The institutes and practice of surgery: being the outlines of a course of lectures . tomatous mat-ter. (See Plate I.) Treatment of Spina Ventosa. When the smaller bones, such as the phalanges of thefingers and toes, are affected with spina ventosa, a curemay sometimes be produced by moderate long continuedpressure directly over the tumour; at other times, I havesucceeded by making an opening into its cavity, and bystimulating injections, or by cutting instruments, excitingsuch a degree of irritation, as to cause it to fill up withgranulations. In this way I once cured an obstinate spinaventosa
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The institutes and practice of surgery: being the outlines of a course of lectures . tomatous mat-ter. (See Plate I.) Treatment of Spina Ventosa. When the smaller bones, such as the phalanges of thefingers and toes, are affected with spina ventosa, a curemay sometimes be produced by moderate long continuedpressure directly over the tumour; at other times, I havesucceeded by making an opening into its cavity, and bystimulating injections, or by cutting instruments, excitingsuch a degree of irritation, as to cause it to fill up withgranulations. In this way I once cured an obstinate spinaventosa of the lower jaw, about the size of an egg. Shouldany of the large cylindrical bones be involved, and the 24 Spina Ventosa. tumour attain a large size, nothing less than amputationwill be likely to answer. This was successfully resortedto in the case of Dr. Stevenss patient. See Bayers Treatise on Surgical Diseases, vol. 2. p. 167—J. Bell onTumours, vol. 3.—Boyers Lectures on the Diseases of the Bones, by Far-rell, vol. 1. p. 364—B. Bells System of Surgery, vol. 1. p. 305.. i—i pi ~> Osteo Sarcoma. Section VI Osteo Sarcoma. Osteo Sarcoma appears to be a more malignant dis-ease than spina ventosa ; indeed there is reason to believethat it is closely allied to cancer ; for after several opera-tions performed for its removal, the tumour has speedilyreappeared, and finally proved fatal. In other cases, thedisease seems to have been transferred to the lungs, andthe patients have died of phthisis pulmonalis. The bonesare all subject to osteo sarcoma ; but those of the extremi-ties, as far as I have observed, are peculiarly so. Thebones of the face also, as well as those of the pelvis, arefrequently affected. The form of the tumour varies verymuch. Sometimes it is circumscribed and smooth, at othertimes irregular or studded with inequalities or projections, the apices of which are apt to inflame and ulcerate. Com-monly the pain attending every stage of the complaint isdeep