. On retro-peritoneal hernia : being the 'Arris and Gale' lectures on the 'The anatomy and surgery of the peritoneal fossae' : delivered at the Royal College of Surgeons of England in 1897. rds the orifice of entry is semilunar, limited on the right by theintestine, the flexura duodeno-jejunalis; on the left by thefree border of the fold. This fossa is in general situated onthe left side of the third lumbar vertebra. 1 Hernia Retro-Peritonealis ein Beitrag zur Gesichte innerer Hernien,Prague, 1S57. 14 THE DUODENAL FOLDS AND FOSSM That is a brief epitome of his description. The nex


. On retro-peritoneal hernia : being the 'Arris and Gale' lectures on the 'The anatomy and surgery of the peritoneal fossae' : delivered at the Royal College of Surgeons of England in 1897. rds the orifice of entry is semilunar, limited on the right by theintestine, the flexura duodeno-jejunalis; on the left by thefree border of the fold. This fossa is in general situated onthe left side of the third lumbar vertebra. 1 Hernia Retro-Peritonealis ein Beitrag zur Gesichte innerer Hernien,Prague, 1S57. 14 THE DUODENAL FOLDS AND FOSSM That is a brief epitome of his description. The nextarticles of importance were written by Wenzel Gruber, in1859 and To the fossa described by Treitz he appliesthe cumbrous title retro eversio mesogastrica seu media,seu intermesocolica. He mentions as variants a fossa show-ing three funnel-shaped divisions, and a division of theorifice of the fossa by fibrous bands. With regard to thearch of Treitz, he found it sometimes in front of the fossa inthe anterior wall, sometimes behind, and sometimes distanton the outer side, a distance varying up to a maximum of1 centimetre. In 1862 Gruber published a record of three examples of a. Fig. 4.—The Vascular Arch of Treitz. common mesentery for the small and large intestine. Inone case, very beautifully illustrated, there existed a rightinguinal hernia and an internal hernia, of the form whichhas lately been described as right duodenal. The existence 1 1. (it. Bericht, Med. Ztg. Russlands, 1859. 2. Ucb. d. Herniaint. Mesogastrica,5 St. Petersburger Med. Ztg., 1861, Bd. i. 3. ZurHernia Interna., St. Petersburger Med. Ztg., 1862, Bd. ii. 4. t Bilduhg-shemmung d. Mesenterien, Archiv fur Aunt, unci Physiol.^ 1S62 und1864. 5. Hernia int. Mesogastrica, Oesterr. Zeitschrift fur PraktisckeIiriUnindc, 1863, Wicn. 6. Nachtrage /.. d. Bildungshemm. d. Mesent.,Hernia int. Mesogastr. Dextra, Virchoirfs Archiv, Bd. xliv., Berlin, Fall von Mesent. Commune, etc., Virchows Are/i/v, Bd. xl


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