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
Extensibility and contractility are much less in this system than
they at first appear to be, on account of the numerous folds which it
exhibits in the hollow organs during their contraction, folds which
are developed only during extension, as we have seen. Yet these two
properties become very evident in some cases. The excretories are
capable of taking a size much larger than is natural to them. This is
seen in the ureters in particular, which are sometimes found as large
as an intestine. The ductus choledochus and the pancreatic duct have
often also these dilatations. The urethra and the salivary ducts appear
to be less extensible than the others. If they have ever so little
obstacles from strictures, contractions, &c. they break rather than
stretch; hence various urinary and salivary fistulas.
Hence there is, as we see, many varieties in the degrees of the
extensibility of the mucous system; it is the same with regard to the
contractility of texture. These two properties are besides capable
of being put rapidly into action. We know that the stomach, the
intestines, the bladder, &c. pass in an instant from a great size
to extreme contraction. Their functions even suppose this rapidity,
without which they could not be performed. The palatine membrane which
lines the cheeks, exhibits the same phenomenon when the mouth is filled
with air, aliments, &c. which are afterwards expelled from it.
When the usual fluids cease to pass through the mucous ducts, they
remain in permanent contraction; this is what takes place in the
intestines below a preternatural anus. I have seen in this case the
cæcum and the rectum reduced to the size of a large quill. Yet there
is never then an obliteration of their parietes, on account of the
presence of the mucous juices, of which the patient always passes
a certain quantity. The urethra, after the operations for stone in
which the urine passes for a long time through the wound, and in the
great fistulas in the perineum or above the pubis, the salivary ducts
in wounds which affect them and through which the whole saliva is
discharged, the nasal canal in fistulæ lachrymales, contract also more
or less, but are never obliterated. We know that the vas deferens is
often a very long time without having semen pass through it, and yet
it remains open. This phenomenon distinguishes the mucous ducts from
the arterial, which, when the course of blood is interrupted in them,
change into ligaments in which every thing like a canal disappears. We
ought not to lose sight of this phenomenon of all the mucous ducts; it
proves the incorrectness of the practice of those who, thinking that at
the end of some time it is impossible to re-establish, in fistulas, the
natural way, think it necessary to make an artificial one.
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