Abdominal surgery . latation of the Orifices of the Stomach Pylorectomy . . .... Gastro-enterostomy . . .. ?. .- Duodenostomy . -, • • . Section VII.—Operations on. the. IntestinesLaparotomy for Intestinal ObstructionEnterotomy . .• ...Colotomy . . .-.•Resection of IntestineOperations for Artificial Anus .Operations for Peritonitis. Section VIII.—Operations on the KidneysNephrorraphy . . Nephro-lithotomy Nephrotomy . . ... Nephrectomy 352357385388404419426 445451 461 475494 Section IX. — Operations on BLADDER .... Operations on the Liver .Hepatotomy ....Op
Abdominal surgery . latation of the Orifices of the Stomach Pylorectomy . . .... Gastro-enterostomy . . .. ?. .- Duodenostomy . -, • • . Section VII.—Operations on. the. IntestinesLaparotomy for Intestinal ObstructionEnterotomy . .• ...Colotomy . . .-.•Resection of IntestineOperations for Artificial Anus .Operations for Peritonitis. Section VIII.—Operations on the KidneysNephrorraphy . . Nephro-lithotomy Nephrotomy . . ... Nephrectomy 352357385388404419426 445451 461 475494 Section IX. — Operations on BLADDER .... Operations on the Liver .Hepatotomy ....Operations on the THE Liver and Gall- Section X.—Operations on the SpleenSplenectomy Section XI.—Operations on the PancreasOperation for Pancreatic Cysts Section XII.—Unclassified Operations .Tumours in the Omentum . .Tumours in the Mesentery ....Extra-peritoneal Cysts 515520 525534545551 554561 565569 573574576 578 Bibliography 182. ^irbnminal Surgerj); Section I DIAGNOSIS OF ABDOMINAL TUMOURS. The diagnosis of tumours in the abdominal cavit}^ demands anaccurate comprehension of the topography of the containedviscera, a practical acquaintance with the methods of physicalexamination, and some knowledge of the nature of the tumourswhich are liable to be found in connection with the individualorgans. Topographical Anatomy of the Abdomen. For purposes of surgical diagnosis we may consider the wholeof the abdominal and pelvic cavities as one. The surgical limitsof the abdomen are essentially those of the peritoneum ; any-thing totalty or partially covered by peritoneum we may herereckon as abdominal. 2 2 DIAGNOSIS OF ABDOMINAL TUMOURS. The abdominal cavity is, roughly speaking, a cylinder, flatlycordate in transverse section, pointed or arched at its inward bulging of the vertebral column tends to bisect thecylinder in its upper portion ; in its lower portion this bony ridgeis bifurcated and carried ou
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