суббота, 24 января 2009 г.

Then by means of a scalpel

Then by means of a scalpel All skin from a member, reject it on a pubis and a scalp allocate a member under a pubis outside and from within, and on Volume separate from muscles of a perineum and take together With other organs, preliminary having pushed it under Pubis in a pelvic cavity. _ - Here too it is necessary to work cautiously, to avoid a disfiguration. At cleaning of a corpse a scrotum skin cover seams, and a skin of a member simply stack on a scrotum. If not to look narrowly buy medrol dospak at genitals of a corpse it is possible even not to notice, that they are taken, as their impression is made. At women After organs of a small basin behind and about a boat separate mainly stupid by fingers a neck of a bladder with an urethra and a vagina. Strongly extending all genitals with the left arm and bringing a knife under pubic bones, cut an urethra, a vagina and a rectum. 110 - If, organs have been well separated from a small basin and strongly extended, and the cut is spent deeply enough it is possible to take a vagina together with small labiums, and a rectum together with an anus. Thus, all genitourinary organs appear taken; them also stack on a table, to the left of a corpse. After extraction of all internal organs examine. On a neck examine its deep muscles, places of damages if they were, sympathetic trunks and ganglions (top lay on cross-section processes II and III cervical vertebra, behind internal carotids vagus nerves, and bottom - on heads of I ribs or on cross-section processes of VII cervical vertebra). In a thorax examine. a pleura, ribs, intercostal muscles. In an abdominal cavity - a retroperitoneal fat, muscles of a back wall of a stomach, the big and small basin.
Simultaneously examine a backbone from cervical vertebra to coccyx; turn "attention to its curvature, to bodies of yokes processes of vertebra, on intervertebral cartilages and ligaments. METHOD OF FULL EVISCERATION As a method of full evisceration understand extraction of all organs of a mouth, a neck, a breast, a stomach and a basin together, not separating them from each other, in the form of one orga-nokompleksa. Method this, developed prof. G.V.Shorom (1925) has the big advantage, consisting that each system can be investigated in full integrity. This method is irreplaceable for research of vascular and lymphatic system, and also at the combined wounds, at widespread metastasises of tumours and . Evisceration has also that advantage, that at it all organs till the end of research remain in the natural mutual relation. It gives the chance in lju - . organs p. 168 see. 111 Fight the moment to come back back, again to investigate and show the pictures which have been found out on a vskry-habit spasm. Its disadvantage is bulkiness organokom-pleksa and difficulty of orientation of pupils in changes decadron online of organs. The technics of a method in the beginning of opening differs nothing from technics of the described basic method. Skull and backbone opening, as well as extraction head and a spinal cord, make as. Cuts make the same for extraction of internal organs. At last, and allocation of organs of a mouth, a neck and a breast make as, but these organs do not cut, and after allocation stack on the place. Then cut a diaphragm from costal edges at first on the right, and then at the left. Not reaching a kidney, with that and on the other hand spend a cut peritoneums on a lateral wall of a stomach from a diaphragm to a small basin. From here partly a knife, partly stupid by (it is simple arms) separate from muscles of a back wall of a stomach and a backbone absolutely all organs. At last, allocate organs of a small basin as it is already described, also keeping their interconnection. After that all take and stack on a little table of the big sizes (than it is specified in p. 14) that organs from it did not overhang. G.A.Berlov (1950) suggests to change an extraction order ' with "descending" on "ascending". Motive to it as the author specifies, are difficulties of evisceration at a fusion of pleural cavities and an abdominal cavity, and also inconvenience of extraction of organs of a small basin owing to accumulation in it blood and a hydropic liquid. The author considers more convenient to begin evisceration with organs of a small basin, allocating at first a bladder, then separating organs from lateral and back walls-stomachs, reaching to a diaphragm. Further cut a diaphragm from ribs. Here, between a pleura and a diaphragm, the fat layer is developed considerably, that allows to get stupid by in okolodia - 112 and a fat and to separate a parietal pleura together with lungs from thorax walls. Then cross diaphragm legs at first at the left, and then, rejecting on itself, cross its legs on the right. Now allocate tongue, organs of a neck and take all . At an adnation of organs of a stomach with a forward abdominal wall a sectional cut continue to a pubis and in depth to an external slanting muscle of a stomach. In suprapubic area, having reached a preabdominal and prevesical fat, it is necessary to get into space (cavum s. spatium Retzii). Stupid by a peritoneal bag in the parties from back surfaces of direct muscles and upwards to semicircular lines of Douglas (linea semicirculares Douglasi). Further from within over a pubis cross-section dissect stomach muscles, open a forward wall a moisture direct muscles from both parties. Then, it is strong aside the left direct muscle, make an incision a knife Back wall of its vagina from the semilunar Lines (linea semilunaris Spigeli) and muscular Fascicles of subject muscles, reaching to parietal Splints. The same make and on the right.

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