. Abdominal hernia : its diagnosis and treatment. Double congenital hernia misUikeii .ind incised ior h\tli>cele by iamily physician. closed the wounds witli plaster. The child was quite sick fol-lowinsr this, but recovered. It was several weeks later that 94 ABDOMINAL HERNIA. I saw the case, but tlie scars were distinctly visible and theyshow faintly in the photograph. As the childs hernise werereducible, a truss (fig. 47) was applied and w^orn for one year,at which time he was cured by operation. Fig. 48 shows thesame l)oy two years after the operation. The shape of a congenital liernia s
. Abdominal hernia : its diagnosis and treatment. Double congenital hernia misUikeii .ind incised ior h\tli>cele by iamily physician. closed the wounds witli plaster. The child was quite sick fol-lowinsr this, but recovered. It was several weeks later that 94 ABDOMINAL HERNIA. I saw the case, but tlie scars were distinctly visible and theyshow faintly in the photograph. As the childs hernise werereducible, a truss (fig. 47) was applied and w^orn for one year,at which time he was cured by operation. Fig. 48 shows thesame l)oy two years after the operation. The shape of a congenital liernia should ordinarily sug-gest its diagnosis, its size usually Ijeing very large in proportion Fig 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. 48.
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