File:A system of surgery - pathological, diagnostic, therapeutic, and operative (1866) (14778566131).jpg

Identifier: systemofsurgeryp001gros (find matches)
Title: A system of surgery : pathological, diagnostic, therapeutic, and operative
Year: 1866 (1860s)
Authors: Gross, Samuel D. (Samuel David), 1805-1884
Subjects: General Surgery Surgery
Publisher: Philadelphia : H.C. Lea
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
ase, and a similar effect is brought aboutby the habitual maintenance of the erect posture. Hence, the disease is verycommon in persons who are compelled to stand much. Yarix of the hemor-rhoidal veins genei-ally depends upon habitual distension of the rectum and fre«-quent straining in defecation. The causes of varicocele are still imperfectlyunderstood, although there is reason to believe that the disease is most commonlydeveloped under the influence of onanism, and other mechanical obstruction cal-culated to weaken the spermatic veins. A natural predisposition to varicose enlargement occasionally exists in certainindividuals ; the veins seem to be unusually large and feeble, and to becometortuous and dilated under the most trifling obstacles to the onward movement■of their contents. When this is the case, the disease often occurs simultaneouslyin different parts of the body, superficial as well as deep. The effects of varicose veins vary accoiding to the situation of the malady.
Text Appearing After Image:
Vai-ix of the leg. CHAP. VI. vAKix. 777 In the legs, the pressure of the enlarged and distended vessels is alvs^ays produc-tive of a good deal of pain, of a pricking or stinging nature, of tumefaction ofthe skin and cellular tissue, and of more or less tenderness along the track ofthe affected veins. In the more aggravated cases, ulceration of the integumentsis apt to take place, commencing usually at one particular spot on the inner sur-face of the limb, and gradually progressing until a large sore is established, called,from this circumstance, the varicose ulcer, which is always difiBcult to heal, andwhich occasionally extends into the enlarged veins, thus causing copious, if notfatal, hemorrhage. In the spermatic veins, the disease may give rise to atrophyof the testicle, and to distressing neuralgic pains; while in the hemorrhoidal itleads to the formation of piles, and other disagreeable symptoms. Although the development of varix is generally slow, cases occasionally occurin whi

Note About Images