Inhaltsangabe
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated.1882 Excerpt: ... mentary growth, and in the complete restoration of a cutaneous covering. The process of cure is described under the head of skin grafting. Unless the granulations be in a wholesome or reparative condition, the grafts will speedily perish. In unpromising cases of the kind it may be best to perform a dermo-plastic operation, which can be successfully accomplished by dissecting an elongated flap of integument from the adjacent skin, a pedicle near the border of the ulcer being left for the purpose of receiving vascular supplies, and twisting it into the chasm with the expectation that its under side will adhere to the surface of the ulcer. When a large ulcer exists behind the ankle there is not a good opportunity to bandage the limb without irritating the sore, therefore it is best in such a case to take a flap from the integument on the posterior aspect of the leg, just above the ulcer, and turn it down over the tendo-Achillis, as a basis for lateral tegumentary growth. Irritable, inflamed, and hemorrhagic ulcers of the leg are accidental conditions of ulcerative disease, and not distinct varieties; and are to be managed according to existing indications. An occasional hemorrhage depends upon the rupture of a small vessel, or the laceration of tender granulations; an irritable and inflamed state is readily overcome by a few days rest, with the limb somewhat elevated. Phagedenic and sloughing ulcers may need cauterizing with carbolic acid or chloride of zinc, to arrest the rapidly destructive process. Exuberant ulcers are those which exhibit an excess of granulations, and need touching a few times with a sulphate of copper crayon, or other escharotic. Lupous, cancerous, syphilitic, and specific ulcers will receive attention in another place. SECTION II. HEMORR...
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