. Medical and surgical therapy . anddisquieting at first, but which gradually dries , according to the case, heaUng proceedsregularly, or one intervenes secondarily to remove a ANATOMICAL LESIONS 353 septic collection round the projectile, near or insidethe kidney. It is the same in the case of the wounds associatedwith penetrating wounds of the abdomen. The rectum, too, is hardly ever involved except inconnection with other organs, which are of predominantinterest. The only eventuaUty that would seem toadmit of the spontaneous cicatrisation of a woundof the rectum in itsperitonea
. Medical and surgical therapy . anddisquieting at first, but which gradually dries , according to the case, heaUng proceedsregularly, or one intervenes secondarily to remove a ANATOMICAL LESIONS 353 septic collection round the projectile, near or insidethe kidney. It is the same in the case of the wounds associatedwith penetrating wounds of the abdomen. The rectum, too, is hardly ever involved except inconnection with other organs, which are of predominantinterest. The only eventuaUty that would seem toadmit of the spontaneous cicatrisation of a woundof the rectum in itsperitoneal region, is thatof a bullet or smallspHnter with an exclusivelypelvic course, reachingonly the rectum andbladder, or the rectumand the sigmoid flexure,and causing perforationssufficiently narrow tobring about a purely localreaction, a peritonitislimited to the the rectum is in-volved in its extra-peri-toneal part, the Ukeh-hood of spontaneoushealing is greater still, evenif the lesions are notproduced by small pro-. Fig. 7.—^The true pelvis isthe collecting-sink of fluidsdischarged into the abdominalcavity (blood, intestinal con-tents, etc.). jectiles. If the passage of communication with theexterior in the sacro-coccygeal region is widely openedwe can observe the progressive cicatrisation of therectal wound. The same remarks may be appHed to the bladder :in wounds of the same degree the gravity is manifestlygreater in lesions which aliect the peritoneal nevertheless observe spontaneous heahng of per-fofations of the bladder by bullet, shrapnel, or smallprojectile entering the suprapubic or transpubic part. 354 WOUNDS OF THE ABDOMEN Sometimes the bladder is obliterated at once, andthe cidatrisation proceeds plane by plane ; sometimesfistula of the passage, purely urinary, or pyo-urinar>%is set up as an intermediate condirion. Cases of thiskind are not extremely rare. One observation is applicable to all the pelvic organs,and to the iliac cavities and
Size: 1329px × 1880px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
