The principles and practice of modern surgeryPark, Roswell
Science
The principles and practice of modern surgery
Park, Roswell
Surgery
All observers agree that in actively inflamed tissues the number of
cells is very greatly increased. A certain increase may be accounted
for by that which has already been described--namely, the escape into
the tissues of the wandering cells from the bloodvessels. But neither
this alone nor the products of their rapid proliferation are sufficient
to account for all the cells found in the truly inflammatory condition.
It is now well established that in connective tissue there are two
varieties of cells--the fixed and the wandering--the former concealed
in the trabeculæ of the intercellular substance, while the latter are
small, ordinarily round in shape, much resembling the white corpuscles,
possessed of ameboid characteristics, and having the power of changing
position. These are known as the wandering cells, which meander through
the lymph spaces of the tissues or back and forth into and out of
the blood-vascular system, their migration being regulated by causes
not yet known. Under natural conditions their number is relatively
small. Once given a true inflammatory disturbance they are reproduced
with amazing rapidity; and their numbers, added to those produced by
diapedesis of leukocytes, with the combined proliferative activity
of both forms, serve to account for the new cells whose presence
characterizes phlegmonous and other similar disturbances. That these
wandering connective-tissue cells have much to do with these changes
is shown by the unmistakable evidences of excessive activity known as
_karyokinesis_ (_i. e._, _nuclear activity_).
Karyokinesis is common not only in inflammatory disturbances, but in
new-growths of rapid formation, especially sarcomas, which are formed
from mesoblastic cells, the same which have to do with connective
tissue. Endothelial cells also undergo the same changes.
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