Abstract Accurate data concerning the extent and the routes of drainage from the abdominal cavity of patients with gastro-intestinal lesions are of extreme importance. Pulmonary involvement, so commonly associated with abdominal operations, is a sequela which may be explained by the lymphatic continuity of the two regions. Many experiments have been made in an effort to determine the site and rate of absorption from the peritoneal cavity and the routes through which such materials are removed. Cunningham1 completely reviewed the literature which concerns these various phases of the problem. In the hitherto published accounts of experimental studies on the method of lymphatic drainage following peritoneal absorption, more careful attention has been given to the cytologic problems than to the lymphatic paths which are involved; also to the manner in which the foreign particles within the peritoneal cavity get into the lymph stream, whether free and independent or in phagocytic cells, References 1. Cunningham, R. S.: The Physiology of the Serous Membranes , Physiol. Rev. 6:242, 1926. 2. Sisson, Septimus: The Anatomy of the Domestic Animals , ed. 2, Philadelphia, W. B. Saunders Company, 1914, p. 930. 3. Von Recklinghausen, F. T.: Zur Fettresorption , Virchows Arch. f. path. Anat. 26:172, 1863.Crossref 4. MacCallum, W. G.: On the Relation of the Lymphatics to the Peritoneal Cavity in the Diaphragm and the Mechanism of Absorption of Granular Materials from the Peritoneum , Anat. Anz. Centralbl. 23:157, 1903. 5. Buxton, B. H., and Torrey, J. C.: Absorption from the Peritoneal Cavity , J. M. Research 15:5, 1906. 6. Bolton, Charles: Absorption from the Peritoneal Cavity , J. Path. & Bact. 24:429, 1921. 7. Cunningham, R. S.: Studies in Absorption from Serous Cavities: IV. On the Passage of Blood Cells and Granules of Different Sizes Through the Walls of the Lymphatics of the Diaphragm , Am. J. Phys. 62:248. 1922. 8. Florey, Howard: Reactions of, and Absorption by Lymphatics, with Special Reference to Those of Diaphragm , Brit. J. Exper. Path. 8:479, 1927. 9. Poynter, C. W. M.: Peritoneal Absorption , Proc. Staff Meetings, Mayo Clinic , 2:263, 1927. 10. Brown, K. P.: Peritoneal Lymphatic Absorption: An Experimental Investigation to Determine the Value of Lymphaticostomy , Brit. J. Surg. 15:538, 1928. 11. Drinker, C. K., and Churchill, E. D.: A Graphite Suspension for Intravital Injection of Capillaries , Proc. Roy. Soc. London 101:462. 1927. 12. Higgins, G. M., and Murphy, G. T.: The v. Kupffer Cell in Common Laboratory Animals , Anat. Rec. 40:15, 1928.
Archives of Surgery – American Medical Association
Published: Sep 1, 1929