On prevesical hernia : with the relation of a case in which subacute strangulation occurred / by G.H. Makins.

  • George Makins
Date:
[1899]
Catalogue details

Licence: Public Domain Mark

Credit: On prevesical hernia : with the relation of a case in which subacute strangulation occurred / by G.H. Makins. 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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    regard to Rokitansky’s pouches, the description is so brief that one can hardly be certain of what he is describing. It is a common thing, however, if you open the belly by a transverse incision in the dissecting-room to find the inguinal pouches strongly marked, there being digital fossse. They are, indeed, rather deep holes, and we know that the acquired inguinal hernia does commence in hollows of this kind. If a hollow exists there I do not see what difference there is between the developnnent of a pouch at the bottom of such a depression and a great enlargement of the duodenal or retro-csecal pouches, although I cauuot explain this development. I suggest only that the prevesical sac started from the same position as a direct hernia, and I quite appreciate Mr. Macready’s criticism of my nomenclature. I should have said “ a pouch starting in the same position as a direct hernia,” and not have spoken of the sac as a “ direct inguinal ” one. With regard to reduction en masse, considering the time between the exertion of actual violence to the hei’nia by the patient and the time the pre- vesical sac was found, I take it that reduction en masse could not have been produced. With regard to the sac containing omentum alone I did not allege this as a pi’oof that it was not a properitoneal hernia. I entirely endorse what Mr. Hutchinson has said as to the treatment of these cases.
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