A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . Large inguinal hernia in a woman. 672 HERNIA. or from the dyspeptic symptoms produced by their existence. In ir-reducible hernias the operation for radical cure is more troublesomethan in reducible hernias. The intestinal adhesions have to be releasedand portions of omentum perhaps excised in order to accomplish areturn of the protruded viscera. The congenital forms of hernia aremore amenable to permanent cure by radical operati
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . Large inguinal hernia in a woman. 672 HERNIA. or from the dyspeptic symptoms produced by their existence. In ir-reducible hernias the operation for radical cure is more troublesomethan in reducible hernias. The intestinal adhesions have to be releasedand portions of omentum perhaps excised in order to accomplish areturn of the protruded viscera. The congenital forms of hernia aremore amenable to permanent cure by radical operation than otherforms, but they are also more amenable to cure by truss. The sacshould always be opened in operating for the radical cure of hernia, sothat the surgeon may deal efficiently with Bassinis method of operation for inguinal hernia : A, A, A, subcutaneous fatty tissue; B, upperportion of the divided aponeurosis of the internal oblique muscle dissected fromunderlying struc-tures ; C, under portion of aponeurosis of external oblique ; E, cord ; F, 1, internal oblique muscle; 2,transversalis ; 3, fascia of Cooper; G, peritoneum. (Bull and Coley.) Irreducible hernias often become so large that they are a burden tothe patient; and they are dangerous because they are liable to inflam-mation, strangulation or obstruction. An attempt should be madeto protect them from injury and to prevent their increase in size bywearing a suitable bag shaped truss or supporter. If a hernia hasrecently become irreducible, it is proper to attempt to render it reduc-ible. This may be accomplished by rest in bed, the administration ofsaline laxatives and the application of ice to the surface of the measures are of no avail unless resorted to shortly after the ad-vent of irreducib
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