. Annals of surgery . w the symphysis pubis. Plate IV. represents a section of a subject, 40 years of age,weighing 140 pounds. It shows the rectum as containing fif-teen and the bladder ten fluid ounces of plaster of paris we see the anterior peritoneal reflection is seven-eighthsof an inch above the symphysis pubis. You observe this white line running across the bladder inplate III. and IV.; this indicates the height to which the plas-ter of paris solution of ten ounces came. The space above 24 ALBER T ONG. contained air which, I think, must have been there before thebladd


. Annals of surgery . w the symphysis pubis. Plate IV. represents a section of a subject, 40 years of age,weighing 140 pounds. It shows the rectum as containing fif-teen and the bladder ten fluid ounces of plaster of paris we see the anterior peritoneal reflection is seven-eighthsof an inch above the symphysis pubis. You observe this white line running across the bladder inplate III. and IV.; this indicates the height to which the plas-ter of paris solution of ten ounces came. The space above 24 ALBER T ONG. contained air which, I think, must have been there before thebladders were injected. Looking at the plates with reference to the relation the an-terior peritoneal reflection bears to the crest of the symphysispubis, w^e observe in the normal condition of the parts, whenthe bladder and rectum are empty, it is one and one-half inchesbelow ; when the bladder is empty and the rectum distendedwith fifteen ounces, it is one inch below; when the rectum is PLATE II.—Peritoneal 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 Rctiection.


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885