A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . uction by taxis is notaccomplished in this manner, the use of enemas to empty the lowerbowel and of ice locally to the tumor and the internal administra-tion of moderate doses of morphia may be adopted. Ether has beenrecommended as a local application because of its refrigerant some kinds of hernia this line of treatment will cause the tumorto become reducible ; and gentle taxis employed at the expiration ofthree or fo
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . uction by taxis is notaccomplished in this manner, the use of enemas to empty the lowerbowel and of ice locally to the tumor and the internal administra-tion of moderate doses of morphia may be adopted. Ether has beenrecommended as a local application because of its refrigerant some kinds of hernia this line of treatment will cause the tumorto become reducible ; and gentle taxis employed at the expiration ofthree or four hours will effect reduction of the strangulated gut. Ahot bath is sometimes apparently efficacious, though in strangulation of43 674 HERNIA. femoral hernia it appears to be valueless. If these measures fail, im-mediate resort to operation for the relief of the strangulation is attempting to reduce a hernia by taxis the surgeon seizes thetumor with one hand and slightly lifts it, exerting at the same time alittle pressure upon it with his fingers. The pressure on the con-stricted knuckle causes, if the caliber be not entirely closed by the Fig. Bassinis method of operation for inguinal hernia: fourth step. Suture of the divided aponeurosisover the cord with a continuous suture. (Bull and Coley.) constriction, the expulsion of gas and feces and thereby reduces thebulk of the hernia. With the fingers of the other hand he slightlycompresses the protrusion at the neck of the tumor, to prevent thecontents from bulging over the ring when pressure is being made withthe other hand. It is often well to draw down the tumor a little withthe right hand, in order to pull out a little more intestine and thusdisengage the protruded portion from the grasp of the ring throughwhich it has escaped. It is clear that the portion of the hernia whichhas escaped from the abdomen last must be the first to be pushedback. Hence the part near the neck must be coaxed into the bellybefore
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