. 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. that inflammation always to be dreaded— spica bandage and compress should be continued until thepatient can bear the pressure of a truss, when a properlyadjusted one should be applied and worn. A few of the many modifications of directors and hernia-tomes are here illustated. Some are very useful, while others 1 In our operation of Kelotomy ahvays remem
. 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. that inflammation always to be dreaded— spica bandage and compress should be continued until thepatient can bear the pressure of a truss, when a properlyadjusted one should be applied and worn. A few of the many modifications of directors and hernia-tomes are here illustated. Some are very useful, while others 1 In our operation of Kelotomy ahvays remember that it only requiresthe cutting or severing but a few fibres of Pouparts ligament, and it is as-tonishing how very small an amount of this ligament, on becoming divided,will release a strangulated sac or intestine, so as to be readily reduced intothe abdominal cavity. Bear in mind while dividing this ligament to cut aslittle as possible, for too much cutting here leaves our patient in a muchworse condition for the descent of his rupture than before strangulation, andmore liable to become again strangulated by a too free division of theseligaments. 2 See figure of spica bandage on page 169. 220 Fia. 42.—Coopers Hernia Knife.
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