. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. ne of the in-cision. This pad ought to be from two to two and one-half inches wide, and should be a little thicker at its mostdependent portion. Having been called to treat so manyof these cases of late, I feel that I should be derelict inmy duty if I did not call special attention to this matter. Irreducible herniae are almost invariably the result ofneglect. They are largely omental, and are most fre-quently found in the femoral and umbilical varieties, al-thou
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. ne of the in-cision. This pad ought to be from two to two and one-half inches wide, and should be a little thicker at its mostdependent portion. Having been called to treat so manyof these cases of late, I feel that I should be derelict inmy duty if I did not call special attention to this matter. Irreducible herniae are almost invariably the result ofneglect. They are largely omental, and are most fre-quently found in the femoral and umbilical varieties, al-though not infrequently in the inguinal region. Thesecases, until within a few years, have been generally con-sidered amenable only to palliative treatment. Dr. J. Collins Warren, of Boston, has, however, re-cently demonstrated that a large proportion of supposedirreducible hernias, even those of many years standing,may be reduced if the patient will submit to confine-ment and the requisite pressure for a sufficient time will vary from ten days to as many weeks, ac-cording to the severity of the case. His method is to put. Fig. 4111.—Childs Double French Truss. the patients upon their back, raising the foot of the bedfrom eight to twelve inches. Continuous pressure is thenput upon the hernial tumor by means of water-pads,sand-bags, and elastic bandaging. In cases of large scrotal hernia, he has used a rubberwater-bag, externally inelastic, but containing an elasticlining inclosing a space to which air or water could beadmitted by a tube. This bag was placed over the tu-mor and held securely in place by a T-bandage, whichformed part of the apparatus. When firmly buckled inposition, any escape around the mouth of the bag wasprevented by pressing it down upon the pillars of thering with blocks arranged for that purpose. Any desiredpressure upon the hernia could now be made by forcingin water to the internal compartment. In several cases,after some weeks of preparatory press
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
