This desirable result may be assisted and hastened by gentle pressure; and, after the feculent discharge has nearly ceased from the fistulous opening, the healing of this may be accelerated by the cautery lightly applied.
Division of the parotid duct, or wound of the gland itself, is occasionally followed by the formation of a fistulous aperture, discharging saliva over the cheek.
When the cornea is perforated by ulceration, the sore sometimes shows no disposition to heal, becoming a fistulous aperture through which the aqueous humour is from time to time discharged.
Fistulous openings generally close in a short time, when once the urethra has been widened.
The symptoms of stricture are often much relieved after the formation of fistulous openings; and the cure can then be much more easily accomplished than formerly, the passage being less irritable.
Sometimes, though very rarely, a small fistulous opening remains for some time, through which a few drops of urine may occasionally distil; should it prove obstinate in not closing, it may be touched with a heated wire.
Touching the fistulous opening with the nitrate of silver, reduced by scraping to a very fine point, will often promote a healthy action in the tissue, and effect adhesion of its sides.
A German soldier had a bullet pass through his right eye and lower jaw, leaving a fistulous opening from the mouth.
The soreness then in a measure subsides, leaving a fistulous opening, with a continuous discharge of matter.
In very rare cases of impassable stricture, or in which fistulous openings, or false passages, have formed, through which the urine flows or dribbles away, we have resorted to the operation of perineal section with the most gratifying results.
They are very flexible and readily used, and where the fistulous track is sufficiently large to admit of their insertion, the most decided improvement invariable follows their application.
It also dries up the moisture of fistulous ulcers, or any other that are foul and spreading.
It is no less profitable for old sores or filthy ulcers, yea, tho’ they be fistulous and hollow.
It quickly heals all green wounds, not suffering any corruption to remain behind, and cures all old sores, though fistulous and hollow.
On these accounts, a seton passing through the base of the ulcer in poll-evil and fistulous withers is so beneficial.
It begins as a superficial inflammation followed by sloughing, ulceration, and the formation of fistulous tracts which may involve the tendons, bones, and joints.
They are either firmly connected with the skin or are detachable from it, and when laid open disclose a whitish-red, porklike tissue surrounding a central nucleus of pus, or a fistulous tract leading to the outer surface.
It may lead to necrosis of the bone or a fistulous tract from the bone to the surface.
The chief object is to obtain a healthy condition of the fistulous edges, which are nearly always inflamed, thickened, and covered by urinary deposits, usually of a phosphatic character.
Delay in the healing tends to the formation of a fistulous opening into the globe.
A frequent error in operating on fistulous cases consists in not keeping to the sinus, the director being pushed through the track-wall, and then being free to roam about in the cellular tissue of the part, at the operator's will.
In some cases the original fistulous track becomes reëstablished.
In cases of caries of the vertebræ, of the sacrum, or of the pelvis, fistulous tracks may form and simulate anal fistula.
The escape of flatus and mucus from the bowel in complete fistula will often prove a source of annoyance, as will also the passage of feculent matter which will be expelled through the sinus should the fistulous channel be very free.
In this manner a portion of the fistulous channel is left, and an unnecessary amount of the tissues (skin and subcutaneous structures) is divided.
It is true that fistulæ sometimes recover spontaneously, or are cured by simple means, such as the mere passage of a probe used in examining the fistulous track, but instances of this kind are rare.
These substances may be applied to the fistulous track by means of cotton attached to a silver probe or to an applicator (Fig.
Cripps[18] states that these ulcers are sometimes undermined, so that a probe may be passed for a short distance beneath them, while occasionally a little fistulous channel will run some distance up the anus.
If adhesions do form, and the patient recovers, it becomes a matter of great importance for his future comfort that the canal of the intestine should be re-established, and the fistulous opening allowed to close.
As a stimulant to fistulous sinuses and ulcers in persons of scrofulous habits.
Sometimes the skin is indurated and lies in folds, or the shoe-boil shows abrasions on its surface and fistulous openings leading from abscess centres.
