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Identifier: gynecologygrav2 (find matches)
Title: Gynecology
Year: 1916 (1910s)
Authors: Graves, William Phillips, 1870-1933
Subjects: Gynecology Genital Diseases, Female Women Gynecology
Publisher: Philadelphia and London : Saunders
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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n. The clinical significance of all these various intra-abdominal bands lies intheir tendency to obstruct the alimentary canal and cause symptoms andconditions of stasis. The theories advanced to explain their existence may be divided into threeclasses: (1) That which assigns a fetal origin to them; (2) that which explainsthem as a result of a postnatal inflammatory reaction; and (3) that which assertsthat they represent a non-inflammatory reaction on the part of nature to resistthe ptosis of the abdominal viscera resulting from mans erect posture. Those who believe in the prenatal origin of these bands point to the closesimilarity that exists between certain well-defined fetal structures and the mem-branes discovered in adult life, as is seen, for example, in the resemblance of the RELATIONSHIP OF GYNECOLOGY TO THE GENERAL ORGANISM 133 parietocolic fold of Jonnesco to Jacksons membrane. The origin of the fetalmembranes has not been satisfactorily explained, but it is known that at an
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Fig. 24.—Abdominal Bands.The drawing shows Lanes kink, Jacksons membrane, adhesions of the hepatic flexure, adhe-sions about the gall-bladder and pylorus, adhesions of the splenic and sigmoid flexures, and adhe-sions of the sigmoid to the left broad ligament. The small intestine and omentum have been omittedfrom the drawing for the sake of illustration. early stage of fetal life the entire abdomen is filled with bands similar to thoseseen after an attack of peritonitis, and that toward the close of fetal life they 134 GYNECOLOGY usually melt away (Bainbridge, Keith). It is urged by the supporters of thecongenital theory of intra-abdominal bands that these bands represent the per-sistence after birth of certain of the fetal adhesions above described. The adherents of the inflammatory theory of the origin of intra-abdominalbands base their assumption on an inflammatory reaction of the peritoneumcovering the bowel induced by mild chronic infections of the mucosa, fromwhich the process

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Flickr tags
InfoField
  • bookid:gynecologygrav2
  • bookyear:1916
  • bookdecade:1910
  • bookcentury:1900
  • bookauthor:Graves__William_Phillips__1870_1933
  • booksubject:Gynecology
  • booksubject:Genital_Diseases__Female
  • booksubject:Women
  • bookpublisher:Philadelphia_and_London___Saunders
  • bookcontributor:Francis_A__Countway_Library_of_Medicine
  • booksponsor:Open_Knowledge_Commons_and_Harvard_Medical_School
  • bookleafnumber:133
  • bookcollection:medicalheritagelibrary
  • bookcollection:francisacountwaylibrary
  • bookcollection:americana
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29 July 2014


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