A system of surgery . -?*.•&. Fig. 338.—Inner surface of Specimen engraved in Fig. 337, showing that the sequestruminvolves more of the inner than the outer table, and is thus locked within the skull. Theliving bone around is sclerotic. (St. Thomass Hospital Museum, No. 559.) there may be, which come away in the discharge, but there is no appre-ciable sequestrum. The spaces between these irregular walls andfloor are filled with granulation, which shows no tendency to organiseinto healthy bone, probably from the same reason given above inspeaking of syphilitic necrosis—namely, that the surround


A system of surgery . -?*.•&. Fig. 338.—Inner surface of Specimen engraved in Fig. 337, showing that the sequestruminvolves more of the inner than the outer table, and is thus locked within the skull. Theliving bone around is sclerotic. (St. Thomass Hospital Museum, No. 559.) there may be, which come away in the discharge, but there is no appre-ciable sequestrum. The spaces between these irregular walls andfloor are filled with granulation, which shows no tendency to organiseinto healthy bone, probably from the same reason given above inspeaking of syphilitic necrosis—namely, that the surrounding bone issclerosed and, therefore, non-vascular. Caries and necrosis are alsonot uncommonly present together, differing as they do only in theextent to which the circulation has been cut offfrom the part skull and sternum, especially the former, are the bones mostfrequently affected with this intractable form of syphilis (Figs. 337,338). Our museums are full of specimens showing its inveteratenature. They h


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Keywords: ., bookcentury1800, booksub, booksubjectsurgicalproceduresoperative