. American practice of surgery ; a complete system of the science and art of surgery . ps is added, while the vesselsthemselves are much smaller. At the lower end of the ileum the mesentericvessels form merely a reticulated network. (Figs. 261, 262, 263, 264.) The difficulties of intestinal locahzation are more clearly realized when weconsider the variation within normal limits as regards length—viz., from fifteen 700 AMERICAN PRACTICE OF SURGERY. to thirty feet; the position which these organs occupy when filled or empty;and other conditions. Moynihan says in this connection: It is more than
. American practice of surgery ; a complete system of the science and art of surgery . ps is added, while the vesselsthemselves are much smaller. At the lower end of the ileum the mesentericvessels form merely a reticulated network. (Figs. 261, 262, 263, 264.) The difficulties of intestinal locahzation are more clearly realized when weconsider the variation within normal limits as regards length—viz., from fifteen 700 AMERICAN PRACTICE OF SURGERY. to thirty feet; the position which these organs occupy when filled or empty;and other conditions. Moynihan says in this connection: It is more than probable, however,that during health there is a constant journeying of the large and small intestinefrom one part of the abdomen to another, and that two loops of intestine whichat one moment are in contact may, in a few seconds, be widely separated. Thisis shown during operations for gunshot wounds. Thus, in a case of bulletwound where theshot traversed the abdomen directly from front to back, alittle in front of the left anterior superior spine of the ilium, the jejunum in four. Fig. 262.—A Loop of Intestine at Six Feet. As compared with that shown in the preceding figurethe bowel is somewhat smaller. The vascularity of the intestine and its mesentery is less. Secondaryloops are a prominent feature. The vasa recta are smaller. The lunettes are also present, but are notso large as in Fig. 261. The subject was a male, about 35 years of age, with an average amount offat. The entire length of the intestine was twenty feet. (From Monks, in Annals of Surgery, October,1903. J. B. Lippincott Company, Pliiladelphia, Publishers.) places, the transverse colon in two places, and the lower end of the sigmoid werewounded. The diagnosis of the various forms of peritoneal inflammations, injuries,and pathological conditions of the intestines will be discussed under theirrespective headings. 11. CONGENITAL ANOMALIES. That congenital anomalies are not more frequent is indeed remarkable when
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