Lymphatics and Lymph Circulation

Lymphatics and Lymph Circulation

Physiology and Pathology

2nd Edition - January 1, 1967

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  • Authors: István Rusznyák, Mihály Földi, György Szabó
  • eBook ISBN: 9781483185972

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Lymphatics and Lymph Circulation: Physiology and Pathology is a comprehensive account of the physiology and pathology of lymphatics and lymph circulation, with emphasis on the question of lymph flow as well as the problems of capillary filtration and diffusion in the connective tissue. These intricate processes are explained from a uniform point of view. Comprised of 27 chapters, this book begins with a discussion on the origin and architecture of the lymphatic system, paying particular attention to the discovery of lymphatics and lymph circulation; the phylogenesis and ontogenesis of lymphatics; and general and special anatomy of the lymphatic system. The second part explores the general physiology and pathology of the lymphatic system and includes chapters dealing with the role of the connective tissue in lymph formation; absorption into lymph capillaries; filtration and absorption through serous membranes; and lymph flow and composition. The remaining chapters consider the central nervous system and other organs such as the heart, lung, liver, kidney, and pancreas. This monograph will be useful for students, practitioners, and researchers in physiology and pathology.

Table of Contents

  • Introduction

    First Part: Origin and Architecture of the Lymphatic System

    I. History of the Discovery of Lymphatics and Lymph Circulation

    II. Phylogenesis of Lymphatics

    III. Ontogenesis of Lymphatics

    IV. General Anatomy of the Lymphatic System

    Methods of Investigation of the Lymphatics

    Architecture of the Lymphatic System

    Anatomy of the Main Lymphatic Trunks

    V. Special Anatomy of the Lymphatic System

    The Heart

    The Lung

    The Gastro-Intestinal Tract

    The Liver and the Gall Bladder

    The Spleen

    The Kidneys

    The Prostate

    The Testes

    The Uterus

    The Ovary

    The Thyroid Gland

    The Pancreas

    The Adrenal Gland

    The Thymus

    The Salivary Glands

    The Serous Membranes

    The Skin

    The Tongue

    The Teeth

    Relations Between the Central Nervous and the Lymphatic System

    Relations Between the Eye and the Lymphatic System

    Second Part: General Physiology and Pathology of the Lymphatic System

    VI. Origin of Lymph

    Ludwig's Filtration Theory

    Heidenhain's Secretion Theory

    Critics of Heidenhain's Theory. Cohnstein's Transudation Theory

    Starling's Experiments: Filtration and Absorption Theory

    Asher's "Cellular" Theory. Theory of Korányi and Róth

    Capillary Filtration and Absorption: Recent Investigations Confirming Starling's Theory

    Physico-Chemical and Morphological Foundations of Capillary Permeability

    Role of Filtration and Diffusion in Capillary Permeability. Korányi's "Osmotic Water Flow". Significance of Lymphatics in the Removal of Capillary Filtrate

    Capillary Filtration and Lymph Formation in the Liver

    Capillary Filtration and Formation of Lymph in the Lung

    Relationship Between Capillary Filtration and Reabsorption

    Effect of Reduced Colloid-Osmotic Pressure on Lymph Flow

    Effect of Changes in Permeability of the Blood Capillaries on Lymph Flow

    Effect of Anoxia on Capillary Permeability

    Effect of Physical Stimuli on Capillary Permeability

    Effect of Humoral and Neural Factors on Capillary Permeability

    Increase of Capillary Permeability in Inflammation

    Capillary Permeability in Shock

    Effect of Decreased Capillary Filtration on Lymph Flow

    VII. The Role of the Connective Tissue in Lymph Formation

    Extracellular Fluid and Lymph

    Architecture of Connective Tissue

    Influence of Diverse Factors on Diffusion in Connective Tissue

    Influence of Substances with Anti-Hyaluronidase Action on Diffusion in the Connective Tissue and on the Formation of Oedema

    Role of Tissue Pressure and Tissue Resistance in Filtration and Absorption

    Effect of Increased Capillary Permeability on Diffusion

    Fixation in the Connective Tissue and Spreading

    Humoral and Neural Factors in the Regulation of Connective-Tissue Permeability

    Effect of Metabolic Poisons on the Permeability of Connective Tissue

    Difference Between the Effect of Hyaluronidase in Vitro and in Vivo

    Factors Influencing Spreading in Connective Tissue (Summary)

    Fixation in Inflammatory Tissue

    VIII. Absorption into Lymph Capillaries

    Structure of Lymph-Capillary Wall: Passage of Corpuscular Particles into the Lumen of Lymph Capillaries

