parts is always accompanied with more or less pain,discharge, and fetor, adding thus still farther to the prostration of the system,and the danger of constitutional contamination. The pain is sometimes ex-cessive ; at other times it is insignificant, depending upon the extent of themorbid action, and the state of the constitution. In general, it is sharp, smart- VOL. I.—11. Mortification of the foot and leg, with an appearance of thesloughing process, the soft parts being extensively separatedfrom the bone. 162 TERMINATIONS OF INFLAMMATION. chap. iv. ing, or burning. The discharge, which is often quite profuse, is always, at first,unhealthy, ichorous, or sanguinolent, and irritating; by degrees, however, itassumes a more favorable character, and at length acquires all the properties oflaudable pus. The fetor is generally most horrible, sickening, and overpowering;tainting the atmosphere of the apartment, and exerting a most prejudicial effectupon the patient, unless prompt and effectual measures are adopted for its cor-rection. The emanation is, of course, rather from the dead parts, now called aslough, than from the gap, or trough, which lies between them and the the separation progresses, granulations gradually spring up along the rawborder, exhibiting the usual appe
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
