The principles of surgery . thesymptoms prove unusually troublesome, however,severer remedies—as by excision—are scarcelywarrantable. Sometimes, not only is the cyst much thick-ened ; the interior is also filled by a fibrinousdeposit, partially organized. Such a state isobviously not amenable to discussion; and maybe safely treated as an ordinary tumor, byexcision. Sometimes, the cyst slowly suppurates. Thechronic abscess may perhaps be discussed; moreprobably, it reaches the surface and is dis-charged. Even free incision may not be followedby satisfactory closure; an indolent purulentpouch re
The principles of surgery . thesymptoms prove unusually troublesome, however,severer remedies—as by excision—are scarcelywarrantable. Sometimes, not only is the cyst much thick-ened ; the interior is also filled by a fibrinousdeposit, partially organized. Such a state isobviously not amenable to discussion; and maybe safely treated as an ordinary tumor, byexcision. Sometimes, the cyst slowly suppurates. Thechronic abscess may perhaps be discussed; moreprobably, it reaches the surface and is dis-charged. Even free incision may not be followedby satisfactory closure; an indolent purulentpouch remaining, filled only by ill-formed pus;and granulation proving sadly deficient. In suchcircumstances, the temporary application of aseton is advisable ; to rouse the part to the required degree of stheniceffort. Small adventitious bursas not unfrequently open by suppuration ; andthen remain open ; continuing to discharge a thin fluid, partly bursal,partly purulent, through an irritable sinus, which terminates in a more. Enlarged bursa over thepatella; the result of knee. AFFECTIONS OF THEC& 477 irritable ulcer—as in open Bunion. The best mode of getting rid ofsuch troublesome affections, is to insert a pointed piece of potassa fusa ;applying it freely to the whole of the secreting surface. A slough isformed, including the adventitious structure ; and, on its separation,healthy granulation and closure will ordinarily follow. Small adventitious bursse may be chronically enlarged, and be them-selves the seat of little pain or uneasiness ; while from a red, glazed, andintensely irritable state of superimposed skin, the patient may from timeto time endure extreme suffering—as in the slighter form of bunion. Insuch cases, total abstraction of pressure, and the application of nitrateof silver, so as merely to blacken and desiccate, will generally suffice torestore a state of indolence and quietude. Loose Bodies. These are sometimes found in bursse. If troub
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