Clamp the gut and start resection
to the peritoneal reflection
after which you ligate arteries iliac
Free up rectum, prostate, bladder
or vagina for that matter
cleanly cut away from pelvis front and back.
Then return to neck and pharynx
incise well above the larynx
leaves of diaphragm dissect from wall of chest
With amazing little traction
and a deft aboral action
empties body of the viscera and the rest.
Place the block down leave it prone
then examine spinal bone
saw a segment and note any scoliosis
Check trabeculae if brittle
are they crushed by pressure little
or quite firm from blastic carcinomatosis.
If the patient is a male
you must not forget or fail
to now empty both sides of the scrotal sac
So withdraw spermatic cord
and the testis will come forward
from the inguinal canal its natural track.
Look for tumor and fibrosis
hydrocele tuberculosis
the ability of tubules to be strung
Epididymis and vas
do not miss or overpass
whether patient's old or only very young.
Then it's back to the aorta
which you open up in order
to assess its surface and to point direction
Renal arteries expose
the adrenals you disclose
by suprarenal adipose dissection.
Free aorta up superior
bring esophagus inferior
then into basic systems you divide
This is Rokitansky's way
the most popular today
but it's up to the prosector to decide. |