. Abdominal hernia : its diagnosis and treatment. ould the parents fully appreciate his efforts in behalfof their child, but by the cures which he would surely obtainhis reputation would be materially enhanced. Fully 95 per cent, of the inguinal hernia: of infancy canbe cured by careful mechanical treatment, but this must not beconstrued to mean the application of a truss, no matter howskillfullv done, and the discharge of the case. It means takingthe case under care and observation for not less than one vear. MECHANICAL TREATMENT : INFANCY. 191 or until a cure is effected. It is important to
. Abdominal hernia : its diagnosis and treatment. ould the parents fully appreciate his efforts in behalfof their child, but by the cures which he would surely obtainhis reputation would be materially enhanced. Fully 95 per cent, of the inguinal hernia: of infancy canbe cured by careful mechanical treatment, but this must not beconstrued to mean the application of a truss, no matter howskillfullv done, and the discharge of the case. It means takingthe case under care and observation for not less than one vear. MECHANICAL TREATMENT : INFANCY. 191 or until a cure is effected. It is important to discover, whenpossible, the cause of the hernia in the infant. Of course, ifdue to congenital defect, time alone can remove it, but it willsurprise a good many physicians to know how often the causecan be ascertained and removed. In this connection, I willagain call attention to the frequency of hernia resulting fromconstipation, whooping-cough, tight belly-bands, and long-continued crying. Attention to, and, so far as possible, removal Fig. ^nv. Five weeks old boy with right complete inguinal hernia and hydrocele of tunica vaginalis onthe same side. Hard-rubber cross-body truss applied. of, these causes is the first essential of successful branch of the subject has already been considered underthe cause and diagnosis of hernia. The mechanical treatment of hernia in infancy is believedto be the better method, for the reason that many can carry itout who are not qualified to do a surgical operation, and thatthe final result is equally good. The general practitioner can, ifwilling to devote the necessary time-, secure good results with-out the use of the knife. There are very few rupturedinfants that cannot be cured by the family physician. State- 192 ABDOMINAL HERNIA. ments that operations are advisable on children because trussescannot be worn, are born of absolute ignorance of the me-chanical treatment of hernia; as a matter of fact, infantstolerate truss p
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