The return of omentum is always slow, and the last part requires as much manipulation as the first.
When the bowel or omentum are comparatively sound, though irreducible, the surgeon must rest contented with relieving the stricture; then cover the parts with the integuments, and promote union of the wound.
A hernia was found containing omentum and a fold of bowel; a hydrocele of the chord lay alongside of it.
The protrusion could not be returned; after relieving the stricture, the omentum was cut away, and the bleeding vessels tied separately.
The malady for which it is most apt to be mistaken is inguinal hernia, especially that variety of it in which the omentum is concerned.
Creplin) has been found occupying little cysts of the peritoneum and omentum in Simia maimon and S.
The mesenteric example is particularly fine, whilst that from the omentum is undergoing calcareous degeneration.
Eight of the specimens were from the liver, five from the abdomen (including those of the omentum and mesentery), two from the lungs, and one from the heart.
There are also several fine examples of hydatids from the omentum (Dr Farre’s case), besides a good specimen of acephalocysts connected with the vesiculæ seminales.
The aperture of exit was plugged by a tag of omentum (see fig.
It is impossible to conceive that a small-calibre bullet coming into direct contact with the omentum could do anything but perforate it.
Prolapse of omentum was comparatively rare, except in cases with large wounds; it was apparently seen with some frequency among patients who died rapidly on the field of battle.
The great omentum was much thickened and matted, with deposition of thick patches of lymph; very firm recent adhesions also united numerous coils of small intestine.
The posterior opening was found about 2 inches lower down, with a piece of omentum firmly adherent to it and completely closing it.
At the autopsy a portion of the omentum was found adherent in the wound of exit, but it had not reached the external surface.
In these the external wounds were often large, the omentum was not rarely prolapsed, and escape of fæces sometimes occurred early.
Great Omentum carried by the bullet into an exit track leading from the abdominal cavity.
Great omentum adherent to ascending colon, which was covered with plastic lymph.
The same thickening and retraction of the mesentery and omentum may occur in cancerous as in tuberculous peritonitis.
A thickened portion of omentum which had become adherent over an old gastric ulcer produced a tumor which led to a mistake in the diagnosis.
Nevertheless, numerous metastases existed in the lymphatic glands of the omentum and of the lesser curvature (Jahresb.
This same material was found in the contracted omentum in considerable quantity.
Cancer of the peritoneum and of the omentum is found in about one-fifth of the cases of gastric cancer.
Usually, however, owing to deposits of fat in the omentum and in the abdominal walls, the outlines and condition of the liver cannot be ascertained, and must remain merely conjectural.
In this, he says, the surface of the omentum is covered with cells which look as if they were derived from the endothelium and connective-tissue cells, although they differ from the normal shape of these.
Obese women, with much accumulation of fat in the omentum and flatus in the intestines, have swollen feet and legs if erect for some time, the effusion being due to pressure on the vena cava.
He finds it in cases of local abscess of the abdominal cavity in which inflammatory action has extended over the whole membrane, and particularly on the omentum also, in the first two days of puerperal peritonitis.
Dilatation of the stomach is sometimes associated with scrotal hernia, particularly with that containing omentum or transverse colon.
In Strangulated Hernia the bowel or omentum is being nipped at the neck of the sac, and the flow of blood into and from the delicate tissues is stopped.
Matted or diseased omentum must be tied off and removed.
Omentum sound, and of a natural white colour, traversed by some large veins.
On opening the abdomen, the omentum was found dark and shrunk.
The contents of a hernia are bowel and omentum (a covering of the bowel) separately or together.
Tuberculosis of lymph gland and of omentum (caul).
This cow was inoculated subcutaneously in front of each shoulder with 2 cubic centimeters of a salt-solution emulsion of the tuberculous omentum of the last cat of the series.
The omentum was not adherent to the intestines, which were moderately distended with gas.
The greater omentum covered the intestines pretty thoroughly from the transverse colon almost to the pubis.
On raising the omentum it was found that a blood mass extended through the left lumbar and iliac regions, and dipped down into the pelvis, in which there was some clotted blood and rather more than a pint of bloody fluid.
The caudal boundary is afforded by the transverse position which the lesser omentum has assumed in the region of the transverse or portal fissure.
The cut through the lesser omentum exposes the hepatic recess of the lesser peritoneal cavity immediately to the left of the foramen of Winslow.
Distal caudal portion of the lesser omentum is twisted laterally and turned to the right by the change in the position of the stomach and the development of the structures connected with the liver at the transverse fissure.
Hence a sagittal section would show the arrangement of the monkey's omentum as indicated in the schematic Figs.
We can imagine, so to speak, that the redundant growth of the omentum to the left and caudad, takes place over the hepatic artery as a resistant support (Figs.
A summary at this point of the course of the dorsal mesogastrium, in forming the great omentum and its subsequent connections, would show us that the membrane first enlarges and descends towards the transverse colon (Fig.
