. Tri-State medical journal. e jeopardized by thehernia becoming strangulated. The time of strangulation should be seizedas the opportune moment to make a radical operation for the cure of thehernia. One of the difficulties in the success of the operation for radicalcure of hernia is the unsatisfactory results obtained by buried suture, espe-cially where the strangulation has existed a long time and the hernial sacundergoing inflammatory changes. A canulated silver wire, which I here show you, leaves nothing to be desired by way of a combined buried sutureand drainage for the wound. Third, the
. Tri-State medical journal. e jeopardized by thehernia becoming strangulated. The time of strangulation should be seizedas the opportune moment to make a radical operation for the cure of thehernia. One of the difficulties in the success of the operation for radicalcure of hernia is the unsatisfactory results obtained by buried suture, espe-cially where the strangulation has existed a long time and the hernial sacundergoing inflammatory changes. A canulated silver wire, which I here show you, leaves nothing to be desired by way of a combined buried sutureand drainage for the wound. Third, the one question paramount to all others is what to do with thespermatic cord. All authorities on hernia admit that this is the one greatdifficulty in the way of radical cure. I am firmlj- of the opinion that therehas been too much sentimentality mixed up in the scientific discussion ofthis question. For example, suppose a patient was far advanced in yearsand had an enlarged prostate gland. Would not the removal of the testicle. JOSEPH EASTMAN, M. D ., LL. D., OF INDIANAPOLIS. 218 Abdominal Surgery-Eastman. be an important step in the direction of cure? Suppose we were looking intothe pelvic cavity and lifted up an ovary that was slightly cystic. Wouldthere be a moments hesitation as to what was to be done? As conservativea man as Dr. Thomas Keith advocates the clamping of broad ligaments andtubes in the abdominal wound and the sacrificing of one ovary for the cureof retroversion of the uterus. Of course where it is desirable to leave thetesticle, after closing the wound with the canulated silver wire, I make anew channel for the cord in the subcutaneous connective tissue. Cask II. From recent literature on appendicitis one might supposethe last word would soon be spoken. The technique of this operation, how-ever, will not be satisfactory until with aseptic hands, aseptic instruments,aseptic abdominal integument, we shall be able to continue our asepsis tothe peritoneal cavity, ke
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Keywords: ., bookcentury1800, bookdecade189, booksubjectmedicine, bookyear1895
