The surgical diseases of children . be conical, but should fallflat over the ring, and press up-wards and backwards. A smallpad which presses into the aper-ture is manifestly bad. The trussmay in many cases be left off atnight, but should be reapplied be-fore the child is allowed to getupright. A piece of soft linensewn evenly over the band andpad gives great comfort. For thebath, a truss lined with india-rubber may be used, but thespring must not be too severe. If the skin get sore,the child must be kept in bed for awhile, or at anyrate prevented from running about. Radical treatment of reduc
The surgical diseases of children . be conical, but should fallflat over the ring, and press up-wards and backwards. A smallpad which presses into the aper-ture is manifestly bad. The trussmay in many cases be left off atnight, but should be reapplied be-fore the child is allowed to getupright. A piece of soft linensewn evenly over the band andpad gives great comfort. For thebath, a truss lined with india-rubber may be used, but thespring must not be too severe. If the skin get sore,the child must be kept in bed for awhile, or at anyrate prevented from running about. Radical treatment of reducible hernia isa preferable term to radical cure. It is by nomeans always a cure, and so to speak of the operationis to surround it with a specious attractiveness. Alittle boy was seen a short time since, in whose case the radical treatment had been followed with a resultthat was simply appalling ; the protrusion could hardlyhave been worse before the operation than it was afterit. It is more certain that a child will run a serious. Fig. 58.—Hernia behind. chap, xxiv.] Reducible Hernia. 347 risk from the operation than that the hernia will becured by it. If, however, operation be undertaken,the surgeon should omit no precaution for diminishingthe risk from sepsis. The child must necessarily soilthe neighbouring bandages by ftecal and urinaryevacuations, so that too great reliance must not beplaced upon the dressings. As a means of hurrying on the obliteration of areducible hernia, it has been suggested that a smallamount of alcohol be injected by a subcutaneoussyringe around the external abdominal ring, with theview of causing thickening and subsequent contractionof the connective tissue. Warren, of Boston, hasrecently had success with the employment of injectionof solution of oak bark. These plans are little likelyto be followed by calamity, and might be adopted asa preliminary measure in cases which are not benefitedby a truss. If the treatment fail, the more severemethod ma
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
