The part may be supplied from under the chin; but this reparative operation should not be performed at the same time with the removal of the original and carcinomatous lip.
But when the breach is complete, the surrounding parts assume the reparative action; the granulations from the dura mater and integuments coalesce, and a dense membrane fills up the space.
It is also contumacious and obstinate in taking on any reparative action.
Delay often inflicts much mental suffering, is apt to induce despondency, and to weaken the defensive and reparative powers of the system.
Small portions are also detached piecemeal in the progress of ulceration, and discharged; but it is seldom that the whole surface is thrown off, so as to give place to a healthy and reparative action.
In the latter there is seldom, if ever, any reparative action.
This reparative process is much longer in being finished than the corresponding one in arteries; and, from what has been stated, it is evident that the two actions differ in other respects than the time requisite to complete them.
The reparative power of cartilage is so low that the best termination that can be expected from the ordinary forms of ulceration, is union between the abraded surfaces.
After having obstructed the nutritive and reparative functions of the vital fluid for many years, their effects at last may become fatal.
Alcoholic drinks prevent the natural changes going on in the blood, and obstruct the nutritive and reparative functions.
In other cases true hypertrophy of the bone, with no connection with any reparative process, may occur.
It must be remembered, however, that where the necrosis has occurred as a result of septic invasion this cannot be looked for, for in every case such reparative changes are worked solely by healthy tissue.
It is, in fact, a reparative callus, and the reason it reaches so large a size is probably to be accounted for by the pull of the extensor pedis upon the detached pyramidal process.
After some time we are met with unmistakable changes in the form of the foot, and are able to assume that the persisting lameness is due to pressure of a reparative callus within the hoof.
This modification of the reparative process can be best studied clinically in a recent wound which has been packed with gauze.
An unhealthy or devitalised condition of the patient's tissues also hinders the reparative process.
Beyond this phagocytic action, they do not appear to play any direct part in the reparative process.
During the stage of bacterial inflammation, reparative processes are in abeyance, and it is only after the inflammation has been allayed, either by natural means or by the aid of the surgeon, that repair takes place.
In the majority of cases it is to be regarded as a reparative process, presenting analogies with the union of fracture.
Under these conditions thrombosis is essentially a reparative process, and has already been considered in relation to the repair of blood vessels.
Death of skin is more liable to occur in bleeders, and when the slough separates the blood-clot is exposed and the reparative changes go on extremely slowly.
While these degenerative changes are gradually causing destruction of the articular surfaces, reparative and hypertrophic changes are taking place at the periphery.
It is, however, only when the proliferative changes have come to predominate that the reparativeprocess is effectively established by the production of healthy granulation tissue.
Cartilage being a non-vascular tissue, the reparative process goes on slowly, and it may be many weeks before it is complete.
In the course of the reparative process the tendon and its sheath may become adherent, which leads to impaired movement and stiffness.
This condition, indicating the absence of reparative action, is not nearly so frequent as that of thickening and induration, which generally took place to some extent in the edges of the ulcers.
Their walls should be distended with solutions of carbolic acid or be touched with solutions of iodine, silver nitrate, or cupric sulphate, to promote reparative inflammation.
And it is well known that injury of nerve-trunks is not unfrequently followed by impaired nutrition and failure in reparative power in the parts to which such nerves are distributed.
If endocarditis have existed, a longer rest is desirable, more especially in severe cases, in order that the reparativeprocess going on in the lately inflamed valves may not be in the least disturbed.
There is no induration about this sore, as nature does not seem to attempt to limit it or to set up anyreparative action, and its surface is red and dry.
The Subconscious Mind, being stimulated by the Suggestion and Faith, and having its Expectant Attention aroused, concentrates its energies upon the reparative and recuperative processes in the organ, and the work of cure proceeds.
And the state of chronic, though mild, narcosis in which the guzzler keeps himself, by still further injuring his reparative powers, contributes to the general result.
The coma, or so-called sleep of drunkenness, is perfectly distinct from true reparative sleep, being the result of serious paralysis of the cerebrum, and closely allied to delirium.
That disorder, he said, depended upon an atony in the digestive organs against which was periodically set up a reparative effort in form of a{190} joint inflammation.
The causes of disease, while of a debilitating character, were supposed to awaken reaction of the healing powers of Nature; fever was a reparative effort of Nature, even in its cold stage, the blood playing no part in it.
If we are asked, Is such or such a disease a reparative process?
It takes at least from six weeks to three months after delivery for the reparative process or involution of the organs and tissues to be completed.
Faith in anything creates a curative or healing thought in the mind of the patient, which stimulates the reparative or healing force of nature, and in this manner wonderful cures are effected.
If the recovery of the sick depended entirely upon the caprice and wisdom of the doctor, and not on the reparative forces of nature, the race would soon die out.
The reparative energy of nature has never been duly recognized, because the selfishness and pride of the doctors will not concede this as often as they ought.
The duration of the treatment must be determined by its effects and the evidence that may be offered of the results following the action of the reparative process.
Ringbone, being a common sequela of the reparative process, must receive due attention subsequently.
It may be convenient first briefly to discuss that coordinating and reparative power which is common, in a higher or lower degree, to all organic beings, and which was formerly designated by physiologists as nisus formativus.
The answer probably is that all the gemmules of the mutilated or amputated part are gradually attracted to the diseased surface during the reparative process, and are there destroyed by the morbid action.
The reparative process which Nature has instituted and which we call disease has been hindered by some want of knowledge or attention, in one or in all of these things, and pain, suffering, or interruption of the whole process sets in.
Organic chemistry is useful, as all knowledge is, when we come face to face with nature; but it by no means follows that we should learn in the laboratory any one of the reparative processes going on in disease.
Much, indeed, is no doubt due to the activity of the reparative powers in early life, but much also to the unruffled quiet of the mind.
This too is due not simply to the activity of the reparative powers in early life, but also in great measure to the mental and moral characteristics of childhood.
This reparative power is possessed by some other animals, of which the starfishes and crustacea are the most familiar instances.
The ancients were well acquainted with this reparative faculty of the octopus: but of course the simple fact was insufficient for an imaginative people: and they therefore embellished it with some fancies of their own.
This intermediate callus is the only permanent portion of the reparative material, the external and internal callus being only temporary, and being largely re-absorbed through the agency of giant cells.
Sometimes the fragments become united by a dense band of fibrous tissue, and the reparative process goes no further--fibrous union.
If at the end of four or five weeks, osseous union has not occurred, the reparative process may be hastened by inducing venous congestion by Bier's method.
The most important of these is general debility, but the presence of rickets or tuberculosis, or an intercurrent acute infectious disease, may delay the reparative process.
The reparative material, consisting of granulation tissue in the process of conversion into bone, is called callus, on account of its hard and unyielding character.
The treatment consists in taking the pressure off the injured vertebræ in order that the reparative material may be laid down in such a way as to restore the integrity of the column.
This increased blood supply makes the reparative process go on more vigorously, and also makes it possible for the accumulated fluid to be more rapidly carried away.
Although painful, it is nevertheless one of thereparative processes of the body, and therefore beneficial.
