The Anatomy of the Human Peritoneum and Abdominal Cavity: Considered from the Standpoint of Development and Comparative Anatomy — John Shaqi
The Anatomy of the Human Peritoneum and Abdominal Cavity: Considered from the Standpoint of Development and Comparative AnatomyHuntington, George S. (George Sumner)
Science
The Anatomy of the Human Peritoneum and Abdominal Cavity: Considered from the Standpoint of Development and Comparative Anatomy
Huntington, George S. (George Sumner)
Abdomen; Peritoneum
[Illustration: FIG. 134.--Schematic representation of intestinal
arterial supply from superior mesenteric artery in cases of arrested
rotation of the intestine.]
II. =Demonstration of Intestinal Rotation in the Cat.=--The changes in
the relative position of the different intestinal segments and the final
disposition of the mesenteries and blood vessels can best be understood
by the direct examination of the abdominal contents in an animal whose
permanent adult arrangement corresponds to one of the early embryonal
human stages, and in which the necessary manipulations can readily be
carried out and their results noted.
It is doubtful if the above detailed developmental stages in man can
ever be clearly comprehended unless the student will for himself examine
the conditions and perform the manipulations in one of the lower
mammals.
The necessity of keeping the three dimensions of space in mind and the
fact that certain structures during and after rotation cover and obscure
each other, make diagrams and drawings unsatisfactory unless the actual
examination of the object itself is combined with their study.
Fortunately, among the common domestic animals of convenient size easily
obtained the cat answers every purpose of this study admirably. The
student is earnestly urged to pursue his study of the development and
adult arrangement of the human abdominal viscera and peritoneum in the
light which the anatomy of this animal can shed on the complicated and
obscure conditions encountered in the human subject. The plan of having
the opened abdominal cavity of the cat directly side by side with the
human subject, while the arrangement of the abdominal viscera and
peritoneum is considered, cannot be recommended too highly.
=Directions.=--After killing the animal with chloroform the abdominal
cavity is to be freely opened by a cruciform incision and the skin flaps
turned well back and secured in this position. It is well to select a
male animal or an unimpregnated female, as the size of the pregnant
uterus in the later stages renders the examination of the abdominal
viscera and peritoneum more difficult.
For purposes of careful study and comparison of the vascular relations
of the abdomen, it is highly desirable to inject the animal with
differently colored gelatine, starch or plaster of Paris mass. The
arterial injection can be made through the carotid artery, the systemic
venous injection through the femoral vein, and the portal circulation
can be filled after opening the abdomen, by injection through the
superior mesenteric or splenic veins. Animals prepared in this manner
are especially useful for the study of the upper portion of the
abdominal cavity and of the peritoneal relations of liver, stomach,
spleen, pancreas and duodenum. They may be kept for permanent reference
in a 5 per cent. solution of formaline or 50 per cent. alcohol.
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