Lectures on the American eclectic system of surgery . y be found in the body. The stricture being thus relieved, and sufficiently dilated withthe fingers, strict examination of the parts must be made; for,if firm adhesions have taken place, no attempt should be madeat reduction; or if the protrusion has continued so long thatfatty deposits around the part have accumulated to too great anextent, the hernia must be allowed to continue. All you cando in such a case is to let the wound heal, taking precautionsagainst inflammation. When the bowel has mortified, caremust be taken not to disturb the
Lectures on the American eclectic system of surgery . y be found in the body. The stricture being thus relieved, and sufficiently dilated withthe fingers, strict examination of the parts must be made; for,if firm adhesions have taken place, no attempt should be madeat reduction; or if the protrusion has continued so long thatfatty deposits around the part have accumulated to too great anextent, the hernia must be allowed to continue. All you cando in such a case is to let the wound heal, taking precautionsagainst inflammation. When the bowel has mortified, caremust be taken not to disturb the adhesions at the neck. Theintestine must then be opened, and the mortified part takenout. The only chance is, then, that of an artificial anus. For Femoral or Crural Hernia, the skin is pinched up anddivided by a simple incision (as marked out in the case repre-sented in Fig. 140), or, as many prefer, a crucial or angularone—the safest way of making it being to run a narrow knifethrough the skin, with its back toward the hernial sac. The Fig. superficial fascia of the thigh with its fat, and the fascia 762 OPERATIONS ON THE NECK, THORAX AND ABDOMEN. propria, must then be divided. Immediately beneath the latterand contiguous to the sac, may be another layer of fat, liableto be mistaken for omentum. The sac itself is usually verysmall, seldom containing omentum or serum; and must becautiously opened, as it embraces the bowel very tightly. Thestricture will generally be found at the inner edge of the falci-form process. This must be slightly cut, for a line or two only,in an upward and somewhat inward direction. If carried toofar, the incision might penetrate the spermatic cord, or, infemales (who are more liable to this form of hernia fromgreater breadth of pelvis), the round ligament of the that is not sufficient, a few fibers of Gibernats ligament aredirected to be severed, although there is great danger ofwounding the obturator artery, which often encircles thi
Size: 1894px × 1319px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1860, booksubjectgeneralsurgery, booky
