LECTURE XXVII.

Structure of an intestine; eight distinct layers. Valvulæ conniventes

peculiar to man. Nature of villi: manner of absorption. Mucous membrane

of the stomach. Glands of Brunner, Grew, and Peyer. Solitary glands.

Muscular coat of the intestine. Wounds of the abdomen affecting its

wall or paries. Illustrative cases. Entrance and exit of a ball.

Lodgment of a ball in the abdominal paries. Incised wounds of the

paries followed by suppuration. Rupture of viscera from a blow. In

incised wounds the muscular parts are not reunited; formation of an

abdominal hernia; treatment. Admission of atmospheric air a bugbear.

Penetrating wounds. Protrusion of omentum; of intestine. Illustrative

cases. Treatment of wounded intestine. Large effusions of blood into

the cavity of the abdomen. Travers’s experiments on wounded intestines.

Treatment of a divided intestine; by ligature; by continuous suture.

Ramdohr’s treatment of a completely divided intestine. Manner of making

a continuous suture. pp. 482-508

Commentaries on the Surgery of the War in Portugal, Spain, France, and the Netherlands from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate. · 第 35 / 129 题