It will be observed that the great omentum is made up of four peritoneal layers, the folding of the double-layered mesogastrium naturally producing this result.
The cephalic surfaces of the transverse colon and mesocolon fuse with the corresponding area of the dorsal (4th) layer of the great omentum (dorsal mesogastrium).
Development of Spleen and Pancreas in the Dorsal Mesogastrium and Changes in the Disposition of the Great Omentum 108 1.
This pocket or pouch constitutes the omental or epiploic bursa of the lesser peritoneal cavity, for the great omentum is the direct product of this redundant growth of the mesogastrium caudad.
As the stomach turns over so that its left side becomes ventral, the dorsal mesentery attached to it becomes pulled out, in such a way that part of it forms the great omentum and part the gastro-splenic omentum.
It is a common thing, however, to find a fenestrated arrangement of the great omentum which shows that its layers have been completely obliterated in many places.
There have been others who cut away the omentum with scissors, which is unnecessary if the portion is small; and if very great it may occasion a profuse haemorrhage, since the omentum is connected with some of even the largest veins.
But this objection cannot be applied in cases where, the belly being cut open, the prolapsed omentum is removed with shears, since it may be both gangrenous and unable to be removed in any other way with safety.
The lesser, or gastrohepatic, omentumconnects the stomach and liver and contains the hepatic vessels.
Defn: Of or pertaining to an omentum or the omenta.
The stomach, small intestines, and part of the large omentum lay in the left pleural cavity; both the phrenic nerves were normal.
His wound was dressed and he was recovering, but on September 11th he tore the cast off his abdomen, and pulled out of the wound the omentum and 32 inches of colon, which he tore off and threw between his pallet and the wall.
Through the wound protruded the greater part of the larger curvature of the stomach; the arch of the colon and the entire greater omentum were both strangulated.
In this case there was but little extravasation of urine, as the vesical aperture was closed by omentum and bowel.
His omentum was very lean, but the liver covered all his abdominal viscera.
Rein speaks of the removal of an enormous echinococcus cyst of the omentum without interruption of pregnancy.
He married in 1870, and upon being told that he was a father he slit up the hypogastrium from the symphysis pubis to the umbilicus, so that the omentum protruded; he said his object was to obtain a view of the interior.
The intestines remained outside of the body for two hours, and the great omentum was carefully spread out over the chest to prevent interference with the efforts to return the intestines.
A large quantity of omentum protruded from the vulva and upper part of the vagina, and an enormous rent was left.
The rent was four inches in length and extended along the linea alba, and through it protruded a mass of omentum about the size of a child's head.
Harris cites the instance of a woman of thirty, a multipara, six months pregnant, who was gored by a cow; her intestines and omentum protruded through the rip and the uterus was bruised.
Wetmore of Illinois saw a woman who in the summer of 1860, when about six months pregnant, was gored by a cow, and the large intestine and the omentum protruded through the wound.
After traversing the heart the ball had penetrated the diaphragm, wounded the omentum in several places, and become lodged under the skin posteriorly between the 9th and 10th ribs.
The great omentum was mangled and comminuted, and bore two lacerations of two inches each.
In extreme cases the fat entirely disappears throughout the body; the omentum and mesentery are entirely devoid of it, as well as the subcutaneous and intermuscular cellular tissue.
The uterus is then carefully lifted out through the incision, or drawn out with the assistance of a volsella; the intestines and omentum are isolated from the pelvis with a large warm dab.
Removal of Hydatids of theOmentum and from the Pelvis.
With the fingers the adherent omentum and bowels are carefully detached, and the adhesions between the distended tube or ovary and the rectum are carefully broken through with the finger, and the parts withdrawn from the pelvis.
In dealing with this condition the surgeon carefully and gently cleans the extruded intestines and omentum with sterilized water, returns them into the abdomen, and resutures the wound.
Moreover, the bacterial finding of streptococci and cold bacilli in the perityphlitic abscess is typical, and the limitation of the diffuse peritonitis to areas below the omentum is also instructive.
The Abdominal Viscera in situ, as seen when the abdomen is laid open and the great omentum removed (drawn to scale from a photograph of a male body aged 56, hardened by formalin injections).
The peritoneum he describes under the name of siphac, in imitation of the Arabians, the omentum under that of zirbus, and the mesentery or eucharus as distinct from both.
If the sac contains bowel and omentum, it is safer to open it over the omentum than over the bowel.
Stain a piece of cat’s omentum in nitrate of silver (p.
In both instances, the stomach, colon, and omentum form the hernial protrusions.
When the abdominal parietes have been opened by shell or passage of large shot, protrusion of omentum and intestines will probably be one of the results.
The above list will hopefully give you a few useful examples demonstrating the appropriate usage of "omentum" in a variety of sentences. We hope that you will now be able to make sentences using this word.
