The treatment of obstinate ulcers and cutaneous eruptions on the leg, without confinement / by Henry T. Chapman.

  • Chapman, Henry T. (Henry Thomas), 1806-1874.
Date:
1853
Catalogue details

Licence: Public Domain Mark

Credit: The treatment of obstinate ulcers and cutaneous eruptions on the leg, without confinement / by Henry T. Chapman. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    blishment of healthy granulation, will undoubtedly be greater, in every form of ulcer, in proportion to the increased weight of the column of blood in them; but this is simply an aggravation of the ordinary difficulty under which the capUlary circulation of a sore in any depending part must always labour, until it be removed by artificial aid. Apphed thus comprehensively to all ulcers accompanied by a varicose state of the veins, the term indicates nothing more than an increased dis- position to atony; implying a diflPerence in degree, but not in kind, between varicose and indolent sores. By some surgical authorities, however, it is restricted to ulcers which have been directly caused by the distention and inflammation of the skin consequent on enlargement of the veins. In this signification it is employed by Sir B. Brodie, in his thoroughly practical lectures on this variety of sore; and it would seem to be so un- derstood by Mr. Vincent, albeit such a hmitation is scarcely reconcileable with his statement that “ we may trace the greater number of sore legs to the presence of Varix since, in comparison with rest, in the horizontal position, there may he actually less obstruction to the circulation than when the veins are in a normal state; but the case is widely different when circumstances compel the patient to stand or walk.