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. 1918 Excerpt: ...getting the patient out of bed as early as possible. CHAPTER XXIII MALADIES OF THE BLADDER MALFORMATIONS, DIVERTICULA, INJURIES, INFLAMMA-TION, ATONY Congenital malformation of the bladder may occur in a partial absence of its walls or a fusion of the walls with other tissues or organs, which constitutes what is known as exstrophy of the bladder, and which may occur alone or be associated with deformities of the adjacent organs. Exstrophy of the bladder involves the absence of the anterior wall of this viscus with a protrusion of the posterior wall through a cleft in the abdominal parietes. Thus is presented below the umbilicus and above the pubis an appearance of a turgid, rose-colored mucous membrane, not unlike a prolapsed rectum. This deformity exists in various degrees. It may be accompanied by separation of the pubic arch, there being no symphysis, and is usually associated with epispadias (see p. 281). The testicles may be ectopic or atrophied. Where there is absence of the bladder wall posterioriy, the intestine or anus may communicate with the interior of the cavity. The cause of this malformation is arrested development during fetal life, the lateral portions of the urogenital flap, after completion, having failed to unite. The danger in exstrophy is renal infection; the exterior parts are continually bathed in exuding urine which undergoes decomposition, and the ureteral mouths are exposed. The only means of relief are surgical, which are difficult and tedious and often require many attempts before a satisfactory result is accomplished (see Operative Surgery, p. 187.) The palliative treatment of exstrophy consists in the wearing of a properly fitted urinal to protect the parts from excoriation. This has not been satisfactorily accomplished. Total...
Product details
- Paperback | 304 pages
- 189 x 246 x 16mm | 544g
- 01 May 2012
- Rarebooksclub.com
- Miami Fl, United States
- English
- black & white illustrations
- 123632434X
- 9781236324344
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