. Proceedings of the Connecticut State Medical Society .. . erticulae from the main sac arecommon, and may equal or even exceed the original sac in sacculations in obese patients are prone to burrow wellunderneath the panniculus, and are to be constantly borne inmind when making the first incision. (Fig. 7.) The enormous stretching to which the skin is subjected inthe large herniae gives rise to superficial ulcerations, which areof the utmost importance as portals of entry of infection. Thecutaneous veins are dilated—sometimes varicosed, from thestretching of their walls and cicatric
. Proceedings of the Connecticut State Medical Society .. . erticulae from the main sac arecommon, and may equal or even exceed the original sac in sacculations in obese patients are prone to burrow wellunderneath the panniculus, and are to be constantly borne inmind when making the first incision. (Fig. 7.) The enormous stretching to which the skin is subjected inthe large herniae gives rise to superficial ulcerations, which areof the utmost importance as portals of entry of infection. Thecutaneous veins are dilated—sometimes varicosed, from thestretching of their walls and cicatricial areas surrounded byzones of pigmentation, particularly about the summits of thesac, mark the site of healed ulcers and indicate the loweredcirculatory efficiency of the sac wall. They are to be interpretedprecisely as similar manifestations are interpreted in the lowerleg. Chafing or maceration of the skin folds underneath thetumor, between it and the abdominal wall is almost invariablypresent in obese patients, particularly in the hot seasons, and,. Fig. 7.—Enormous umbilical hernia showing diverticulated sac with scarsmarking site of healed ulcers. Enormously dilated veins visible on closeinspection.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectmedicine, bookyear190
