General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
1st. We very often see these membranes abandon and cover again
successively their respective organs; thus the broad ligaments, at a
great distance from the womb in the ordinary state, are to it like a
serous membrane during pregnancy. An intestine when distended borrows
from the mesentery a covering that quits it when it contracts. The
omentum is by turns, as Chaussier has well observed, a loose membrane
in the abdomen and a covering of the stomach. The peritoneal envelope
of the bladder often leaves it almost entirely. Has not the hernial sac
of those enormous tumours of gastric viscera originally served to line
the parietes of the abdomen? Now it is evident, since the different
organs can exist separate from their serous membranes, that there is
no connexion between their organization. 2d. It is always a loose
texture, easily stretched in every direction, that serves as a means of
union, and never a sanguineous vascular system, as in most of the other
adhesions. 3d. The affection of an organ is not a necessary consequence
of that of its serous membrane, and reciprocally the organ is often
affected and the membrane does not become diseased. For example, in the
operation for hydrocele, the testicle remains almost always sound in
the midst of the inflammation of its tunica vaginalis. The inflammation
of the mucous membrane of the intestines is not a consequence of that
of their peritoneal covering; and reciprocally in the various acute
catarrhal affections of the organs with a mucous membrane within and
a serous one without, this last is never found inflamed. In a word,
the affections of the mucous membranes are everywhere very distinct
from those of the serous, though most commonly both contribute to the
formation of the same organ. It is evident that a line of demarcation
so great in the affections supposes one of course in the organization.
The life of the serous membranes then is entirely distinct from that of
their corresponding organs.
Yet there are cases where these membranes do not present this loose
adhesion, and where they become so united to the organs which they
line, that frequently the most delicate scalpel cannot separate them.
Observe the tunica vaginalis on the albuginea, the arachnoides on the
dura-mater, and other membranes which form what I have called the
sero-fibrous, &c.; such is the connexion of these different surfaces,
that many have been mistaken to the present time for a single membrane.
There is however no more identity in the organization, than where the
serous membranes are more loosely attached to their respective organs,
as is seen in the peritoneum, the pleura, &c. Diseases sometimes
make this difference very evident. I have seen the arachnoides in a
subject that had been affected with a chronic inflammation, evidently
thickened on the internal surface of the dura-mater, without this
having experienced the slightest alteration; it was detached without
difficulty and torn with great ease.
Public-domain text, read in full here on John Shaqi.
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