. The anatomy and surgical treatment of hernia. ttle fellow, otherwise healthy, had at birth a scrotal herniaof the right side. This was so large and troublesome that I unhesitatingly advisedoperation, although the child was only two months old. f In another case I operated upon a large scrotal hernia in a child sixteen monthsold. The following illustration is from a photograph taken at the time of theoperation. He continued nursing during the few days he was under my care, and scarcelyonce cried as if in pain. When dismissed from observation, a few months later, thecure was complete. I have o
. The anatomy and surgical treatment of hernia. ttle fellow, otherwise healthy, had at birth a scrotal herniaof the right side. This was so large and troublesome that I unhesitatingly advisedoperation, although the child was only two months old. f In another case I operated upon a large scrotal hernia in a child sixteen monthsold. The following illustration is from a photograph taken at the time of theoperation. He continued nursing during the few days he was under my care, and scarcelyonce cried as if in pain. When dismissed from observation, a few months later, thecure was complete. I have often operated upon umbilical hernia in children, and neverhave I seen any serious symptoms supervene. The youngest patient was a child aboutfifteen months old who had been under constant observation during the precedingsummer, and all the various attempts at retention had proved entirely futile. The * On Strangulated Hernia in Children. A. P. Gerster, M. D.—New York Medical Journal. January 21, 18S8, p. See p. 172 for illustration, CONDITIONS RENDERING SURGICAL PROCEDURES JUSTIFIABLE. 381 omentum was adherent to the sac, probably caused by the pressure of the was rapid, almost painless, and resulted in cure. Umbilical hernia inchildhood, which is not cured after afew months by the use of properly ad-justed supports, should unhesitatinglybe subjected to operation. The following is Dr. Notas* man-ner of treating umbilical hernia in chil-dren ; his method is a modification ofthat recommended by Dessault. Thehernia being reduced and the umbilicalring closed by the finger, the sac, emp-tied of its contents, is held firmly by anassistant. Around the base is throwna ligature of rubber tubing an eighthof an inch in thickness. Three or four turns are made with the tubing, held very tense, and as close as possible to the ab-dominal wall. The two ends of the tube are tied together and the knot is securedwith a ligature of silk. The whole is then covered with
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Keywords: ., bookcentury1800, bookdecade1890, booksubjecthernia, bookyear1892
