File:Annals of surgery (1885) (14596829018).jpg

Identifier: annalsofsurgery44philuoft (find matches)
Title: Annals of surgery
Year: 1885 (1880s)
Authors:
Subjects: Surgery
Publisher: Philadelphia Lippincott
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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, r k 0 e >+ W 0 0 d Plate I.—Various methods of ureteral anastomosis, with their advocates.* * Dr. Mills has here portrayed certain steps and the end results of actual anastomoses ofthe human ureter made by him for this plate. It is probable that, even with the reductionnecessary to make a full-page plate of the Annals of Surgery, the dimensions will remainslightly in excess of the normal ureter.
Text Appearing After Image:
690 NORVELLE WALLACE SHARPE. 2 to 3 cm, below the iliacs, from 10 to 13 cm. intervenes; atline of the internal os, 9.8 cm. apart; on entering the bladder,2.7 to 3.5 cm. apart. The distance between the external os andthe right ureter, 2.5 to 3.3 cm.; the left ureter, 1.5 to 2.7 cm.Luschka ^^ and Holl -^ give measurements which vary some-what from the above, but agree as to the asymmetry ordinarilyencountered. Quenu and Duval have suggested as a valuablelandmark in identifying the lower ureter the bifurcation of thecommon iliac artery. The right ureter will be found i cm.external to the bifurcation and crosses the iliac vertically, whilethe left ordinarily is exactly upon the bifurcation. The ureteris composed of three layers. The outer coat is fibrous; themiddle coat is muscular, whose thin smooth longitudinal foldsmanifest some tendency to stratification; the intima is mucous.The muscular coat, inducing a fairly rhythmic peristalsis, isassisted by the force of gravity in establishing

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