File:Modern surgery, general and operative (1914) (14595951317).jpg

Identifier: modernsurgerygen1914daco (find matches)
Title: Modern surgery, general and operative
Year: 1914 (1910s)
Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933
Subjects: Surgery Surgery, Operative
Publisher: Philadelphia, London, W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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o 1900 inclusive, there were115 cases of intussusception, and every patient was under fifty years of age.Gibbons patient was fifty-eight. Rutherford Morrison had a case due topolypus, and the patient was sixty-two years of age. Males are twice as liableas females. During the performance of peristalsis a localized circular con-striction forms and the invagination takes place through the constricted area.The great relative frequency of intussusseption in childhood is due to the greatermobility and irritability of the childs bowel (Treves). The irregular and local-ized spasm is due to bulky or irritant material within the gut, and, according toRushmore (Annals of Surgery, August, 1907), the starting-point of invagina-tion is obstruction. Were peristalsis alone the cause the condition would befar more common than it is in the diarrhea of children. There are four chiefvarieties: the ileocecal, in which the ileum and the ileocecal valve pass into the 980 Diseases and Injuries of the Abdomen
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Fig. 609. Fig. 610. Figs. 603-610.—Forms of intestinal obstruction. Fig. 603.—Stenosed ulcerated tumor of the pylorus; coils of intestine agglutinated by numerousadhesions. Resected intestinal coils (Payr). Fig. 604.—Volvulus of the sigmoid ilexure (Richardsons case). Fig. 605.—a, Invaginatio iliaca; b, invaginatio ilia-ileocolica (H. Lorenz). Fig. 606.—a, Prolapsus ilei; 6, invaginatio ileocolica (H. Lorenz). Fig. 607.—Obstruction of the jejunum due to gall-stone, showing the contraction of the muscularfibers of the intestine upon the stone, which is smaller in diameter than the lumen of the gut (Mixter s case). Fig. 608.—Meckels diverticulum (Bunts). Fig. 609.—Hernia into the fossa duodenojejunaUs (after Cooper). Fig. 610.—Strangulation by a band. (Warren Museum.) Internal Herniae 981 cecum and colon; the colic, in which the large intestine is prolapsed into itself;the ileal, in which the small intestine alone is involved; and the ileocolic, inwhich the ileum prola

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