The Caecal Folds And Fossae And the Topographical Anatomy of the Vermiform Appendix

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Its mouth is usually at the junction of the caecum and colon or beneath either, and it separates the layers of the meso-csecum or the meso- colon ; its fundus runs upwards behind the ascending colon between the layers of the ascending meso-colon." In view of our present knowledge it is obvious that the terms " caecum " and — 51 — " meso-csecum " are here very loosely used and that the fossa is much better described as retro-colic." A fossa can hardly be accurately called " subcsecal " which lie...s entirely behind the ascending colon.
The following description of these im- portant fossae is based upon a careful analysis of the writer's cases combined with a study of Jonnesco's excellent work on the subject published in 1890.
When both fossae are present three peritoneal folds are required for their forma- tion, these are from without inwards : — 1. External parieto-colic fold or the outer layer of the ascending meso-colon.
2. Internal parieto-colic fold or the inner layer of the ascending meso-colon.


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