. Medical and surgical therapy . nly below the anterior edge of thetransverse colon, wentup much higher, almostto the edge of thestomach. However, this ar-rangement is not un-known, and we find amention of it in Testutand Jacob, vol. ii., , as well as the dan-gers to, which we areexposed in attemptingan opening of the pos-terior cavity (Fig. 57,Plate II). Fig. ^Access to the left edge (^) ^h^ Spleen. - Ifof the stomach, the spleen, and the we are deahng Withsplenic angle of the colon after lapa- the spleen alone, androtomy with the resection of a carti- v , , , laginous flap in the tho
. Medical and surgical therapy . nly below the anterior edge of thetransverse colon, wentup much higher, almostto the edge of thestomach. However, this ar-rangement is not un-known, and we find amention of it in Testutand Jacob, vol. ii., , as well as the dan-gers to, which we areexposed in attemptingan opening of the pos-terior cavity (Fig. 57,Plate II). Fig. ^Access to the left edge (^) ^h^ Spleen. - Ifof the stomach, the spleen, and the we are deahng Withsplenic angle of the colon after lapa- the spleen alone, androtomy with the resection of a carti- v , , , laginous flap in the thorax. u \ve nave not to ex- amine the whole of theleft hypochondrium, we may make either a sub-costalor directly horizontal incision. But this is an ex-ceptional case ; generally the spleen is involved inlesions of the left hypochondrium, which thereforewe must examine carefully, or it may be injured by athoraco-abdominal wound. In the first case we get access to the spleen by thesame means as we have just used for the upper part. PLATE IV
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
