Kerner have developed a method

Kerner have developed a method of opening of all organs on a place, in a corpse, without their extraction. At last, Letul has offered, and G.V.Shor has developed a method of extraction of all organs of a neck, a breast and a stomach together - a method of full evisceration. In the present management two methods will be stated: 1) the modern method developed by a number order decadron now of researchers, being typical and characteristic in the symmetry and clearness, that is why and named the basic, or classical, a method; 2) a method of full and incomplete evisceration. Owning these two methods, the prosector can feel in the relation of technics of opening quite assured of all cases. . the method is the most widespread And standard. It consists in extraction of the internal . in the form of complexes. Extraction order the following. At first take organs of a neck and a thoracal cavity - all together. Then take separately an intestine and a lien which can be taken in common with the following - to a liver, a stomach, etc. 101 Further - a liver and a stomach with a duodenum, a pancreas and a mesentery all together. At last, take kidneys with adrenals, the ureters, all organs of a small basin, with an abdominal aorta and the bottom vena cava. Thus, it turns out three complexes of organs and two organs separately - an intestine and a lien. EXTRACTION OF ORGANS OF THE NECK AND BREAST
Taking the right arm a small post-mortem knife as a writing feather, and the left arm fixing and rejecting a head, pierce a knife blade a mouth diaphragm in a mental part on the right and short sawing movements, keeping closely to an internal surface of a horizontal part of a mandible, cut a diaphragm of a mouth with right, and then and on the left side. Then cross the remained muscular ponticulus at a chin - a podborodochno-pod-lingual muscle and a tongue bridle. Through the formed aperture in a bottom of a mouth extend an end of tongue and, having grasped its fingers of the left arm, delay to itself. Now it is possible to see a soft palate and its handles. Having entered a knife blade in a mouth over tongue through the formed aperture, a cross-section separate a soft palate from firm with one and on the other hand. Continuing these cuts aside to mandible angles (angulus mandibulae), them bridge to the cuts spent for renunciation of muscles from a horizontal-'noj of a part of a jaw. All these cuts, thus, cover outside both tonsils, and handles of a soft palate, and a uvula. Then as it is possible above, approximately at atlas level, do a pyridium online cross-section of a back wall of a pharynx. To cut it is necessary to a backbone. -Continuing to delay tongue, a knife separate a back wall of a pharynx from bodies of cervical vertebra. At the basis of a skull dissect internal and external carotids, bulbar veins and vagus nerves. Continuing to delay tongue to itself, all organs of a neck from a backbone. Having reached a thorax, grasp now all organs of a neck in the left arm and, rejecting them at first in the left 102 The party , cut with a knife under the right clavicle The right subclavial artery, vein and nerves; then Neck organs reject in the right party of a corpse and , - the left neurovascular fascicle under left . Now all keeps communication with a corpse only by means of the quaggy fat of a postmediastinum going down to hiatus oesophagus diaphragms and informed sometimes through a cleft with a fat, being between omentulum leaves. Last circumstance should be meant at transition of a purulent inflammation from a postmediastinum in an abdominal cavity. Taking neck organs in the right arm and having pulled in a direction to feet of a corpse, it is possible to break off a postmediastinum fat and by that to allocate all organs from a thoracic cavity without the big effort. If thus the arm tests appreciable resistance to make the big effort not, follows, as it is possible to break off organs. In particular it is dangerous at wounds, ulcerations And esophagus and trachea tumours, and also at () aneurysmal aortectasias And so forth; preparations will be spoilt, research will be Incomplete, and not skilled prosector of an artefact, is made by it , can accept for the pathological phenomena. In these Cases it is necessary not to break off a fat of a mediastinum, And to dissect its knife, taking organs the left arm in that Direction. - At strong adnations it is better to arrive as follows. The right lung needs to be deduced from a pleural cavity on a left-hand side of a thorax and a knife to make a discission of the pleura and intercostal vessels along a backbone, between it and an unpaired vein v. azygos). Now the right lung needs to be laid on a place, to deduce the left lung on the right half of thorax and to make a discission of the pleura and vessels between a backbone and a semiunpaired vein v. hemiazygos). After that organs already easily separate. Having separated organs of a breast from a postmediastinum, them deduce from a corpse and throw through a thorax right edge. The aorta, the bottom vena cava and an esophagus which is passing through a diaphragm become thus visible. All They are dissected by a cross-section out of a corpse, at the edge of ribs. If lungs strongly with a diaphragm she should be taken together with lungs. For this purpose before cutting off of an esophagus, an aorta and so forth it is necessary to cut a diaphragm from ribs, and on the right still and the ligament supporting a liver. Taken stack on a little table. Now start extraction of organs of a stomach, and begin with an intestine. INTESTINE EXTRACTION Having rejected the big epiploon with Intestine and its mesentery on a thorax, remove All loops of small bowels to itself, i.e. In the right half Corpse. At the left at level of II lumbar vertebra find the beginning of a jejunum and, having delayed its left arm to itself, cut a knife a window in the beginning of a mesentery about the intestine.