. American practice of surgery ; a complete system of the science and art of surgery . Fig. 194.—Straight Median Incision. Lumbar regionof the cadaver raised; skin-muscle-bone flap pulled upwardand outward, exposing a large area of the stomach; thecardia incised (the dark area in the centre of the picture),and the cut edges held apart by hooks. (Willy Meyer, inthe Journal of the American Medical Association, October,1906.) VII. SUBPHRENIC ABSCESS. In preparing this section, the freest use has been made of M. Griineisenscomprehensive article, Ueber die subphrenischen Abscessen, Archiv f. kli-ni
. American practice of surgery ; a complete system of the science and art of surgery . Fig. 194.—Straight Median Incision. Lumbar regionof the cadaver raised; skin-muscle-bone flap pulled upwardand outward, exposing a large area of the stomach; thecardia incised (the dark area in the centre of the picture),and the cut edges held apart by hooks. (Willy Meyer, inthe Journal of the American Medical Association, October,1906.) VII. SUBPHRENIC ABSCESS. In preparing this section, the freest use has been made of M. Griineisenscomprehensive article, Ueber die subphrenischen Abscessen, Archiv f. kli-nische Chirurgie, 1903, No. 70. Collections of pus under the diaphragm can come from different organs, andthe course of the case is influenced a good deal by the location which the pusoccupies—, whether it is within or without the peritoneal covering. Suchcollections are separated from the rest of the peritoneal cavity by the transverse THE DIAPHRAGM, AND SUBPHRENIC ABSCESS. 479. colon with its mesocolon and its attached omentum, these structures togethercrossing the cavity like a partition. A focus of inflammation or of suppurationlocated below the diaphragm may be barred from the remainder of the cavityby adhesions between the colon, omentum, and parietes. Out of 288 casesthe cause is distributed among the various organs in the following proportions(percentages): Stomach, ; appendix, 26; biliary passages, 8; thorax, ;intestines, 3; perinephritic struc-tures, 3; female genitals, 3;pancreas, 2; spleen, 2; duode-num, 1; ribs, ; and the re-mainder, in unkno\^T^ parts, distribution according tocauses was: traumatic, percent; ecliinococcus, 2 per cent;metastatic, 2 per cent. An un-usually important part in etiol-ogy is played by the far removed andwithout close anatomical rela-tionship, this organ still sup-pHes the cause in a large num-ber of cases. A second muchsmaller group of primary causesis found in diseased ribs, pleu
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906
