A probationary essay on purulent deposits after wounds and operations / submitted ... to the examination of the Royal College of Surgeons of Edinburgh ... October 1833.

  • Balfour, John Hutton, 1808-1884
Date:
1833
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Licence: Public Domain Mark

Credit: A probationary essay on purulent deposits after wounds and operations / submitted ... to the examination of the Royal College of Surgeons of Edinburgh ... October 1833. Source: Wellcome Collection.

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    According to Arnott, the inflammation rarely reaches the heart,1 but is generally limited by the passage of a current of blood ; where a trunk is con¬ cerned, the boundary being the entrance of a branch, and where a branch is concerned, the boundary be¬ ing the junction of this with the trunk.2 On dissection, Dance and his supporters found pus, lymph, or some sign of inflammation in the veins. Not only do these authors differ from Velpeau in declaring that there is no absorption of pus in the cases now under consideration, but they also differ from him in the explanation which they give of the manner in which the deposits themselves are formed. more likely is pus to be carried rapidly into the circulation, be¬ cause there is less chance of deposition of lymph which prevents the transportation of pus in the smaller veins.—Trans, of Soc. for improvement of Med. and Surg. Knowledge, vol. i.—-Aber- nethy’s Surgical Works, vol ii. p. 149. Mr. Travers says that the most fatal cases of phlebitis are those in which no pus is formed, but where adhesive matter or lymph is deposited.-—hooper’s and Travers’ Surgical Essays, 3d edit. vol. i. p. 286. 1 In some cases given by Kibes, Hodgson and Hennen, the in¬ flammation seemed to have reached the lining membrane of the heart.—Revue Med. July 1825.—Hodgson on Dis. of Arteries, p. 511.—Hennen, Mil. Surg. p. 271. 2 Loud. Medico-Chir. Trans, vol. xv. p. 46.