The principles of surgery . previouslya diseased state of the lungs on one orboth sides. The state of general em-physema of the areolar tissue—its disten-sion with air—which is apt to superveneon wounds of the air-passages, occasionallyresults in serious consequences; produ-cing frightful inflation of the whole body,and requiring prompt surgical interferenceto prevent suffocation. Injuries of theabdomen may lead to communications ofthe intestinal cavity with either the peri-toneum or the external surface ; produ-cing, in the first case, peritonitis of aviolent and uncontrollable description; i
The principles of surgery . previouslya diseased state of the lungs on one orboth sides. The state of general em-physema of the areolar tissue—its disten-sion with air—which is apt to superveneon wounds of the air-passages, occasionallyresults in serious consequences; produ-cing frightful inflation of the whole body,and requiring prompt surgical interferenceto prevent suffocation. Injuries of theabdomen may lead to communications ofthe intestinal cavity with either the peri-toneum or the external surface ; produ-cing, in the first case, peritonitis of aviolent and uncontrollable description; inthe second, a fistulous opening, which can f»ce> afie,r wou/ld tof ,he rif ftlolf *. , chest. The patient was a light dragoon. only be closed by operative procedure. After Larrcy. Such are a few illustrations of the in-ternal accidents liable to occur in surgical practice. They are given atthis early period, by way of caution ; and because they form a not inap-propriate conclusion to a chapter on Surgical General emphysema, of the whole stir- CHAPTER ACTION AND CONGESTION. THE INFLAMMATORY PROCESS. Inflammation, the source of much evil, medical as well as surgical,may be defined: An alteration in the healthy structure and function ofa part, accompanied by a perverted condition of the blood and capillarybloodvessels; ordinarily attended with redness, pain, heat, and swell-ing ; and inducing more or less febrile disturbance of the general system. But this term has, in my opinion, been made to include too wide arange of action—from the slightest exaltation of what is healthy, to themost disastrous results of ravaging disease; rendering the cause of simpleeffusion one and the same with that of suppuration, ulceration, and gan-grene ; uniting, as if in one harmonious operation, the healing of a woundwith its gaping and suppuration—the gradual enlargement of a part,with its destruction and discharge—the death of a portion of bone, withthe for
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