This is of special importance on premises where several horses develop fistulous withers and poll evil.
Tumors of long standing may possess uneven, nodular surfaces andfistulous openings.
The tears, entering the canal at its punctum, are carried along till they pass out at the fistulous opening.
This being done, and the dog confined in such a way as not to be able to scratch or rub the eye, the fistulous opening might close up in a short time.
It is often the result of the stagnation of hardened fæces in the rectum, which produces inflammation and ulceration, and frequently leaves a fistulous opening.
Fistulous withers are seen mostly in those horses that have thick necks as well as those that are very high in the withers; or, among saddle horses, those that are very low in the withers, the saddle here riding forward and bruising the parts.
In some cases small, bony fragments from a comminuted fracture, becoming loose and acting as foreign bodies, give rise to troublesome fistulous tracts.
Because of this particular formation the term fistulous tract is often used synonymously with the word fistula.
Poll evil is a fistula upon the poll, and in no sense differs from fistulous withers except in location.
Fistulous tracts are lined with a false, or adventitious, membrane and show no disposition to heal.
When cartilaginous quittor happens as a complication of suppurative corn, or from punctured wounds of the foot, the fistulous tract may open alone at the point of injury on the sole.
If the caustic injections prove successful, the discharge will become healthy and gradually diminish, so that by the end of the second week the fistulous tracts are closing up and the injections are made with much difficulty.
Whenever openings appear, from which pus escapes, they should be carefully probed; in all instances these fistulous tracts lead down to dead tissue which nature is trying to remove by the process of sloughing.
Probing will now disclose a fistulous tract leading to the bottom of the diseased tissues.
When the discharge becomes healthy, the fistulous tracts may be injected daily with a weak solution of bichlorid of mercury, nitrate of silver, etc.
A probe shows these fistulous tracts to be more or less sinuous, but always leading to one point--the gangrenous cartilage.
In tendinous quittor much thickening of the coronary region, and sometimes of the ankle and fetlock, remains after suppuration has ceased and the fistulous tracts have healed.
In general, the various fistulous communications caused by gastric cancer are less direct than those produced by gastric ulcer.
In this way a very large sac may be produced, with the ultimate result of rupture into the general cavity, although a fistulous communication may be established with some neighboring organ, permitting safe discharge in this direction.
The routes pursued by such fistulous communications are various.
Metastatic abscesses are prone to be followed by ulceration and the formation of fistulous communications with the neighboring viscera.
Inflamed and suppurating follicles in the integument about the anus are not to be mistaken for the orifices of fistulous tracts.
The most usual, as it is the most direct, is the fistulousconnection of the gall-bladder or common duct with the duodenum.
The symptoms characteristic of fistulous communication between the stomach and the colon are the vomiting of fecal matter and the passage of undigested food by the stools.
Again, the recovery will be incomplete in those cases where there are imperfect healing of the abscess site and a fistulous communication with the exterior.
These chronic conditions are subject to intercurrent attacks of acute inflammation, due to the lodgment in the abscess cavity or the fistulous tract of fecal matter or indigestible solid substances.
When the discharge occurs through the abdominal wall, the process is much slower, and often fistulous passages with several orifices, very slow to heal, are formed.
For sixteen days fluid constantly escaped in slowly diminishing quantities, and the tumor disappeared, a fistulous tract remaining.
Frequent esophagoscopic bouginage will be required to maintain the more or less fistulous lumen until it is epithelialized, and in occasional cases, for a long time thereafter.
It may be tolerated for a long period of time, causing abscess, cervical cellulitis, fistulous tracts, and ultimately extreme stenosis from cicatricial contraction.
The cartilage of prolongation of the scapula is sometimes seriously involved in certain cases of fistulous withers, and in some instances it has been separated from its attachment to the rhomboidea muscles, and lameness has resulted.
The disease is characterized by a slowly progressive necrosis and by a destruction of more or less of the cartilage and by the presence of fistulous tracts.
