Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


Punctured wounds neither gape nor bleed much. Even when a large vessel
is implicated, the bleeding usually takes place into the tissues rather
than externally.


The _risks_ incident to this class of wounds are: (1) the extreme
difficulty, especially when a dense fascia has been perforated, of
rendering them aseptic, on account of the uncertainty as to their depth,
and of the way in which the surface wound closes on the withdrawal of
the instrument; (2) different forms of aneurysm may result from the
puncture of a large vessel; (3) perforation of a joint, or of a serous
cavity, such as the abdomen, thorax, or skull, materially adds to the
danger.

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