. Hernia, strangulated and reducible. With cure by subcutaneous injections, together with sugcested [!] and improved methods for kelotomy. Also an appendix giving a short account of various new surgical instruments. obstruction of the ring by the testicle is a uselessoperation advocated by MoinicheD and Scultetus. Garengestand Steffen claim to have accomplished the same result bydissecting the sac and inserting it into the rings. 3. Jameson, of Baltimore, reported in 1828 one solitary caseof a crural Hernia upon a lady, cured in the following way. Hecut clown to the ring, cut from the neighbou
. Hernia, strangulated and reducible. With cure by subcutaneous injections, together with sugcested [!] and improved methods for kelotomy. Also an appendix giving a short account of various new surgical instruments. obstruction of the ring by the testicle is a uselessoperation advocated by MoinicheD and Scultetus. Garengestand Steffen claim to have accomplished the same result bydissecting the sac and inserting it into the rings. 3. Jameson, of Baltimore, reported in 1828 one solitary caseof a crural Hernia upon a lady, cured in the following way. Hecut clown to the ring, cut from the neighbouring integumentsnear th*» ilio-pubic ligament a strip two inches long and ten 102 HERNIA. lines wide, which he succeeded, he says, in engrafting into theriii. Although painful, complicated, and somewhat dangerous,it has every reason in its favour theoretically, in small femoralHernias. Practically, however, the fact of this reported cureis vitiated by the circumstance that there was no professionalwitness of the operation. His only follower was RedfernDavies, of Birmingham, England, whose instrument (Fig. 25)and operation seem to be a complicated modification of Wurtzer also was successful in his Fig. 25.—Redfern Davids Instrument. 4 This is the method of M Gerdy and Signoroni performedin 1837, and modified by M. Leroy. Velpeau reports onesuccessful operation in his practice. Gerdy reports about sixtycases, some of which failed utterly after a time. The adhesionsformed are in fact too slight and tender ever to consolidate, andalthough it may not involve serious injury to the epigastricartery still it may produce dangerous and even fatal inflammationand peritonitis. It is principally adapted to the inguinal fold of skin is pushed as far as possible up the sac, heldthere by two interrupted sutures introduced about 1—3 inchfrom each other by a curved double-threaded needle throughthe covering tissues, the ends being tied over a bougie. Thecuticle of this po
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Keywords: ., bookcentury1800, bookdecade1880, bookpublisheretcetc, bookyear188
