A treatise on hernia : the radical cure by the use of the buried antiseptic animal suture / by Henry O. Marcy.
- Date:
- 1889
Licence: Public Domain Mark
Credit: A treatise on hernia : the radical cure by the use of the buried antiseptic animal suture / by Henry O. Marcy. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![dominal wall, to several times its original surface in abdominal drospy. After such pathological changes, the peritoneum is frequently restored to its former normal state. In cases of sudden, forcible distension, particularly where the membrane is thin and adheres closely to the abdominal parietes, or other surround- ing parts, its texture yields partially and undergoes a loosening, or species of laceration, such as in the case of silks or other stuffs we call fraying, the French eraillment, a kind of cicatrization follows, and leaves marks or lines behind, indicating the nature of the occurrence; “ These cTaillments,” says M. J. Cloquet, “ happen particularly when peritoneum, adhering to subjacent parts by a dense, close, cellular tissue, is dragged or displaced. Hence this partial laceration is frequent in the situation of the linea alba, from the dis- tension of the abdomen and the separation of the recti muscles; and I possess several remarkable specimens of this kind. In the part which has been thus frayed, the peritoneum is preternaturally thin, representing a net-work of slender fibres, leaving irregular inter- spaces, which are filled by an extremely thin, trans- parent pellicle. This kind of change is observed, not only in the peritoneum lining the abdominal parietes, and that which forms the hernial sac, where it is very common, but also in the serous covering of the dis- placed viscera, in the mesentery and intestine when they have been dragged and elongated in large rup- tures.”— [Recherches’ Anat., p. 48.] 3 DD](https://iiif.wellcomecollection.org/image/b21987178_0029.jp2/full/800%2C/0/default.jpg)
