360 CHAPTER 48. 



CHAPTER 48. 

 FLESH WOUNDS. 



731. Definition of a Flesh Wound. 732. Classes of Flesh Wounds. 

 733. Modes of Healing. 734. Healing by Direct Union. 735. Healing hy 

 adhesion, commonly called the First Intention. 736. Healinghy Cicatriza- 

 tion or Scabbing. 737. Healing by Gramdations. 738. Mode of formation 

 of Gra7mJations. 739. Comhination of modes of Union. 740. Becapitula- 

 tion. 741. Cleansing of Wounds. 742. Stoppage of Hasmorrhage. 743. 

 Dressing for Wounds capable of being healed by Direct Union. 744. 

 Dressing for Wounds intended to be healed by Adhesion. 715. Dressing 

 for Wounds intended to be healed by Granulations. 746. Wounds, healing 

 by Granulations, to fill rip from the bottom. 747. Indolent Wounds. 748. 

 Excessive Granulations. 749. Slotighing. 750. Rest. 751. Sutures, 

 Bandages, &c. 7b'2,. Cicatrix. 753. Constitutional effects. 754!. Treat- 

 ment of Incised Wounds. 755. Treatment of Lacerated Wounds. 756. 

 Treatment of Contused Wounds. 757. Treatment of Punctured Wounds. 

 758. Poisoned and Gunshot Wounds. 758a. Blemishes from Wounds. 



731. Definition of a Flesh Wound. 



A Flesh Woukd is a solution of continuity in soft parts, suddenly 

 produced by violence. 



732. Classes of Flesh Wounds. 



Flesli Wounds may be divided into six classes, namely Ist, Incised, 

 2nd, Lacerated, 3rd, Punctured, Itli, Contused, 5th, Poisoned, and Gtli, 

 Gun-sliot. 



733. Modes of Healing, 



AVounds are healed either 1st, by Direct union, or 2ndly, by Adhesion, 

 otherwise called the First Intention, or 3rd, by Cicatrization, vulgarly 

 called Scabbing, or 4th, by Granulations. 



734. Healing by Direct Union. 



Direct union, or the direct and immediate growing together of the 

 opposite surfaces is the most favorable mode of healing ; and therefore it 

 should, if possible, be brought about. It is however only obtainable in 

 incised wounds, and even then only under very favorable circumstances. 



It is necessary, that we should be able to check the bleeding, to remove 

 all foreign bodies, to bring the divided parts together in their natural 



