A probationary surgical essay on inguinal and femoral hernia / [Thomas Molison].

  • Molison, Thomas, -1835 or 1836.
Date:
1822
Catalogue details

Licence: Public Domain Mark

Credit: A probationary surgical essay on inguinal and femoral hernia / [Thomas Molison]. Source: Wellcome Collection.

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    arc!), which go to be inserted into Gimbernat’s ligament. The division inwards has been minutely described by Gim- bernat, who, after the external incisions, introduces on the internal side of the intestine, between it and the hernial sac, a deep grooved director, having a blunt point, which is directed from without inwards through the crural ring, until its point rests upon the ramus of the pubis ; and hold¬ ing this with the left hand, if he operates on the right side, and if on the left, with the right, and keeping it firmly upon the ramus of the pubis, with its back turned to the intestine, and the groove towards the symphisis of the pubis, he introduces very gently with the other hand, on the groove of the director, a narrow bistory with a blunt point; and having reached the extremity of the groove of the director, he makes both hands act in concert, so that the two instruments shall move together on the ramus of the pubis towards its body, when he withdraws them at the same time *. Scarpa is so much alarmed at the idea of hemorrhage, that he cautions us against making the incision in the male any where more than two lines f. The hernial sac being laid open, and a small portion of gut protruded, he advises a director to be introduced into the abdomen between the gut and neck of the sac, to shew the direction by which the viscera may be the more easily returned. He then en¬ deavours to elevate Poupart’s ligament with Arnaud’s hook, and if this is not sufficient for the reduction, he makes four or five scratches with the knife on its inferior border; and where it is impossible, from adhesions, to em¬ ploy dilatation, he recommends the division of the posterior * Nuevo Metodo de operar en la Hernia crural. Madrid, 1793, p. 37.
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