. The anatomy and surgical treatment of hernia. a quantity of arterial blood was seen flowing downover the intestine within the sac, and the bowel being immediately returned, a consid-erable stream of arterial blood flowed into the sac. Pressure was made upon the groinin the situation of the epigastric artery, in order to prevent the htemorrhage, and appar-ently with success; but, four hours afterward, Mr. Steny was sent for on account of acopious discharge of blood from the wound. He made a further pressure, but withoutsuccess, and the man died in ten hours after the operation, becoming gradu
. The anatomy and surgical treatment of hernia. a quantity of arterial blood was seen flowing downover the intestine within the sac, and the bowel being immediately returned, a consid-erable stream of arterial blood flowed into the sac. Pressure was made upon the groinin the situation of the epigastric artery, in order to prevent the htemorrhage, and appar-ently with success; but, four hours afterward, Mr. Steny was sent for on account of acopious discharge of blood from the wound. He made a further pressure, but withoutsuccess, and the man died in ten hours after the operation, becoming gradually faintafter it, and the abdomen being distended with blood. In M. J. Cloquets experience,who it will be remembered made careful dissections of over five hundred hernial sub-jects, he found the proportion of direct to oblique inguinal hernia as one to five. Thisis a much greater proportion than is usually accepted. It is, however, without ques-tion that in the living this variety of hernia is comparatively rarely differentiated. Plate DIRECT INGUINAL HERNIA. PLATE XVII.* An internal view of the same preparation as that of the former plate, showing the orifice ofthe hernial sacs, with the relative situations of the epigastric and spermatic vessels. a. Symphysis pubis. k, k. Spermatic veins. b. Anterior superior spinous process of the /. Vas deferens. ilium. m, m- Epigastric arteries and veins. c. The spine. «, n. Origin of epigastric artery on each side. d. d, d, d. Abdominal muscles drawn downward o, o. Peritonseum. to show the cavity of the pelvis. p. Mouth of the hernial sac upon the left side, e. The bladder. taking the usual oblique course of inguinal The rectum. q. Mouth of the hernial sac on the right side,g. Bifurcation of the aorta. situated upon the inner side of the epigastric ar-h. The inferior cava. tery. i, i. Spermatic arteries. By this plate it will be at once seen that the division of the stricture upward and opposite themiddle of the orific
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Keywords: ., bookcentury1800, bookdecade1890, booksubjecthernia, bookyear1892
