The Compleat Surgeon: or, the whole Art of Surgery explain'd in a most familiar Method.Le Clerc, M. (Charles Gabriel)
Science
The Compleat Surgeon: or, the whole Art of Surgery explain'd in a most familiar Method.
Le Clerc, M. (Charles Gabriel)
Surgery -- Early works to 1800
The Parts contain'd in the _Epigastrium_ are the Liver, the Spleen, the
Stomach, and the _Pancreas_ or Sweet-bread, which lies underneath: The
Stomach takes up the middle before, the Liver being plac'd on the Right
side, and the Spleen on the Left; so that these two sides of the
Epigastrick Region, are call'd the Right and Left _Hypochondria_.
_What Parts are there contain'd in the Umbilical Region, and what is their
situation?_
They are the most part of the thin Intestines or small Guts, _viz._ the
_Duodenum_, the _Jejunum_, and the _Ileon_, which have their Residence in
the middle, where they are encircled with a Portion of the two great Guts,
_Cæcum_ and _Colon_, that take possession of the Sides, otherwise call'd
the Flanks. The Reins or Kidneys are also in this Place, above, and
somewhat backward.
_What Parts are there contain'd in the _Hypogastrium_, and of what Place
are they possest?_
The greater part of the thick-Guts, _Coecum_, and _Colon_, are enclos'd
therein, with the entire _Rectum_; there is also a Portion of the _Ileon_,
which hides it self in the sides of the _Ilia_, or Hip-Bones: In the middle
under the _Os Pubis_, the Bladder is situated on the Gut _Rectum_ in Men,
and the _Matrix_ in Women lies between the _Rectum_ and Bladder.
_After what manner is the opening of a Corps or dead Body perform'd at a
publick Dissection?_ {68}
It is begun with a Crucial Incision in the Skin from underneath the Throat
downward, traversing from one side to another in the Umbilical Region; then
this Skin is pull'd off at the four Corners, and the _Panicula Adiposa_ is
immediately discover'd: Under this Fat lies a Fleshy Membrane, call'd
_Membrana Carnosa_; and after that, the common Membrane of all the Muscles
of the lower Belly. Thus we have taken a View of what Anatomists commonly
term the _five Teguments_, that is to say, the _Epiderma_ or Scarf-Skin,
the _Derma_ or true Skin, the _Panicula Adiposa_, the _Panicula Carnosa_ or
_Membranus Carnosa_, and the common Membrane of the Muscles.
The five Teguments being remov'd, we meet with as many Muscles on each
side, _viz._ the descending Oblique, the ascending Oblique, the Transverse,
the streight, and the Pyramidal, by the means whereof the Belly is extended
and contracted. Afterwards appears a Membrane nam'd _Peritonæum_, which
contains all the Bowels, and covers the whole lower Belly, being strongly
fasten'd to the first and third _Vertebra's_ of the Back. The Fat skinny
Net which lies immediately under the _Peritonæum_, is call'd _Epiploon_ and
_Omentum_, or the Caul; it floats over the Bowels, keeping them in a
continual Suppleness necessary for their Functions, maintains the Heat of
the Stomach, and contributes to Digestion.
Public-domain text, read in full here on John Shaqi.
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