. Abdominal hernia : its diagnosis and treatment. Enonnous irreducible left scrotal ing;uinal hernia. Both intestine and omentum irreducible. It is seen to consist of two parts, of which one occupiesvery nearly the position of the pad of an ordinary truss and isnot concave, and the other forms a scrotal portion, which isunited to the former by a transverse hinge. The scrotal part isa three-sided frame of metal, covered in with chamois leather,curved to adapt itself to the distended scrotum. The apex ofthe triangle is downwards towards the perineum, and to it areattached the understraps, which
. Abdominal hernia : its diagnosis and treatment. Enonnous irreducible left scrotal ing;uinal hernia. Both intestine and omentum irreducible. It is seen to consist of two parts, of which one occupiesvery nearly the position of the pad of an ordinary truss and isnot concave, and the other forms a scrotal portion, which isunited to the former by a transverse hinge. The scrotal part isa three-sided frame of metal, covered in with chamois leather,curved to adapt itself to the distended scrotum. The apex ofthe triangle is downwards towards the perineum, and to it areattached the understraps, which are fastened to the side of the TRUSS-FITTING. 187 truss just behind the shoulder, as usual. Every pull on theunderstrap presses the cup against the scrotum, whilst by meansof the hinge, the movement is hindered from being conveyed tothe pad. The author has had no personal experience with it. Fig Showing method of supporting enormous irreducible scrotal hernia, when no form of trusscan be worn. The weight is transferred to the slioulders by a pair of suspenders. Irreducible scrotal hernia of enormous proportions, suchas is shown in fig. 91, in which truss-wearing is impossible, andwhen operation is inadvisable, should be protected by especiallyconstructed supporting bags (fig. 92). The bag should bemade from measures carefully taken, while the patient isrecumbent and with the tumor at its smallest. There should bea strong band about the pelvis to which can be buttoned an 188 ABDOMINAL HERNU. ordinary pair of non-elastic suspenders passing over the shoul-ders. A support of this kind will, in a measure, preventincrease in size besides adding materially to the comfort of thesufferer. Such herni;e are pretty sure to cause the death of thepatient eventually, and their operative relief should be seriouslyand immediately considered. It is true that danger attendssuch operations, but
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