Items related to A Treatise on appendicitis
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1894 Excerpt: ...c. Hence it must follow that ulcerative processes in the appendix, while they may be increased by bacterial invasion, may nevertheless owe their origin to the trophic conditions. So that it must always be difficult to prove that a given ulcerative process or pus-focus in the appendix is due to bacterial invasion primarily; and the more especially is this true when lesions of the mesoappendical vessels and nerves obtain. It would seem much more cogent reasoning to assume that bacterial invasion were made possible by the lessened resistance of the part through defective nutrition than that primary necroses were the result of direct invasion of germs through a normal mucosa. Reasoning from the findings in Dr. Fowler's cases, another source of trophic disturbance lies in a progressive hyperplasia of the coats of the appendix, probably due to repeated hyperemia, or chronic stasis through defective venous return in the mesoappendix: primary conditions which must eventually result in the vascular and nervous lesions already described. Other causes are also unquestionably operative in producing necrosis of the mucosa, with consequent infection, as, e.g., angulation of the appendix, the presence of foreign bodies in the lumen of the part, enterolith, etc. Here a local oligemia results from local pressure. These causes are less frequent than the meso-appendix lesions. The attempt to show that a specific bacterium exists which is responsible for appendicitis has failed; and it is now known that, when microbic infection occurs, it may be simple or mixed, and that several varieties of organism may find their way into the peritoneal exudate at once. This goes far to prove the presence of other primary causes of appendicitis than germs, and strengthens the assumption that...
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- PublisherRarebooksclub.com
- Publication date2012
- ISBN 10 1231643978
- ISBN 13 9781231643976
- BindingPaperback
- Number of pages52
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