Appendicitis : its pathology and surgery . li. Thesepossess the same morphological characters as those in theomentum, with the exception that the chains of cocci arelonger and more numerous. The bacteria are most abundantin the submucosa and in the peritoneal exudation. Theaccompanying microphotograph is taken from the former.It gives a good idea of the numbers and characters of thebacteria (Fig. 51). It is a question whether some of themmay not possess capsules. ] Htinterian Lectures on Traumatic Infect inn. ]>. 12, Fig. 3. treatment; expectant and operative 245 Tubercle bacilli were searc
![Appendicitis : its pathology and surgery . li. Thesepossess the same morphological characters as those in theomentum, with the exception that the chains of cocci arelonger and more numerous. The bacteria are most abundantin the submucosa and in the peritoneal exudation. Theaccompanying microphotograph is taken from the former.It gives a good idea of the numbers and characters of thebacteria (Fig. 51). It is a question whether some of themmay not possess capsules. ] Htinterian Lectures on Traumatic Infect inn. ]>. 12, Fig. 3. treatment; expectant and operative 245 Tubercle bacilli were searc Stock Photo](https://c8.alamy.com/comp/2AJ0M1F/appendicitis-its-pathology-and-surgery-li-thesepossess-the-same-morphological-characters-as-those-in-theomentum-with-the-exception-that-the-chains-of-cocci-arelonger-and-more-numerous-the-bacteria-are-most-abundantin-the-submucosa-and-in-the-peritoneal-exudation-theaccompanying-microphotograph-is-taken-from-the-formerit-gives-a-good-idea-of-the-numbers-and-characters-of-thebacteria-fig-51-it-is-a-question-whether-some-of-themmay-not-possess-capsules-htinterian-lectures-on-traumatic-infect-inn-gt-12-fig-3-treatment-expectant-and-operative-245-tubercle-bacilli-were-searc-2AJ0M1F.jpg)
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Appendicitis : its pathology and surgery . li. Thesepossess the same morphological characters as those in theomentum, with the exception that the chains of cocci arelonger and more numerous. The bacteria are most abundantin the submucosa and in the peritoneal exudation. Theaccompanying microphotograph is taken from the former.It gives a good idea of the numbers and characters of thebacteria (Fig. 51). It is a question whether some of themmay not possess capsules. ] Htinterian Lectures on Traumatic Infect inn. ]>. 12, Fig. 3. treatment; expectant and operative 245 Tubercle bacilli were searched for, but aone were found. in this case it is clearly proved thai bacteria abounded inthe omentum, and at some distance from the pus. The abscesswas localised beneath the ca-cuni, but the omentum was separatedfrom it by the caecum and some coils of the small intestines. In removing the omentum, all the ligatures ought totransfix and interlock. Silk is the safest and best material, except when the omentum is septic. Then I use raw catgut. -Acute appendicitis with perforation. Bacteria inappendicular walls. x 1000. which, after being scrubbed with soap and water and soakedin ether, has been kept for not less than seventy-two hoursin 1 in 500 solution of biniodide of mercury in water. Haemorrhage from the meso-appendix is one of the dangersof the operation, but is easily avoided by securing that structurewith sutures of thin silk. Each suture should transfix themeso-appendix and interlock with its neighbour. A smallartery at the ca?cal end of the appendix has usually to besecured with a special suture. In septic cases, I usebiniodide catgut to secure the meso-appendix. A pair of pressure forceps ought to be kept on the stump 246 APPENDICITIS of the meso-appendix, which should not be allowed to fallback into the iliac fossa until it is absolutely certain that itsvessels are perfectly secured. I always carry some curvedpressure forceps lest, owing to the presence of short attach-m