. Abdominal hernia : its diagnosis and treatment. Same case as Fig. 46, showing heniiae retailed by truss, which was worn one yearbefore operation for cure. to the size of the neck of the tumor. If diese herni;e havebectmie \ery large and are of long duration, this does notalways hold true. iMg. 44 shows typical congenital hernia asseen in the adult. Compare with fig. 49, which .shows atypical scrotal hernia of the acquired form: fig. 50 shows atypical labial hernia in the female. Oblique Inguinal Hernia, Acquired.—While congenitalhernia will always present itself as a scrotal protrusion, the
. Abdominal hernia : its diagnosis and treatment. Same case as Fig. 46, showing heniiae retailed by truss, which was worn one yearbefore operation for cure. to the size of the neck of the tumor. If diese herni;e havebectmie \ery large and are of long duration, this does notalways hold true. iMg. 44 shows typical congenital hernia asseen in the adult. Compare with fig. 49, which .shows atypical scrotal hernia of the acquired form: fig. 50 shows atypical labial hernia in the female. Oblique Inguinal Hernia, Acquired.—While congenitalhernia will always present itself as a scrotal protrusion, the DIAGNOSIS OF INGUINAL HERNIA. 95 acquired form may be found as a small bulging into the upperpart of the canal, or from this to any degree of development upto the enormous protrusions already shown. Even in the latterit will be noticed that the testicle can almost always be locatedby inspection. The shape of oblique hernia that has not passedinto the scrotum, is oblong, and its presence in the canal canusually be detected. Fig. Case shown in figs. 46 and 47, two years after operation for cure. Cases are frequently seen where there is a decided bulgingover the canal which comes from the pushing forward of thewhole wall of the abdomen in this region, but where there isno actual hernia. Such cases may require light support for atime, but frequently even this is unnecessary. Certainly theyare not in need of operation. It is in the very earliest stages that diagnosis is difificult. andIt is here that the following test has often been of great serviceto the author and his students. This test is e^pecially applicable 96 ABDOMINAL HERNIA. in cases where tliere is doubt in tiie mind of tlie examinerwhether hernia actually exists. Stand hy the side of the patient,who shall also be standing, place the fingers gently over thecanal. Have the patient cough, and notice first, whether thereis a feeling of expansion in the bulging part; then, withoutchanging the [josition of the fingers,
Size: 1435px × 1741px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookpublisher, booksubjecthernia
