. Hernia, strangulated and reducible. With cure by subcutaneous injections, together with sugcested [!] and improved methods for kelotomy. Also an appendix giving a short account of various new surgical instruments. the sac, heldthere by two interrupted sutures introduced about 1—3 inchfrom each other by a curved double-threaded needle throughthe covering tissues, the ends being tied over a bougie. Thecuticle of this pouch is then destroyed by ammonia, which OPERATIONS FOR HERNIA. 103 causes the inflammation that is supposed to work the suppuration produces adhesion about the eighth d
. Hernia, strangulated and reducible. With cure by subcutaneous injections, together with sugcested [!] and improved methods for kelotomy. Also an appendix giving a short account of various new surgical instruments. the sac, heldthere by two interrupted sutures introduced about 1—3 inchfrom each other by a curved double-threaded needle throughthe covering tissues, the ends being tied over a bougie. Thecuticle of this pouch is then destroyed by ammonia, which OPERATIONS FOR HERNIA. 103 causes the inflammation that is supposed to work the suppuration produces adhesion about the eighth day, whenthe threads are removed. But when the threads were removedthe plug often came out and with it the hernia came used the finger for invagination, while Signoroni useda piece of catheter. It not only often failed of good results,but was also frequently fatal, as Thierry has shown. Theprinciples of the operation have in a modified form done someservice in the hands of other operators, , Wurtzer and Hayes Agnew, of Philadelphia, used an instrument (Fig. 26)like a bivalve speculum, with which to invaginate the plug, andthen embraced the base of the plug with a silver wire, which. Fio. 26.—Agncws Instrument. could be removed after 10—14 days. This operation is nologger performed. Belmas Method. 1829,—The original operation consistedin the introduction and attachment of a small $oucli of gold-beaters skin to the upper part of the sac. The plastic materialpoured forth by the irritation produced by the presence of theforeign body spreads, involves this foreign body and forms thenucleus of an insurmountable barrier to the protrusion of theviscera. The operation was first tried upon dogs and withsuccess. The first human subject operated on was easily curedby Belmas. He then induced M. Dupuytren to undertake the-operation. This was upon a boy of fourteen, whose life was in 104 HERNIA. danger for ten days in consequence of the operation, but whowas ra
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