A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
In all cases where the _stomach_ is to be examined, it will be better
first to remove it from the body. To accomplish this, both omenta should
be detached from the curves of the stomach, which may be done either
with the fingers or scissors. The hand may now be carried down to the
cardiac end of the stomach and the fingers forced around the œsophagus
without the use of the knife, and a ligature placed upon that tube. A
ligature should also be placed just below the pyloric orifice, and
another an inch below this. The knife or scissors may be used to divide
the œsophagus close to the diaphragm, and the duodenum between the two
ligatures; the stomach may then be lifted from its position without loss
of any of its contents.
If the object is merely to make a chemical analysis of the contents, the
stomach should be placed immediately in the vessel prepared for its
reception, and carefully sealed and labelled. If, on the other hand, we
may wish to examine the inner surface of the organ, it may be freely
opened along one of the curves with the scissors, the contents removed,
and the mucous surface cleansed with a stream of water, for more
satisfactory inspection. Both the contents and the stomach, may still be
preserved for chemical examination, should the circumstances of the case
seem to require it.
From the manner in which the _duodenum_ is bound down to the posterior
abdominal walls by the peritoneum, some little care will be required in
its removal. Ligatures should be applied for retaining the contents, as
directed with the stomach.
_The kidneys_, with the suprarenal capsules, may be reached by lifting
the intestines, and tearing open the peritoneum with the fingers. The
gland may then be readily lifted from its position, and the vessels
divided with the knife. To examine the interior, the gland may be split
open longitudinally along its convex border, which will give a view of
the cortical and pyramidal portions, with the interior of the sinus and
pelvis. For microscopic examination, portions should be hardened in
alcohol or solution of bichromite of potassa.
_The spleen_ may be easily removed from its position, by dragging it
from its bed, in the left hypochondriac region, and dividing its vessels
and omental attachments to the stomach.
_The pancreas_ may be brought into view, by tearing open the great
omentum just beneath the stomach, when the gland may be seen behind the
peritoneum, extending transversely across in front of the aorta. To
remove it from its position will require some care, owing to its being
bound down to the posterior walls by the peritoneum, and closely
attached to the duodenum by its right extremity or head.
Public-domain text, read in full here on John Shaqi.
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