. Abdominal hernia : its diagnosis and treatment. Adjustable truss made for inguinal, also suitable for femoral hernia. The Elastic Truss is strongly advised against as beingboth unreliable and uncomfortable. The author has seen caseswhich have become strangulated, and many others which haveincreased in severity under its use. Nor has the author ever 328 ABDOMINAL HERNIA. seen any form of bandage that he considered in the least degreesafe. While waiting for a suitable truss, if one is not at hand,a tight bandage with a moderately hard compress in the Fig. I De Garmo femoral truss. femoral


. Abdominal hernia : its diagnosis and treatment. Adjustable truss made for inguinal, also suitable for femoral hernia. The Elastic Truss is strongly advised against as beingboth unreliable and uncomfortable. The author has seen caseswhich have become strangulated, and many others which haveincreased in severity under its use. Nor has the author ever 328 ABDOMINAL HERNIA. seen any form of bandage that he considered in the least degreesafe. While waiting for a suitable truss, if one is not at hand,a tight bandage with a moderately hard compress in the Fig. I De Garmo femoral truss. femoral space is somewhat protective and should be used onlyuntil something better can be done. In double femoral hernia the choice of truss should bebetween the Double French and the double hard-rubber MECHANICAL TREATMENT: FEMORAL. 329 truss shown in no. lo of groiq), the latter with small padsbeing very much preferred. This truss is made for inguinalhernia and the curve at the end of the spring must be modifiedin order to ha\e the patls rest flat upon the thigh. It seldomrequires the thigh strap to kee]) it in position. Fig. i8i showsa truss of this type applied to an inguinal hernia on the left sideand femoral on the right. This combination has proven thor- FiG. i8i.


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