Modern surgery, general and operative . tient up. If a radical cure has not been attempted, apply apad and a spica bandage to the groin, and later a truss. A truss should notbe worn if a radical cure has been made. Mortality.—Cases of strangulated hernia irreducible by taxis wUl prac-tically all die without operation. The mortahty following operation is large;it is not due to operation, but is due to the condition, and is due particularly to delay in operating or toforcible antecedent , from a total of1429 herniotomies, esti-mates the mortality per cent. Estimatingthe mortal
Modern surgery, general and operative . tient up. If a radical cure has not been attempted, apply apad and a spica bandage to the groin, and later a truss. A truss should notbe worn if a radical cure has been made. Mortality.—Cases of strangulated hernia irreducible by taxis wUl prac-tically all die without operation. The mortahty following operation is large;it is not due to operation, but is due to the condition, and is due particularly to delay in operating or toforcible antecedent , from a total of1429 herniotomies, esti-mates the mortality per cent. Estimatingthe mortality according tothe time of strangulation,Henggeler reaches the fol-lowing conclusions: Themortality of cases oper-ated upon the first dayafter the strangulation per cent.; during thesecond day, per cent.;during the third day, cent.; during the fourthday, 60 per cent. (Atlasand Epitome of AbdomianlHernias, by Dr. GeorgeSultan. Translated andedited by Wm. B. Coley,M. D.). The mortality incases of children under two. Fig. 766.—Double inguinal rupture. children is smaller than in adults. In Coleys 12years of age there was not a death. Hernia in Childhood.—Hernia is extremely common in children, butit is an interesting fact that if one conducts a careful investigation of herniain adults, it will be found that but 5 or 6 per cent, of them have sufferedfrom the hernia in childhood. This fact seems to demonstrate positivelythat the majority of cases of hernia in childhood are recovered from. A. (Jour. Am. Med. Assoc, Dec. 22, 1900), in commenting upon thefrequency of hernia in childhood, alludes to Malgaignes statistics. Malgaigneestimated that during the first year of life i child in every 21 has hernia, andthat this proportion is maintained until the age of six. Then it diminishesrapidly until the age of thirteen, at which age there is i hernia in every 77children. It is, therefore, obvious that 75 per cent, of all herniae in children ofsix years
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