360 CHAPTEU 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 by 

 adhesion, commonly called the First Intention. 736. Healing by Cicatriza- 

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

 of Granulations. 739. Combination of modes of Union. 740. Recapitula- 

 tion. 741. Cleansing of Wounds. 742. Stoppage of Haemorrhage. 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 up from the bottom. 747. Indolent Wounds. 748. 

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

 Bandages, &c. 752. 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 FLMSH WOUND is u solution of continuity in soft pails, suddenly 

 produced by violence. 



732, Classes of Flesh Wounds. 



Flesh Wounds may be divided into six classes, namely 1st, Incised, 

 Ihid, Lacerated, 3rd, Punctured, 4th, Contused, 5th, Poisoned, and 6th, 

 Gun-shot. 



733. Modes of Healing, 



Wounds 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 



