. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. eintestine. One ligature is placed around the rec-tum near the corresponding extremity of this liga-ment (at <(, in Fig. 4582). Another ligature, b, ispassed around the duodenum just at the beginningof the jejunum ; , at the inser-tion of the above-named gut is cut through at this point,and the jejunum and ileum are dis-sectedfroni the mesentery, and, afterbeing ligatured at the caecum, cutthrough (b, in Fig. 4583) and al-lowed to fall to the
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. eintestine. One ligature is placed around the rec-tum near the corresponding extremity of this liga-ment (at <(, in Fig. 4582). Another ligature, b, ispassed around the duodenum just at the beginningof the jejunum ; , at the inser-tion of the above-named gut is cut through at this point,and the jejunum and ileum are dis-sectedfroni the mesentery, and, afterbeing ligatured at the caecum, cutthrough (b, in Fig. 4583) and al-lowed to fall to the floor or into areceptacle placed there. The oper-ator now excises the rectum, as nearto the anus as possible, and dissectsforward until he comes to the liga-ture (a, Fig. 4583), where he cutsthe gut through and allows it tofall. The next procedure is to free theececum, double colon, and what re-mains of the floating colon fromtheir attachments. This is easilydone by detaching the loose cellu-lar tissue with the fingers and bycutting the strong bands of perito-neum, the meso-caecal ligaments—by which the caecum is attached to. Fig. 4583.—Abdominal Viscera of the Horse, a. Rectum, and 6, ileum, ligatured and excised; c, stomach; d, spleen ; e, liver ; /, pancreas. 644 REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. Veterinary Exam. the sublumbar region and to the colon at its origin—andthe cellular tissue which attaches the double colon to thepancreas and to the wall of the abdomen. The attach-ments having been severed, the csecum and colon areallowed to fall to the floor. Now that the intestines have been removed, it is betterto open the thorax and remove the organs, as that cavityshould be examined before the liver is removed. If it is at-tempted to remove the liver first, there is danger of wound-ing the diaphragm, and there is also a disagreeable escapeof blood from the sev-ered vessels. More-over, if the organs inthe thorax have beenremoved, the dia-phragm
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
