Anatomy and Embalming: A Treatise on the Science and Art of Embalming, the Latest and Most Successful Methods of Treatment and the General Anatomy Relating to this SubjectNunnamaker, Albert John
Science
Anatomy and Embalming: A Treatise on the Science and Art of Embalming, the Latest and Most Successful Methods of Treatment and the General Anatomy Relating to this Subject
Nunnamaker, Albert John
Embalming
=Dropsy.=—_Definition._—Dropsy is the accumulation of serous fluid in
a cavity or in the tissues.
Dropsy of the abdomen is called ascites.
Dropsy of the chest is called hydrothorax.
Dropsy of the peritoneum is called hydroperitoneum or ascites. General
dropsy of the cellular tissues is called anasarca.
=Ascites.=—_Synonyms._—Dropsy of the Peritoneum; Abdominal Dropsy.
_Definition._—An accumulation of serous fluid in the peritoneal cavity.
_Etiology._—Any obstruction of the portal circulation is a possible
cause of ascites, the most frequent being cirrhosis of the liver.
Pressure from tumors or neighboring organs may also give rise to it.
Peritonitis and valvular diseases of the heart are also responsible
for ascites, and chronic pulmonary affections may impair the portal
circulation to the extent of producing it.
_Pathology._—The quality and character of the fluid show great
variation, from a few pints to several gallons, and from a straw or
lemon tint to a brownish or greenish hue. It may be blood stained, and
occasionally clean and transparent. It is usually watery in character.
_Treatment._—Use the trocar method. Insert the trocar through the
umbilicus and draw off all the ascitic fluid from the abdomen, then
surround the organs with a quantity of fluid sufficient to preserve
them. Or if you desire, use the direct incision and after the ascitic
fluid has been drawn off, surround the organs with a hardening
compound.
The body in general should be preserved through an arterial injection
of normal fluid for the first 64 ounces, then one and one-quarter
strength for all subsequent bottles. This, if attended by copious
drainage from a large vein, will preserve all portions of the body
excepting possibly the epidermis of the posterior abdominal wall,
which, by gravitation of the ascitic fluid, will become separated from
the derma, producing skin slip, and causing the formation of blisters.
Previously to placing the body on the embalming board for treatment,
a rubber cover should be placed over the board so that drippings of
all kinds can be made to flow into a bucket at the lower end of the
embalming board. When the above mentioned blisters are cut and their
contents disposed of by gravitation into the bucket, a strong solution
of formaldehyde should be applied to the affected skin to harden it and
to prevent any further progress toward decomposition.
In ascitic cases the casket should be lined with rubber or oil cloth
to a point three or four inches above the bottom. In addition to this
precaution, the use of sawdust is favored so that any unlooked for
breaking of blisters may not be attended by a flow of the ascitic
liquid from the casket. Many embalmers do not protect themselves
against contingencies of this kind and are frequently criticized by the
friends and family of the deceased.
=Anasarca.=—_Definition._—Anasarca is a general dropsy of the cellular
tissues.
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