. On retro-peritoneal hernia : being the 'Arris and Gale' lectures on the 'The anatomy and surgery of the peritoneal fossae' : delivered at the Royal College of Surgeons of England in 1897. ed,, however, that behindand to the right of the mouth of the sac there was plainly tobe seen a second fossa (Fig. 5, x), a fossa which Gruber con-sidered to be the fossa of Treitz. Landzert considered thathis description of the anatomy of this region coincided withthat given by Gruber; but it will presently be shown thatboth authors were construing the facts ill, that they weredescribing a fossa which unti
. On retro-peritoneal hernia : being the 'Arris and Gale' lectures on the 'The anatomy and surgery of the peritoneal fossae' : delivered at the Royal College of Surgeons of England in 1897. ed,, however, that behindand to the right of the mouth of the sac there was plainly tobe seen a second fossa (Fig. 5, x), a fossa which Gruber con-sidered to be the fossa of Treitz. Landzert considered thathis description of the anatomy of this region coincided withthat given by Gruber; but it will presently be shown thatboth authors were construing the facts ill, that they weredescribing a fossa which until then had entirely escapedrecognition. From Landzerts day up to 1890 the subjectreceived Little or no attention. In that year Jonnescos 1 Ucber die I [ernia Retro-Perttonealis, etc. (Treitz), Beitragez. IlistoL, Heft I., St. Petersburg, 1872. HISTORY OF THE FOSSJE 17 work,1 to which I shall make frequent reference, waspublished. He described therein three fossae—a duodeno-jejunal, first described by Huschke, and a superior andinferior duodenal, corresponding to the upper and lowerdivisions of the fossa of Treitz. It will be noticed that the number of the fossae described. Fig. 5.—The Fossa of Landzert and the Fossa of Gruber (x).Para-Duodenal Fossa and Posterior Duodenal Fossa. had been increasing. From the one of Huschke and Treitz,the two of Gruber and Landzert, we come to the three ofJonnesco. In 1895 two other fossae, a retro-duodenal anda para-duodenal, were mentioned by Jonnesco in PoiriersAnatomy. In 1891 there appeared a short work by Brosikeof Berlin,2 dealing with the fossae and the herniae originating 1 Hernies internes retroperitoneales, Paris, Steinheil, 1890. 2 Loc tit., p. 7. 2 18 THE DUODENAL FOLDS AND FOSS^ therein. This latter is the most thorough and completework that I have met with. A full and generally accurateaccount is given of the anatomy of the fossae and their letter-work is good, the illustrations are lamentablybad. Its tersen
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