. Annals of surgery . empty and the bladder distended with ten ounces, it is one-fourth of an inch below ; when the rectum is distended with fif-teen, and the bladder with ten ounces, it is seven-eighths of aninch above. Numerous experiments made upon many other subjectstreated without freezing, as is seen in each of these drawings,give the same general results. 6 UP RAP UBIC C YS TO TOM V. 25 After preparing each cadaver two lines of investigation werefollowed. In the first a small opening was made into the ab-dominal cavity, and the parts examined by touch and sight. Inthe second, supra-pubi
. Annals of surgery . empty and the bladder distended with ten ounces, it is one-fourth of an inch below ; when the rectum is distended with fif-teen, and the bladder with ten ounces, it is seven-eighths of aninch above. Numerous experiments made upon many other subjectstreated without freezing, as is seen in each of these drawings,give the same general results. 6 UP RAP UBIC C YS TO TOM V. 25 After preparing each cadaver two lines of investigation werefollowed. In the first a small opening was made into the ab-dominal cavity, and the parts examined by touch and sight. Inthe second, supra-pubic cystotomy was made, and the partsexplored by abdominal section afterwards. To give in detail one case under the first head will be suffi-cient to show in what manner our investigations were con-ducted. PLATE III.—Pento!ual Case IV., male, 50 years of age, weighing 150 pounds, dead24 hours; bladder empty, rectum washed out, rubber bagplaced in the bowel and gradually distended with twelve fluidounces of water. A cut was made into the abdominal cavity in the medianline below the navel, just large enough to admit the indexfinger ; the anterior peritoneal reflection was found to be at thecrest of the symphysis pubis. The rectum was only moder-ately distended, filling up the floor and the posterior wall ofthe pelvis to within one inch of the promontory of the sacrum. 26 ALBERl B. STRONG. Next 12 ounces of water were injected into the bladder, whichcaused it to rise upward, nearly to the base of the sacrum, andforward against the abdominal wall, dragging the peritoneumwith it to a height of three-fourths of an inch above the crestof the symphysis pubis. Next the water was let out of the bladder which immedi-ately settled down till the peritoneum was even with the crest. Then the water in the rectal bag was in
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
