Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . n suffice to effecta cure. Whenever the point of the atresia cannot be discerned, operative 1 treatment. an artificial anus should be made for quick relief, postponingthe curative measures for later. An operation should be post-poned also in all other forms of atresia ani or recti, where theescape of meconium is not entirely interfered with. DEFECTS OF THE ABDOMINAL Recti Abdominis.—Lozenge-shaped separation ofthe abdominal wall extending from th
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . n suffice to effecta cure. Whenever the point of the atresia cannot be discerned, operative 1 treatment. an artificial anus should be made for quick relief, postponingthe curative measures for later. An operation should be post-poned also in all other forms of atresia ani or recti, where theescape of meconium is not entirely interfered with. DEFECTS OF THE ABDOMINAL Recti Abdominis.—Lozenge-shaped separation ofthe abdominal wall extending from the xiphoid to the umbilicusis congenital in nature and due to defective closure of the deeplayers of the abdominal coverings. It is sometimes associatedwith umbilical hernia. 144 COXGEXITAL MALFORMATIONS. sudden to run about and jump colic. The symptoms make their appearance when the child is ableand consist of sudden attacks of colic(not to be mistaken for enteralgia!), uneasiness in the epigastricregion, pallor, which subside when the child is perfectly atrest. These paroxysms are due to partial incarceration of the. Fig. 38 (Sheffield.) stomach in the abdominal slit, and should be remedied by bring-Abdominai [ns anci keeping the separated recti muscles together by means supporter. & r © ? •,,,, of plaster straps or suitable bandage. CONGENITAL UMBILICAL HERNIA. (Hernia Funiculi Umbilicalis, Exomphalos, Omphalocele Congenita, Ectopia Viscerum, Amnion Navel). As a result of faulty development of the abdominal cover-ings, instead of an umbilicus, a variously sized, saclike dilata- MALFORMATIONS OF ALIMENTARY TRACT. 145 tion is occasionally observed which may contain intestinal loops,the stomach, liver, spleen, etc. The hernial sac is composed ofthe amnion and parietal peritoneum. At birth the contents ofthe sac can usually be recognized through the thin, transparentmembranes, but small protrusions into the cord are apt to be Small protrusionsmay beoverlooked
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
