A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . her ;therefore some operators dissect a triangular flap of fascia from thesurface of the pectineus muscle, with its apex downwards, turn thisflap up and stitch it to the internal surface of Pouparts ligament. Ventral hernia occurring after laparotomy is treated by a bandage,pad or truss ; or by excision of the sac and stitching the borders of theopening together. Radical operations for hernia, when done with antiseptic precautio


A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . her ;therefore some operators dissect a triangular flap of fascia from thesurface of the pectineus muscle, with its apex downwards, turn thisflap up and stitch it to the internal surface of Pouparts ligament. Ventral hernia occurring after laparotomy is treated by a bandage,pad or truss ; or by excision of the sac and stitching the borders of theopening together. Radical operations for hernia, when done with antiseptic precautions,are attended with a very limited amount of risk. A return of thehernia may occur, but the recurrent hernia is smaller and more man-ageable by a truss than was the original. Radical operation is proper inreducible hernias which are large and in those which a truss will not con-trol or which are painful. It is also proper in patients whose occupationrequires violent exertions or who are often away from centers of popula-tion in which surgeons are readily obtained in case strangulation occurs. Irreducible hernias frequently give great discomfort from their bulk. Large inguinal hernia in a woman. 672 HERNIA. or from the dyspeptic symptoms produced by their existence. In ir-reducible hernias the operation for radical cure is more troublesomethan in reducible hernias. The intestinal adhesions have to be releasedand portions of omentum perhaps excised in order to accomplish areturn of the protruded viscera. The congenital forms of hernia aremore amenable to permanent cure by radical operation than otherforms, but they are also more amenable to cure by truss. The sacshould always be opened in operating for the radical cure of hernia, sothat the surgeon may deal efficiently with adhesions.


Size: 1231px × 2030px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No

Keywords: ., bookcentury1800, booksub, booksubjectsurgicalproceduresoperative