The deformity resulting from these necessarily heroic measures is not so
great as might be expected, and can be further diminished by plastic
operations, which should be undertaken before cicatricial contraction
has occurred.
BED-SORES
Bed-sores are most frequently met with in old and debilitated patients,
or in those whose tissues are devitalised by acute or chronic diseases
associated with stagnation of blood in the peripheral veins. Any
interference with the nerve-supply of the skin, whether from injury or
disease of the central nervous system or of the peripheral nerves,
strongly predisposes to the formation of bed-sores. Prolonged and
excessive pressure over a bony prominence, especially if the parts be
moist with skin secretions, urine, or wound discharges, determines the
formation of a sore. Excoriations, which may develop into true
bed-sores, sometimes form where two skin surfaces remain constantly
apposed, as in the region of the scrotum or labium, under pendulous
mammae, or between fingers or toes confined in a splint.
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