An Inquiry Into the Process of Nature in Repairing Injuries of the Intestines: Illustrating the Treatment of Penetrating Wounds, and Strangulated Hernia

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Longman, Hurst, Rees, Orme, and Brown, 1812 - Hernia - 384 pages

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Page 129 - The opposed villous surfaces, so far as my observation goes, neither adhere nor become consolidated by granulation ; so that the interstice marking the division, internally, is probably never obliterated.
Page 188 - ... carried at short regular distances through the whole extent of the wound, the operator being mindful that an equal portion of the edges is included in each stitch. When the suture is finished, let the thread be securely fastened, and cut close to the knot. The reduction of the prolapsed fold should then be conducted with the nicest caution ; and when completed, the wound of the teguments should be treated with a stitch, a plaister, or a poultice as circumstances dictate.
Page 104 - The peritoneal tunic alone maintains its integrity. The inflammation which the ligature induces on either side of it, is terminated by the deposition of a coat of lymph exterior to the ligature, which quickly becomes organized.
Page 86 - If the section be transverse, the ]ip is broad and bulbous, and acquires tumefaction and redness from the contraction of the circular fibres behind it, which produces relatively to the everted portion the appearance of a cervix. If the incision is according to the length of the cylinder the lip is narrow, and the contraction of the adjacent longitudinal, resisting that of the circular fibres, gives the orifice an oval form...
Page 188 - Let a small round sewing needle armed with a silk thread be passed near to the lines formed at the bases of the everted lips. The thread is to be carried at short regular distances through the whole extent of the wound, the operator being mindful that an equal portion of the edges is included in each stitch. When the suture is finished, let the thread be securely fastened, and cut close to the knot. The reduction of the...
Page 134 - ... at the external wound, separate into the canal and pass off with its contents : not from any law of the economy which has , been adduced in explanation of some similar invariable phenomena, of which the cause was not obvious, but from their speedy and complete investment by the uniting medium. 9. The union of a divided bowel requires the contact of the cut extremities in their entire circumference, effectively to resist the muscular action opposed to an artificial connection during the process...
Page 85 - If a gut be punctured, the elasticity of the peritonaeum and the contraction of the muscular fibres open the wound, and the villous or mucous coat forms a sort of hernial protrusion, and obliterates the aperture. If an incised wound be made, the edges are drawn asunder and reverted, so that the mucous coat is elevated in the form of a fleshy lip. If the section be transverse, the...
Page 129 - I should trouble my reader with a detail of similar experiments instituted for this purpose. 128 t to that which glues together, the sides of a recent flesh wound, when supported in contact. The adhesive inflammation supervenes and binds down the reverted edges of the peritoneal coat, from the whole circumference of which a layer of coagulable lymph is effused, so as to envelope the wounded bowel.
Page 129 - ... the wounded bowel. The action of the longitudinal fibres being opposed to the artificial connection, the sections mutually recede as the sutures loosen by the process of ulcerative absorption. During this time, the lymph deposited becomes organized, by which further retraction is prevented, and the original cylinder, with the threads attached to it, are encompassed by the new tunic. ; The gut ulcerates at the points of the ligatures, and these fall into its canal.

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