. 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. kened and hypertrophied fromfriction. This is formed by friction of the truss and theHernia, and forms our landmark, for its curve is peculiarand not readily mistakable in making our definition. Forsimilar operation see Heat on en Rupture. The Hernia having now been reduced and the forefingerpressed against the outer edge of the falciform process, the AUTHORS OPERATION BY INJECTION
. 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. kened and hypertrophied fromfriction. This is formed by friction of the truss and theHernia, and forms our landmark, for its curve is peculiarand not readily mistakable in making our definition. Forsimilar operation see Heat on en Rupture. The Hernia having now been reduced and the forefingerpressed against the outer edge of the falciform process, the AUTHORS OPERATION BY INJECTION. 169 needle of the instrument is inserted into the canal just abovethe saphenous vein and on the inner side of the femoral veinwhich is held to one side by the finger, care being taken not toforget the femoral vein that often lies posterior to the hernialmembrane. The needle thus enters the femoral canal externalto the hernial membrane. The irritation applied to the crural ring should be slight, asfemoral Hernia will not require so much of an irritant as aninguinal one of nearly the same size. The pad and bandage areapplied similarly to those in inguinal Hernia, only run theSpica bandage as seen in Fig. Fig. 38.—Spica Bandage. Of all Hernia?, femoral are the most difficult to cure by thisoperation, especially in females, as they require the utmost skilland care on the part of the operator, because of the extremelength of the ligaments which make up the crural ring, andbecause of the immediate relation of the femoral veins andarteries, and because in large and long standing Hernise the sacis often ramified by branches of largj veins and arteries,together with lymphatics. 170 HERNIA. OPERATION FOR UMBILICAL HERNIA. From the ease of diagnosis this will not require any lengthydescription. The patient is placed upon his back as in femoralHernia, except that the feet may be slightly elevated. The finestneedle which revolves once in going one-half of an inch, isselected and pa
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