. A system of obstetrics . iltrationwith cells and the formation of abscesses follow. According to thisauthor, the inflammation is always situated in the connective tissue anda true parenchymatous mastitis does not exist. Not being versed in microbic investigations myself, I only repeat whatI have found on the subject. Maybe infection by means of micro-organ-isms plays an important part in the production of mastitis, but in myopinion the other factor, the stasis of the milk, is of no less importance. 1 Kaltenbach : Ceutralblatt fur Gynakologie, 1S83, vol. vii. pp. Bumm: CnHralblatt f
. A system of obstetrics . iltrationwith cells and the formation of abscesses follow. According to thisauthor, the inflammation is always situated in the connective tissue anda true parenchymatous mastitis does not exist. Not being versed in microbic investigations myself, I only repeat whatI have found on the subject. Maybe infection by means of micro-organ-isms plays an important part in the production of mastitis, but in myopinion the other factor, the stasis of the milk, is of no less importance. 1 Kaltenbach : Ceutralblatt fur Gynakologie, 1S83, vol. vii. pp. Bumm: CnHralblatt fur Gyndk., 1885. vol. ix. p. 36. 3 Cohn : CenbraMattf. Gynak., 1885, vol. ix. p. 236. 4 Schlosser : Ibid., vol. ix. p. 30. MASTITIS. 387 Kaltenbachs and Billroths supposition, that the disease should followthe lymphatics from the nipple to the periphery, as in a case of para-metritis following laceration of the cervix, leaves out of considerationthe important fact that, as we have seen above, according to Sappey, Fig. Puerperal Mastitia forming Abscess (Billroth): a, group of acini melted to pus. the highest authority on the anatomy of the lymphatic system, thecourse of these vessels in the breast is from the base and circumferenceof the -land toward the nipple. It is therefore very unlikely thai theinfection should take place in a direction opposite to that of the currentoi the lymph. In consequence of a sore on a finger we get lymphan- 388 INFLAMMATION OF THE BREASTS, ETC. gitis extending tip to the axillary glands, but inflamed axillary glandsdo not produce inflammation of the fingers. If microbes cause the evil, they must either wander through themeshes of the network formed by the connective tissue or follow thelactiferous ducts. That the latter is the common way seems to be provedby the investigations of Schlosser on the cow, and by the specimendescribed by Billroth (Fig. 101), in which all acini are more or less sur-rounded, in some places even entirely covered, by
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectobstetrics, bookyear1
