. A new manual of surgery, civil and military. sist intra-abdominal pressure, but there is an important factor inthe increased intra-abdominal pressure required in emptying the bladder onaccount of an obstruction to the passage of the urine, caused by an enlargedprostate gland. This is very common in old men. In quite a large proportion there will be a rapid reduction in the size ofthe prostate gland if either a vasectomy or an orchidectomy is done. Both GENERAL SURGERY OF THE ABDOMEN 369 of these operations can be made very easily in connection with herniotomywithout increasing the danger to
. A new manual of surgery, civil and military. sist intra-abdominal pressure, but there is an important factor inthe increased intra-abdominal pressure required in emptying the bladder onaccount of an obstruction to the passage of the urine, caused by an enlargedprostate gland. This is very common in old men. In quite a large proportion there will be a rapid reduction in the size ofthe prostate gland if either a vasectomy or an orchidectomy is done. Both GENERAL SURGERY OF THE ABDOMEN 369 of these operations can be made very easily in connection with herniotomywithout increasing the danger to the patient, and as both remove some ofthe loose tissue in the inguinal canal they favor permanency of cure in twoways: 1, by making the union between the layers to be united more perfect,and 2, by decreasing, indirectly, the excessive intra-abdominal pressure byreducing the size of the prostate gland. In many of these cases it is undoubtedly best to perform a perinealprostatectomy as well as a herniotomy. If the patients general condition is. Indirect Oblique Inguinal Hernia Descending into the Scrotum. Hernia AlwaysReducible. External Inguinal Ring 2 cm. in Diameter. Treatment—Herniotomy(Ferguson-Andrews Method). good both of these operations may be accomplished at the same time, if not,it is probably best to make a herniotomy together with an orchidectomy first,and if this fails to produce a sufficient atrophy of the prostate gland to do aprostatectomy later. If the prostatic trouble is very pronounced so that the patient has to getup several times during the night and strain to urinate, it is well to relievethe prostatic obstruction before operating upon the hernia, for the constantstraining is likely to interfere with a perfect healing of the tissues, thus bring-ing about a relapse of the hernia. The greatest proportion of strangulation occurs in patients past middlelife. It is not uncommon for a patient to have a hernia for forty or fiftyyears that has always been easil
Size: 1311px × 1905px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
