Umbilical hernia, operation, cure : ligation of femoral artery for popliteal aneurism, cure : fecal fistula caused by appendicitis, operation, cure : a clinical lecture delivered at the Jefferson Medical College Hospital, April 6, 1892 / by W.W. Keen.

  • William Williams Keen
Date:
1892
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Licence: Public Domain Mark

Credit: Umbilical hernia, operation, cure : ligation of femoral artery for popliteal aneurism, cure : fecal fistula caused by appendicitis, operation, cure : a clinical lecture delivered at the Jefferson Medical College Hospital, April 6, 1892 / by W.W. Keen. 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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    [Reprinted from The Medical News, December io, 1892.] ILICAL HERNIA; OPERATION; CURE.— LIGATION OF FEMORAL ARTERY FOR POPLITEAL ANEURISM; CURE.— FECAL FISTULA CAUSED BY APPENDICITIS; OPERA- TION; CURE. Jefferson Medical College Hospital, April 6, i8q2. W. W. KEEN, M.D., THE PRINCIPLES OF SURGERY AND OF CLINICAL SURGERY. Case I. Lmbilical hernia.—The first case that I shall have the pleasure of showing you is one of um- bilical hernia. A woman, Mrs. M. D., thirty-seven years of age, entered Jefferson Hospital March 28, 1892, with an umbilical hernia nearly the size of two fists. She is the mother of six children. At the sixth month of her fourth pregnancy, in 1882, an umbilical hernia appeared, and soon reached the size of a fist. From that time to the present she has suffered great discomfort, to such an extent as to prevent her from earning her living by labor, and hence she seeks relief by an operation. You must remember, in regard to hernia, that it only indirectly threatens life. It is, of course, a positive dan- ger, but strangulation may be remote or may never come. Hence, I think that we have no right to operate, even with the slight danger attending such operations, without a full knowledge of the facts on the part of the patient