. Abdominal hernia : its diagnosis and treatment. observed in advising the operation. Ifthe intestine is extensively adherent, the handling necessary tofree it and return it to the abdomen may, in itself, cause col-lapse of the patient. Patients who have become completely disabled by suchenormous herni^e are sometimes willing to assume unusual riskswith the hope of obtaining relief. Such a case is shown infigs. 147 and 148. This man was seventy-four years old, hada pulse rate never exceeding 50, and had albumen in his was told that the risk of not surviving operation wasbelieved to be
. Abdominal hernia : its diagnosis and treatment. observed in advising the operation. Ifthe intestine is extensively adherent, the handling necessary tofree it and return it to the abdomen may, in itself, cause col-lapse of the patient. Patients who have become completely disabled by suchenormous herni^e are sometimes willing to assume unusual riskswith the hope of obtaining relief. Such a case is shown infigs. 147 and 148. This man was seventy-four years old, hada pulse rate never exceeding 50, and had albumen in his was told that the risk of not surviving operation wasbelieved to be fully one out of five, and he at once assured methat he had decided to ha\-e tlie operation if I thought lie hadeven chances of living or dying. The operation was done andhe completely recovered, and lived four years more in complete 268 ABDOMINAL HERXL\. comfort, so far as his liernia was concerned. Fig. 149 showshim seven weeks after the operation, after which time lie woreno bandage or other support. One peculiar circumstance con- FlG. S. L. B. Age, 74 years. Operated upon Oct. u. iSoq. Duration of hernia, 20 years. Notruss ever worn. No recurrence to 1903. when he died of an affection of heart, present whenoperated upon. No support worn. Note that the testicle is clearly outlined at bottom ofscrotum. nected witli this case was that the pulse, which we had beenunable to find above 50 for two weeks previous to the operation,was 70 on the ftillowing morning, and did not drop materially COMPLICATIONS IN SURGICAL CURE. 269 below this during the subsequent eight or ten weeks that hewas under observation. In this case, in order to aid in rapid work, the testicle andsac were removed together after ligating the cord separately Fig. 148.
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