. Abdominal hernia : its diagnosis and treatment. ring counter-pressure for the truss-spring. Abdominal belts with a compress over the herniamay be useful, but a spring designed by Mr. Kingdon of theLondon Truss Society is the best appliance so far noted inany publication (figs. 218 and 219). The base of actionis in the cushioned, covered plate, held in position, mid-way between the trochanter and the crest of the ilium, bya perineal strap. The spring attached to the front of thisplate, by ball and socket, passes obliquely across the front of 400 ABDOMINAL HERNIA. the abdomen around the right
. Abdominal hernia : its diagnosis and treatment. ring counter-pressure for the truss-spring. Abdominal belts with a compress over the herniamay be useful, but a spring designed by Mr. Kingdon of theLondon Truss Society is the best appliance so far noted inany publication (figs. 218 and 219). The base of actionis in the cushioned, covered plate, held in position, mid-way between the trochanter and the crest of the ilium, bya perineal strap. The spring attached to the front of thisplate, by ball and socket, passes obliquely across the front of 400 ABDOMINAL HERNIA. the abdomen around the right side, and holds the retaining padalso by ball-and-socket attachment. From this point a strappasses to the back of the curved plate upon which it hernias, as a rule, show considerable improvementunder efficient mechanical support, and some cases have so farimproved as to allow of the abandonment of the appliance. The operative treatment of lumbar hernia should becarried out upon the same general principles that govern the Fig. Truss for right lumbar ht;rnia desij^ied b\- .Mr. Kingdon. {Macrt aiiy^) surgical treatment of ventral hernia in other locations. Thisconsists in the enucleation and opening of the sac, the reduc-tion of its contents^-the ligation of the neck, and finally theclosure of the hernial aperture. The overlapping of the struct-ures to secure union by a broader surface will usually be foundfeasible and effective in this region. Dr. Chas. N. Dowd of New York has recently elaboratedan operation {Annals of Surgery, February, 1907. p. 245) for RARE FORMS OF HERNIA. 401 this form of hernia that seems commendable, and with his per-mission I reproduce his cuts whicli ilhistrate his method moreclearly than words could. The child shown in photograph fig. 220 was three and ahalf years old and had worn a belt without improvement for Fig. 220.
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Keywords: ., bookcentury1900, bookdecade1900, bookpublisher, booksubjecthernia