    Phagocytosis of Proteins by Lymphatic Endothelium

    Fat Absorption from the Site of Injury. The Problem of Fat Embolism

    Effect of Hyaluronidase on the Permeability of Lymphatic Capillaries

    Effect of Colloids on the Absorption through Lymph Capillaries

    Effect of Metabolic Poisons on Absorption by Lymph Capillaries

    Absorption After Death

    Absorption through Lymph Capillaries in Traumatic Shock

    Relationships Between Lymph and Tissue Fluid

    Mechanism of Absorption through the Lymph-Capillary Wall

    Diffusion of Protein from Lymphatics into the Interstitial Spaces

    Consequences of Chronic Lymph Congestion; Fibrosis

    Insufficiency of Absorption by Lymphatic Capillaries

    IX. Filtration and Absorption through Serous Membranes

    Absorption of Corpuscular Particles from Serous Cavities

    Absorption of Protein and Colloidal Molecules from Serous Cavities

    Absorption of Water and Crystalloid Molecules from Serous Cavities

    Role of the Lymphatic System in the Origin of Serous Effusions

    Chylous Ascites and Chylothorax

    Absorption through Serous Membranes in Inflammation

    X. Lymph Flow

    Function of Lymph Hearts in Amphibia

    Motors of Lymph Flow in the Mammal

    Innervation and Tonus of Lymphatics

    Active Motion of the Lymphatics

    Spasm of Lymphatics in Inflammation

    Correlation Between Lymph Formation and Lymph Flow; Lymphaticovenous Anastomoses

    Storage of Fluid in the Lymphatic System

    XI. Composition of Lymph

    XII. Insufficiency of Lymph Circulation

    Third Part: Special Physiology and Pathology of the Lymphatic System

    XIII. Central Nervous System

    XIV. The Melkersson-Rosenthal-Miescher Syndrome (Cheilitis Granulomatosa)

    XV. The Heart

    Insufficiency of Lymph Circulation in the Heart

    Effect of Venous Congestion and Simultaneous Insufficiency of Cardiac Lymph Circulation on the Myocardium

    The Lymphatics of the Endocardium in Chronic Endocarditis

    Experimental Chronic Lymph Stasis in the Heart

    XVI. The Lung

    Lymphatic System of the Lung; Pathogenesis of Pulmonary Oedema

    Pulmonary Lymphatics in Chronic Lung Congestion

    Lymphatic System of the Lung in Pneumonia

    Role of the Pulmonary Lymphatic System in Pneumoconiosis

    Role of the Pulmonary Lymphatic System in Tuberculosis

    Lymphatic Infection of the Lung

    The Lymph Vascular System of the Lung After Pneumonectomy

    Lymphangiectasia Pulmonalis, Chylous Pneumonia and Chylous Hydrothorax

    Congenital Dilatation of the Pulmonary Lymphatics

    Role of the Pulmonary Lymphatic System in the Pathogenesis of Acute Diffuse Interstitial Pulmonary Fibrosis

    XVII. The Gastro-Intestinal Tract

    Intestinal Fat Absorption

    Lymphatic Transport of Water and Solutes from the Gastrointestinal Tract

    Iron Absorption

    "Lymphogenic Steatorrhoea"

    Protein-Losing Gastro-Enteropathy

    Regional Ileitis

    Ulcerative Colitis


    Lymphogenic Sympathicoganglionitis

    Significance of the Lymph Vascular System of the Stomach in the Pathology of Gastric Ulcers

    XVIII. The Liver

    Flow and Composition of Liver Lymph

    Consequences of Hepatic Lymph Blockade

    Serous Inflammation of the Liver and the Problem of Hepatic Cirrhosis

    Alterations of the Hepatic Lymph Vascular System Relative to Age

    Lymphatics of the Liver Capsule in Inflammation

    Significance of Hepatic Lymph Vessels in Obstructive Jaundice

    Significance of Hepatic Lymph Vessels in Obstructive Jaundice Accompanied by Cholangitis

    The Problem of Liver Sclerosis

    Lymph Vascular System of the Gall Bladder in Inflammation

    XIX. The Kidneys

    Physiology of Renal Lymph Circulation

    Significance of Lymph Circulation in Obstructed Kidneys

    Significance of the Renal Lymphatic System in Bright's Disease

    Role of Lymphatics in the Origin of Renal Calculi


    Benign Proteinuria

    Significance of Renal Lymph Circulation in the Physiopathology of Congestive Heart Failure and Hepatic Cirrhosis

    Significance of the Renal Lymphatics in Oliguria and Anuria

    XX. Sex organs

    The Testis

    The Ovary

    XXI. The Pancreas

    XXII. The Adrenal Gland

    XXIII. The Thyroid Gland

    XXIV. The Mamma

    XXV. The Spleen

    XXVI. Chronic Lymphoedema and Elephantiasis

    XXVII. Regeneration of Lymphatics and Lymph Nodes


    Index of Authors

    Index of Subjects

Product details

  • No. of pages: 972
  • Language: English
  • Copyright: © Pergamon 1967
  • Published: January 1, 1967
  • Imprint: Pergamon
  • eBook ISBN: 9781483185972

About the Authors

István Rusznyák

Mihály Földi

György Szabó

About the Editor

L. Youlten

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