قراءة كتاب Surgical Anatomy

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Surgical Anatomy

Surgical Anatomy

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دار النشر: Project Gutenberg
الصفحة رقم: 4

&c.


COMMENTARY ON PLATES 20 & 21

THE RELATIVE POSITION OF THE CRANIAL, NASAL,
ORAL, AND PHARYNGEAL CAVITIES, ETC.

Fractures of the cranium, and the operation of trephining anatomically
considered. Instrumental measures in reference to the fauces, tonsils,
oesophagus, and lungs.


COMMENTARY ON PLATE 22

THE RELATIVE POSITION OF THE SUPERFICIAL
ORGANS OF THE THORAX AND ABDOMEN.

Application to correct physical diagnosis. Changes in the relative
position of the organs during the respiratory motions. Changes effected
by disease. Physiological remarks on wounds of the thorax and on
pleuritic effusion. Symmetry of the organs, &c.


COMMENTARY ON PLATE 23

THE RELATIVE POSITION OF THE DEEPER ORGANS
OF THE THORAX AND THOSE OF THE ABDOMEN.

Of the heart in reference to auscultation and percussion. Of the lungs,
ditto. Relative capacity of the thorax and abdomen as influenced by the
motions of the diaphragm. Abdominal respiration. Physical causes of
abdominal herniae. Enlarged liver as affecting the capacity of the
thorax and abdomen. Physiological remarks on wounds of the lungs.
Pneumothorax, emphysema, &c.


COMMENTARY ON PLATE 24

THE RELATIONS OF THE PRINCIPAL BLOODVESSELS TO THE
VISCERA OF THE THORACICO-ABDOMINAL CAVITY.

Symmetrical arrangement of the vessels arising from the median
thoracico-abdominal aorta, &c. Special relations of the aorta. Aortic
sounds. Aortic aneurism and its effects on neighbouring organs.
Paracentesis thoracis. Physical causes of dropsy. Hepatic abscess.
Chronic enlargements of the liver and spleen as affecting the relative
position of other parts. Biliary concretions. Wounds of the intestines.
Artificial anus.


COMMENTARY ON PLATE 25

THE RELATION OF THE PRINCIPAL BLOODVESSELS OF
THE THORAX AND ABDOMEN TO THE OSSEOUS SKELETON.

The vessels conforming to the shape of the skeleton. Analogy between the
branches arising from both ends of the aorta. Their normal and abnormal
conditions. Varieties as to the length of these arteries considered
surgically. Measurements of the abdomen and thorax compared.
Anastomosing branches of the thoracic and abdominal parts of the aorta.


COMMENTARY ON PLATE 26


THE RELATION OF THE INTERNAL PARTS TO THE EXTERNAL SURFACE.

In health and disease. Displacement of the lungs from pleuritic
effusion. Paracentesis thoracis. Hydrops pericardii. Puncturation.
Abdominal and ovarian dropsy as influencing the position of the viscera.
Diagnosis of both dropsies. Paracentesis abdominis. Vascular
obstructions and their effects.


COMMENTARY ON PLATE 27


THE SURGICAL DISSECTION OF THE SUPERFICIAL PARTS AND
BLOODVESSELS OF THE INGUINO-FEMORAL REGION.

Physical causes of the greater frequency of inguinal and femoral
herniae. The surface considered in reference to the subjacent parts.


COMMENTARY ON PLATES 28 & 29

THE SURGICAL DISSECTION OF THE FIRST, SECOND, THIRD, AND
FOURTH LAYERS OF THE INGUINAL REGION, IN CONNEXION WITH THOSE
OF THE THIGH.

The external abdominal ring and spermatic cord. Cremaster muscle--how
formed. The parts considered in reference to inguinal hernia. The
saphenous opening, spermatic cord, and femoral vessels in relation to
femoral hernia.


COMMENTARY ON PLATES 30 & 31

THE SURGICAL DISSECTION OF THE FIFTH, SIXTH, SEVENTH, AND
EIGHTH LAYERS OF THE INGUINAL REGION, AND THEIR CONNEXION WITH
THOSE OF THE THIGH.

The conjoined tendon, internal inguinal ring, and cremaster muscle,
considered in reference to the descent of the testicle and of the
hernia. The structure and direction of the inguinal canal.


COMMENTARY ON PLATES 32, 33, & 34

THE DISSECTION OF THE OBLIQUE OR EXTERNAL,
AND OF THE DIRECT OR INTERNAL INGUINAL HERNIA.

Their points of origin and their relations to the inguinal rings. The
triangle of Hesselbach. Investments and varieties of the external
inguinal hernia, its relations to the epigastric artery, and its
position in the canal. Bubonocele, complete and scrotal varieties in the
male. Internal inguinal hernia considered in reference to the same
points. Corresponding varieties of both herniae in the female.


COMMENTARY ON PLATES 35, 36, 37, & 38

THE DISTINCTIVE DIAGNOSIS BETWEEN EXTERNAL AND INTERNAL
INGUINAL HERNIAE, THE TAXIS, SEAT OF STRICTURE, AND THE OPERATION.

Both herniae compared as to position and structural characters. The
co-existence of both rendering diagnosis difficult. The oblique changing
to the direct hernia as to position, but not in relation to the
epigastric artery. The taxis performed in reference to the position of
both as regards the canal and abdominal rings. The seat of stricture
varying. The sac. The lines of incision required to avoid the epigastric
artery. Necessity for opening the sac.


COMMENTARY ON PLATES 39 & 40

DEMONSTRATIONS OF THE NATURE OF CONGENITAL AND
INFANTILE INGUINAL HERNIAE, AND OF HYDROCELE.

Descent of the testicle. The testicle in the scrotum. Isolation of its
tunica vaginalis. The tunica vaginalis communicating with the abdomen.
Sacculated serous spermatic canal. Hydrocele of the isolated tunica
vaginalis. Congenital hernia and hydrocele. Infantile hernia. Oblique
inguinal hernia. How formed and characterized.


COMMENTARY ON PLATES 41 & 42

DEMONSTRATIONS OF THE ORIGIN AND PROGRESS
OF INGUINAL HERNIAE IN GENERAL.

Formation of the serous sac. Formation of congenital hernia. Hernia in
the canal of Nuck. Formation of infantile hernia. Dilatation of the
serous sac. Funnel-shaped investments of the hernia. Descent of the
hernia like that of the testicle. Varieties of infantile hernia.
Sacculated cord. Oblique internal inguinal hernia--cannot be congenital.
Varieties of internal hernia. Direct external hernia. Varieties of the
inguinal canal.


COMMENTARY ON PLATES 43 & 44

THE DISSECTION OF FEMORAL HERNIA AND THE SEAT OF STRICTURE.

Compared with the inguinal variety. Position and relations. Sheath of
the femoral vessels and of the hernia. Crural ring and canal. Formation
of the sac. Saphenous opening. Relations of the hernia. Varieties of the
obturator and epigastric arteries. Course of the hernia. Investments.
Causes and situations of the stricture.


COMMENTARY ON PLATES 45 & 46

DEMONSTRATIONS OF THE ORIGIN AND PROGRESS OF FEMORAL
HERNIA; ITS DIAGNOSIS, THE TAXIS, AND THE OPERATION.

Its course compared with that of the inguinal hernia. Its investments
and relations. Its diagnosis from inguinal hernia, &c. Its varieties.
Mode of performing the taxis according to the course of the hernia. The
operation for the strangulated condition. Proper lines in which
incisions should be made. Necessity for and mode of

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