File:Modern surgery, general and operative (1919) (14803757103).jpg

Identifier: modernsurgerygen1919daco (find matches)
Title: Modern surgery, general and operative
Year: 1919 (1910s)
Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933
Subjects: Surgery, Operative
Publisher: Philadelphia : Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fig. 85.—K()ithelioma arising in the scar 01 a burn i^A^iirJolins ulcer). advanced case use the .v-rays or radium. Fig. 82 shows a Marjolin ulcer in a,man twenty years of age. It arose in the cicatrix of a bum. I removed it andapplied Thiersch grafts to the raw surface. Figs. 84, 85, and 86 show Marjolinsulcers. Decubitus, or bed-sore, is due to pressure upon an area of feeble circu-lation (see page 198). It is in most instances a condition of gangrene.
Text Appearing After Image:
Fig. 86.—Marjolins ulcer arising from a chronic ulcer of the leg. Neuroparalytic or trophic ulcer is due to impairment of the trophic nerve-fibers or of the trophic centers in the cord. The perforating ulcer, as it was named by Vesigne, is believed to resultfrom peripheral neuritis. It is certain, however, that in some of these cases Curlings Ulcer 17:5 there is arteriosclerosis, and it has been held that the vascular sclerosis is thereal cause and that the nerve changes are secondary to the vascular changes.My own belief is that perforating ulcer is a condition dependent upon both ar-teriosclerosis and peripheral neuritis, traumatism usually being the excitingcause of the ulcer. It is met with most frequently in diabetics, but may be en-countered in the victims of chronic alcoholism, injuries and diseases of thespinal cord, injuries and diseases of nerves, Brights disease, and syphilis. Ihave seen this ulcer in an individual with a fractured spine, in several tabetics,and in not a

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