On Syphonage And Hydraulic Pressure in the Large Intestine With Their Bearing U

Cover On Syphonage And Hydraulic Pressure in the Large Intestine With Their Bearing U
On Syphonage And Hydraulic Pressure in the Large Intestine With Their Bearing U
Ralph Winnington Leftwich
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Its value in the early treatment of appendicitis, where it affords the physician a chance of empyting the appendix by suction and thus furnishes a new weapon to his armamen- tarium, is obviously great. That and its relation to typhoid will be dealt with later. On the other hand, I have shown that under certain conditions back-syphon- age takes place and the appendix is filled by suction. Back-syphonage of this dangerous character is only possible while the vacuum persists. There are no means of... ascertaining how long this is ; but it is not likely to exceed an hour. It is dis- astrous because, since the cavity of the appendix shares in the caecal vacuum, faecal matter and foreign bodies may be sucked into it. In his recent Hunterian lectures, Mr. Eccles, after remarking upon the smallness and inaccessibility of the appendicular orifice, says, " it is wonderful how the various pointed foreign bodies found within the lumen of the tube have THE LARGE INTESTINE 51 discovered the narrow aperture, cast round as it is with everything that would seem to block the way.

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