Colostomy, an operation designed to make a fistulous opening in any portion of the rectum, was first practiced by Littre.
In a year from the time of the accident, the wound, with the exception of a fistulous aperture of the stomach and side, had completely cicatrized.
At the necropsy the uterus was found to contain the remains of a fully developed fetus, minus the portions discharged through a fistulous connection between the uterine cavity and the rectum.
We have occasional instances of impregnation by rectal coitus, the semen finding its way into an occluded vaginal canal by a fistulous communication.
After two months of suffering the patient recovered, being able to evacuate his urine through a fistulousopening that had formed.
Gastrostomy is an operation for establishing a fistulous opening in the stomach through the anterior wall.
Sanger speaks of a supernumerary vagina connecting with the other vagina by a fistulous opening, and remarks that this was not a case of patent Gartner's duct.
Instances of the anomalous exit of urine caused by congenital malformation or fistulous connections are mentioned in another chapter.
On admission to the hospital in October, 1888, two fistulous openings were seen in the epigastric region, and the foreign body was located by probing.
Simmons reports a case in which a calculus passed through a fistulous sore in the loins without any concomitant passage of urine through the same passage.
The swelling may often have the form of a running ulcer, or its contents may dry up and leave a tumor, which gradually develops the common characteristic of a fistulous tumor.
The Fistulous Ulcer is that which hath long, streight, and deep Holes, with much hardness in its sides; the Sanies whereof is sometimes virulent, and sometimes not.
What are Putrid, Corrosive, Cavernous, Fistulous and Cancerous Ulcers?
This Balsam mundifies, incarnates, and cicatrizes Wounds; being likewise good against the Bitings of venomous Beasts, and fistulous and malignant Ulcers.
We have already pointed out the tendency there is in this case for the wound to maintain a fistulous character, and lead to the formation of abscesses in the hollow of the heel.
Once this has occurred a fistulous wound remains, which is open for treatment upon one or other of the lines we shall afterwards indicate.
Later they break, discharge their contents, and leave a fistulous track behind.
When the iron, on being directed into the fistulous opening at the coronet, is found to travel alongside the wall, and to easily reach the sole, it should be made to go further still.
A fistulous wound of the foot in which the lower and blind end of the fistula is situated below the level of the coronary margin of the wall.
We have also seen the actual cautery used in sub-horny quittor, where that disease has reached a chronic fistulous stage, as a means of cauterizing the whole length of the lining of each fistulous passage.
The fistulous tracks must, in fact, be washed in the liquid.
There is a gradual increase in the severity of the symptoms, and later fistulous openings appear in the hollow of the heel.
Where thefistulous wound has had its starting-point in an injury to the coronet diagnosis is, of course, easy.
Fistulous openings in either of the flaps a, a must now be carefully curetted and dressed, and the flaps allowed to fall into position.
The wound is thus led to become fistulous in character, and the pus forming within it prevented from escaping from the original opening.
Should the original wound be insufficiently enlarged, or should its opening become occluded by the solid matters of the discharge, then this condition, like the last, ends in the formation of fistulous openings in the heel.
In cases of dental fistulas, it is necessary to cauterize the fistulous tract, to extract the diseased tooth, and if the bone be also affected, to scrape it.
But he did not always deem it necessary to make a perforation here, when a fistulousopening had previously formed in some other place.
The surgeon observed that the liquid injected into the fistulous opening in the neck issued from the alveolus of the last molar.
It may even, in time, give rise to fistulous withers, will certainly make the horse restless and uneasy on the road, and the pain he suffers will interfere with the ease and harmony of his gaits.
As the pressure and weight are thus thrown wholly upon the left side, the saddle is very likely to turn, and if this faulty position be persisted in, it will be certain to injure the horse's back and may give rise to fistulous withers.
The above list will hopefully give you a few useful examples demonstrating the appropriate usage of "fistulous" in a variety of sentences. We hope that you will now be able to make sentences using this word.
