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.
_The liver_ may be generally examined _in situ_. The condition and
contents of the gall-bladder, the size, color, density, etc., of the
gland, may all be noted without removal. Where, however, we may desire
to ascertain the weight of the gland, or to examine its posterior and
upper surface, its removal will be required. Where the chest has
previously been opened, this will not be a difficult operation. In other
cases, the cartilages and ribs, forming the lower boundary of the chest,
should be strongly elevated by an assistant; the operator then, by
dragging down the liver, having first divided the suspensory ligament,
may expose the coronary and lateral ligaments, which will require care
in their division, to avoid opening through the diaphragm into the
chest. The fingers should be now freely used, to peel the gland from the
diaphragm. From the close connection of the liver to the ascending vena
cava, this vessel will require to be divided at the upper border of the
liver, close to the diaphragm, and again, after the gland has been
rolled from its bed, at its lower border, with also the portal vessels,
hepatic artery and duct, which reach the transverse fissure through the
border of the lesser omentum.
The liver may now be lifted from the body, and placed in any convenient
vessel for a more detailed inspection.
The Pelvic Viscera.
The whole _pelvic viscera_, with the external organs of generation, in
either the male or female, may be removed together, in the following
manner:—Apply a double ligature to the upper portion of the rectum, and
divide the gut between. The peritoneum may now be divided around the
border of the pelvis, in the female, at the same time, cutting across
the round and broad ligaments of the uterus, when, with the hand, the
bladder may be stripped down from the inner side of the pubes, the
rectum torn from the hollow of the sacrum, and in the same manner the
parts torn off from the sides of the pelvis, using the knife only for
dividing the more closely adhering points.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account