. Abdominal hernia : its diagnosis and treatment. T. S,, six weeks after operation for enormous right scrotal hernia. See figs. 150, and 152, which proved upon operation to contain mostly intestine, bothlarge and small, could be reduced to the abdomen. He waskept in bed for fully one week before operating, and the herniawas kept reduced most of that time to accustom the abdominalcavit) to its presence. The operation was not particularlydifficult, and plenty of good muscle was found with whichto close the very large opening. COMPLICATIONS IN SURGICAL CURE. 273 Fig. 154 is a case of very differe
. Abdominal hernia : its diagnosis and treatment. T. S,, six weeks after operation for enormous right scrotal hernia. See figs. 150, and 152, which proved upon operation to contain mostly intestine, bothlarge and small, could be reduced to the abdomen. He waskept in bed for fully one week before operating, and the herniawas kept reduced most of that time to accustom the abdominalcavit) to its presence. The operation was not particularlydifficult, and plenty of good muscle was found with whichto close the very large opening. COMPLICATIONS IN SURGICAL CURE. 273 Fig. 154 is a case of very different type and one, if recog-nized, where an operation should not be attempted. In thiscase it was easily ascertained that a large amount of intestinewas present, a small amount of it reducible, and it was believedthat a large mass of hypertrophied omentum was also in thesac. This unfortunately did not prove true. The man had Fig. T. S. Recent left iiigiiinul henna ; rnormoLis right scrotal hernia live years previously. See figs. 150 and 15X. suffered several attacks of partial intestinal obstruction unac-companied by very acute symptoms of strangulation, butincreasing in frequency, and the case had e\ery indica-tion that surgical relief was required. The conditionobserved upon operating was apparently a most unusualone. 18 i~i ABDOMINAL HERNL\. On opening the sac no omentum was found, on the con-trary, it was packed with convolutions of bowel held on amesentery of ver} unusual character (fig. 155). This mesen-tery was a fan-shaped, board-like mass, fully an inch thick. Fig. 153.
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