. American practice of surgery ; a complete system of the science and art of surgery . zontal branch of the pubis; after which, four threads are passedthrough the triangular ligament, so as to draw it up to the muscles above. Rouxs Nail Operation.—Roux fastens with a double-pointed nail the edgeof Pouparts ligament to the horizontal ramus of the pubis as a radical means ABDOMINAL HERNIA. 591 of curing f(Miioral hernia. Sinc(^ 1904 liochencgg, in the ^^icnna CHnic, hasa|)])H((l (his (echni((U( in thirty-eight cases of femoral hernia, all but eight ofthem women; general anusthesia being used in
. American practice of surgery ; a complete system of the science and art of surgery . zontal branch of the pubis; after which, four threads are passedthrough the triangular ligament, so as to draw it up to the muscles above. Rouxs Nail Operation.—Roux fastens with a double-pointed nail the edgeof Pouparts ligament to the horizontal ramus of the pubis as a radical means ABDOMINAL HERNIA. 591 of curing f(Miioral hernia. Sinc(^ 1904 liochencgg, in the ^^icnna CHnic, hasa|)])H((l (his (echni((U( in thirty-eight cases of femoral hernia, all but eight ofthem women; general anusthesia being used in thirty-three. The ultimateoutcome—the int(^rval of time since the operation ranging from six months tofour ycvars—is known in twenty-eight cases. The results have been satisfactoryin e\-eiy respect, even in one case in which the nail was felt to be loose. Theoutcome, he believes, compares favorably with that obtained by other methods,while the simijlicity of the operation commends it for certain cases. Post-operative Complications.—Aside from stitch abscesses, which are now. Fig. 231.—The Andrews Operation Completed. The skin remains in a ridge-shaped hne Hke thatwliich results from the use of the clips. If plain catgut is used this ridge flattens out in from fi-^e toseven days. {Original.) relatively rare in hernia work, certain other causes of failure or relapse occasion-ally may be encountered. Post-operative Desmoid.—One of the most interesting and rarest of thesecomplications is chronic inflammatory induration of the abdominal wall, alesion which occasionally follows herniotomy. This was first noted by Grasser,who reported two cases, and later by Schaffer, Baker, Frank, and Kreuter. Ihave seen two instances of this rare disease in about fifteen hundred one case a massive swelling, which presented the appearance of a sarcoma,persisted for six months after inguinal herniotomy. This was nearly painless andwas not accompanied by fever. The mass was
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906
