Manual of Surgery - Volume First: General Surgery. Sixth Edition. by Alexis Thomson;Alexander Miles
page 31 of 798 (03%)
page 31 of 798 (03%)
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restored by ingrowth from the margins, and there is evidence that some
of the secreting glands may be reproduced. Hollow viscera, like the Åsophagus and urinary bladder, in so far as they are not covered by peritoneum, heal less rapidly. _Nerve Tissues._--There is no trustworthy evidence that regeneration of the tissues of the brain or spinal cord in man ever takes place. Any loss of substance is replaced by cicatricial tissue. The repair of _Bone_, _Blood Vessels_, and _Peripheral Nerves_ is more conveniently considered in the chapters dealing with these structures. #Rate of Healing.#--While the rate at which wounds heal is remarkably constant there are certain factors that influence it in one direction or the other. Healing is more rapid when the edges are in contact, when there is a minimum amount of blood-clot between them, when the patient is in normal health and the vitality of the tissues has not been impaired. Wounds heal slightly more quickly in the young than in the old, although the difference is so small that it can only be demonstrated by the most careful observations. Certain tissues take longer to heal than others: for example, a fracture of one of the larger long bones takes about six weeks to unite, and divided nerve trunks take much longer--about a year. Wounds of certain parts of the body heal more quickly than others: those of the scalp, face, and neck, for example, heal more quickly than those over the buttock or sacrum, probably because of their greater vascularity. |
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