. Railway surgery : a handbook on the management of injuries . FlG. 79.—A Well-Formed Stump (the tapering appearance). vances, so that the latter assumes a tapering appearance,and if properly healed should be absolutely painless and THE HOW TO AMPUTATE. l9I capable of supporting pressure (see Figs. 79 and 80).At this time it is proper to apply an artificial Fig. 80.—A Good Resulting Stump (the tapering appearance). At any earlier period the new tissue will be very aptto break down from the pressure and irritation of theapparatus. CHAPTER XVII. INTERNAL Internal inj
. Railway surgery : a handbook on the management of injuries . FlG. 79.—A Well-Formed Stump (the tapering appearance). vances, so that the latter assumes a tapering appearance,and if properly healed should be absolutely painless and THE HOW TO AMPUTATE. l9I capable of supporting pressure (see Figs. 79 and 80).At this time it is proper to apply an artificial Fig. 80.—A Good Resulting Stump (the tapering appearance). At any earlier period the new tissue will be very aptto break down from the pressure and irritation of theapparatus. CHAPTER XVII. INTERNAL Internal injuries are not at all rare in the practice ofthe railway surgeon, inasmuch as the liability to blows,falls, and squeezes is so great in the discharge of theirduties by the yard or train workmen, and the forces caus-ing such are so powerful. The thoracic and abdominalorgans are not wholly protected by bone, and slight blowsare sometimes followed by an injury to one of their con-tained viscera. Such lesions are also very frequently metwith as complications of injuries to the extremities and tothe skull. Degree and Severity. The degree and severity of any lesion of an internalorgan to a great extent depend upon, and follow the degreeof force acting as a cause; but this is not always the force may contuse or even rupture a viscus, whilefrequently a ver
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