Complete Eversion Research Articles

THE DEVELOPMENT AND FINE STRUCTURE OF THE ASCUS APEX AND ITS ROLE DURING SPORE DISCHARGE IN XYLARIA LONGIPES

SUMMARYThe development and structure of the ascus apex of Xylaria longipes were studied by light and electron microscopy. An apical body (Spitzenkörper) and vesicle system were associated with a localized thickening of the ascus wall to form an apical ring. On completion of the apical ring, the vesicles dispersed but the apical body remained, together with a dense ‘plug’ within the ring. Breakdown of the apical body and ‘plug’ was followed by the formation of fibrous material which linked the ascospores to the inside of the apical ring. Ascus dehiscence was accompanied by the complete eversion of the apical ring.

Prolapse of a megarectum.

Megarectum, unassociated with dilatation of the proximal bowel, is a rare anomaly. Two such cases, 1,6 each in children with imperforate anus, are recorded. Prolapse of a megarectum in an adult with a normally functioning anus and no other bowel anomaly is, we believe, a unique occurrence. Report of a Case A 56-year-old Negro man, while straining during passage of a loose stool, suddenly had prolapse of an enormous rectal mass. This had never previously happened, and he had experienced no bowel dysfunction other than unexplained diarrhea during the past three years, when occasionally four or five loose stools were passed daily, without rectal bleeding, pain, or tenesmus. Examination revealed massive prolapse with complete eversion of a large, thick-walled rectum (Figs. 1 and 3). The anal sphincter was, fortunately, completely relaxed, so that there was no embarrassment of the blood supply. The rectosigmoid junction appeared at the most dependent portion,

VAGINO-UTERINE PROLAPSE AND ITS EFFECTIVE TREATMENT

Vagino-uterine prolapse is a form of hernia through the vaginal outlet which may involve respectively the bladder and anterior vaginal wall, the anterior vaginal wall or the bladder and the cervix uteri; or the eversion may comprise cervix, or uterus, and the entire vaginal structure. The protrusion of the anterior pelvic segment is frequently a sliding of the bladder, pushing it before the anterior vaginal wall and dragging on the cervix where the uterus is firmly fixed as by firm ligaments and resistant peritoneum. The traction on the cervix causes a hypertrophic elongation of the supravaginal portion of the cervix. The anterior and posterior vaginal walls are attached to the cervix at different levels so that such an elongation may occur in the vesical portion of the cervix with complete eversion of the anterior vaginal wall and the cervix, while the posterior vaginal, remains intact and presents its normal length.

A CASE ILLUSTRATING PLASTIC SURGERY OF THE EYELIDS.

During my service at the Presbyterian Hospital in the summer of 1900, Miss Sarah McB., aged 38, presented herself for the correction of deformities of the eyelids resulting from burns, which she had received six months before by falling into a grate fire in a fainting fit. As shown in photograph No. 1, the soft parts had suffered severely on both sides of her face, a portion of the right wing of the nose had been lost, and there was complete ectropion of the upper lid of the right eye and almost complete eversion of the lower lid of the left eye. The brow just over the nose was so deeply burned that a portion of the external surface of the frontal bone had necrosed and come away during the dressing of the burns. The new skin which had formed in this region and over the right eye was extremely

On Amputation of the Cervix Uteri in Certain Forms of Procidentia, and on Complete Eversion of the Cervix Uteri

On Amputation of the Cervix Uteri in Certain Forms of Procidentia, and on Complete Eversion of the Cervix Uteri