Manual of Surgery - Volume First: General Surgery. Sixth Edition. by Alexis Thomson;Alexander Miles
page 98 of 798 (12%)
page 98 of 798 (12%)
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tends to burrow on to the chest wall beneath the pectoral muscles, and
upwards towards the shoulder-joint, which may become infected. When the pus forms in the axillary space, the treatment consists in making free incisions, which should be placed on the thoracic side of the axilla to avoid the axillary vessels and nerves. If the pus spreads on to the chest wall, the abscess should be opened below the clavicle by Hilton's method, and a counter opening may be made in the axilla. Cellulitis of the _sole of the foot_ may follow whitlow of the toes. In the _region of the ankle_ cellulitis is not common; but _around the knee_ it frequently occurs in relation to the prepatellar bursa and to the popliteal lymph glands, and may endanger the knee-joint. It is also met with in the _groin_ following on inflammation and suppuration of the inguinal glands, and cases are recorded in which the sloughing process has implicated the femoral vessels and led to secondary hæmorrhage. Cellulitis of the scalp, orbit, neck, pelvis, and perineum will be considered with the diseases of these regions. CHRONIC SUPPURATION While it is true that a chronic pyogenic abscess is sometimes met with--for example, in the breast and in the marrow of long bones--in the great majority of instances the formation of a chronic or cold abscess is the result of the action of the tubercle bacillus. It is therefore more convenient to study this form of suppuration with tuberculosis (p. 139). |
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