The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . consists, as was first pointed out by Gulliver,of a fatty and granular disintegration of the arterial coats; the trans-formation into fatt^ and granular matter taking place both in old fibri-nous deposits upon and in the internal and lining membrane atheroma when fully formed consists of granules, oil-globules, andcholesterine, in various pioportions (Figs. 345, 346), the plates of clio-. #°o ^v70ding f oofio?: Fig. 3-15.—Fatty Deposit in Internal Coat. f. 1° -j^Z J: o 5° o^oo? cei
The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . consists, as was first pointed out by Gulliver,of a fatty and granular disintegration of the arterial coats; the trans-formation into fatt^ and granular matter taking place both in old fibri-nous deposits upon and in the internal and lining membrane atheroma when fully formed consists of granules, oil-globules, andcholesterine, in various pioportions (Figs. 345, 346), the plates of clio-. #°o ^v70ding f oofio?: Fig. 3-15.—Fatty Deposit in Internal Coat. f. 1° -j^Z J: o 5° o^oo? ceil %sii Fig. 3-16.—Early Stage of Atheroma. lesterine being largest and most abundant in those cases in which theatheroma is the softest (Fig. 347). The primary seat of the changes isthe lining membrane of the vessel, in the outer layer of which, corre-sponding to ^^ fenestrated, coat^ they are first met with, as I haveoften observed, after macerating and dissecting diseased arteries. That atheroma consists essentially in a fatty and granular degenerationof a portion of tlie arterial wall there can be no doubt. With thisdegeneration inflammatory products are foundassociated. The questions have hence atheroma the result of the inflammatory ac-tion that has given rise to these products ? Oris the atheromatous degeneration the primarydisease, and the evidences of inflammationsecondary to it ? The older pathologists, judging of softenedatheroma simply from the naked e
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Keywords: ., bookcent, bookdecade1870, booksubjectsurgicalproceduresoperative
