Atlas and epitome of abdominal hernias / by Dr. Georg Sultan.

  • Sultan, Georg.
Date:
1902
Catalogue details

Licence: Public Domain Mark

Credit: Atlas and epitome of abdominal hernias / by Dr. Georg Sultan. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    difficult by the deep position of the hernial orifice and by the relaxation of the pelvic diaphragm. Records of such operations are extremely scanty at the present time. [INGUINO-PERINEAL HERNIA. There is another variety of hernia, which Sultan does not mention, and which, in fact, is seldom described in any of the text-books on hernia—namely, inguino-perineal hernia. This name I have used in describing a hernia associated with mal-descent of the testis. I have observed six cases of testis in the perineum, in four of which there was an associated well-developed hernia, the latter follow- ing the course of the testis and appearing in the perineum rather than in the scrotum. In one of these cases which I have reported, the hernia was the size of a cocoanut and the testis very small and ill developed. In this case the testis, together with the entire pouch, consisting of sac and skin, were removed and the wound closed in three layers. The patient remained well for three years and then death resulted from drowning. In the other three cases the testes were apparently fully developed, and in these cases, by preserving a sufficient amount of peritoneum, it was possible to make a perfect tunica vaginalis. I then formed a new pouch with the finger in the hitherto empty scrotum, into which the testis with its new tunica was transplanted. The patients made a good recovery and have remained well up to the present time.—Ed.]