File:Transactions of the Southern Surgical and Gynecological Association (1908) (14784003903).jpg

Identifier: transactionsofso2119sout (find matches)
Title: Transactions of the Southern Surgical and Gynecological Association
Year: 1908 (1900s)
Authors: Southern Surgical and Gynecological Association (U.S.)
Subjects: Surgery Gynecology Surgery Genital Diseases, Female
Publisher: (S.l.) : The Association
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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the ossified external coat of the tumor, which was nearly1.5 cm. in thickness, into a cavity; and this appeared filledwith partly coagulated blood of a dark brown color; at thebottom of this cavity the bone was porous and bled on beingscraped. He says, It is true, and I am fully aware of thefact, that the handbooks of surgical pathology do not teachthat a hemorrhage of the kind here reviewed can ossify,although Heinecke says: Large encapsulated extravasa-tions beneath the periosteum of a bone still growing, maybecome enveloped with a bony capsule, as in the newly born. Hennig (Monatsch. f. prakt, Thierheilk, Berlin, 1899, 00,xi, 481), in an article upon Hematoma in the Horse,quotes freely from a number of authors in explanation of thepathology of this condition: According to Billroth and v. Winiwarter, hematoma iscaused by kicks or blows. The rupture which follows thiscrushing extends not only to the bloodvessels, but also to thelymphatics. There will be then a collection of blood and
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J. GARLAND SHERRILL 257 lymph in the tissues. The more vascular the parts involvedand the greater the force of injury, the greater will be theextravasation, especially where a larger artery or vein isinvolved. Gussenbauer agrees with the above and thinks that theseextravasations are really a mixture of blood and lymph, asthere is separation of continuity in both blood and lymphvessels, necessarily followed by outpour of the contents ofeach. La Motte and Pelletan hold that these extravasations area form of serum and compare the process to that of allowingblood to form a coagulum when placed in a vessel. Velpeau is of the opinion that the subcutaneous tissue isinjured in such a manner that a collection of serum takes placebetween the aponeurosis and the general wall and comparesit to a serous cyst. Morel-Lavallee treating on this subject, says that thetearing of small vessels and capillaries permit only the passageof the fluid components of the blood from the crushed ends.The oozing thu

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