Modern surgery, general and operative . split the nail longitudinally,remove the ingrown portion of nail and a corresponding part of the matrix. An erethistic ulcer of the cutaneous surface is treated as follows: Curetand touch with pure carbolic acid or with the solid stick of silver , 20 gr. to the ounce, allays the pain; so do cocain and eucain for atime. In some cases the painful area can be located by a probe and thenerve-filament di\T[ded by a tenotome. The indolent ulcer of the leg shows no tendency to heal. In such an ulcerthere is usually venous congestion from varicose
Modern surgery, general and operative . split the nail longitudinally,remove the ingrown portion of nail and a corresponding part of the matrix. An erethistic ulcer of the cutaneous surface is treated as follows: Curetand touch with pure carbolic acid or with the solid stick of silver , 20 gr. to the ounce, allays the pain; so do cocain and eucain for atime. In some cases the painful area can be located by a probe and thenerve-filament di\T[ded by a tenotome. The indolent ulcer of the leg shows no tendency to heal. In such an ulcerthere is usually venous congestion from varicose veins or from cardiac weak-ness. A great mass of scar-tissue forms at the base and edges, which fastensthe ulcer to bone or fascia, so that the edges cannot contract. Healthy granula- ^58 Ulceration and Fistula tions cease to form. The edges of such an ulcer are thick, smooth, immovable,and free from tenderness. Granulations are entirely absent or there are seenhere and there a few unhealthy granulations. The discharge is thin, sero-. Fig. 82.—Marjolins ulcer (epithelioma) in a man twenty years of age, arising in the cicatrix of a burn. purulent, and offensive. The parts about the ulcer are congested and pig-mented. The pigmentation is due to the fact that in the area of chronic con-
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
