On the proper selection and scientific application of trusses / by Carsten Holthouse.

  • Holthouse, Carsten, 1810-1890.
Date:
1871
Catalogue details

Licence: Public Domain Mark

Credit: On the proper selection and scientific application of trusses / by Carsten Holthouse. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    as is only occasionally needed ? There can be no doubt that the constant wearing of the strong truss is not necessary, but it is necessary that those who are obliged at times to make use of violent muscular efPorts should be provided either with two trusses of different strength of spring, or that the one they wear should be so constructed as to admit of offering this increased resistance when needed; and I may add that no truss ean he considered perfect which does not in itself contain the mechanism necessary for this pur- pose. Let us assume now that the tumour for which one is consulted is really a reducible hernia; the selection of the proper truss and its scientific application demand, as a first condition, the recognition of the kind of hernia, and it is quite certain this cannot he done by those who are uninstructed in the anatomy of the hernial re- gions. I do not mean to affirm that they cannot recognise the more obvious ruptures, such as the umbihcal or the scrotal, hut I have reason to know that some forms of oblique inguinal hernia are not infrequently mistaken for direct, others for femoral, and both wrongly treated; were it not for this, a large proportion of incipient hernise, especially of the oblique variety, and in young subjects, might be radically cured by a truss only. My mode of proceeding in the selection and
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