A memoir on strangulated hernia : from cases occurring in the London Hospital / by Nathaniel Ward.

  • Ward, Nathaniel, 1820-1866
Date:
1854
Catalogue details

Licence: Public Domain Mark

Credit: A memoir on strangulated hernia : from cases occurring in the London Hospital / by Nathaniel Ward. 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.

    37/44 (page 29)
    |; gut; longitudinal rent, an inch long, in the peritoneal ji coat of the intestine. Death. I might multiply extracts, but I forbear, for I have no . doubt, the experience of all those who have seen much of : hernia, either in public or private, has led to the conclu- sion, that the ruthless application of the taxis has been the cause of a lamentable amount of failure in hernial operations. And if, in some cases, we remember, that, even in the hands of the most experienced, the taxis, although to all appearances judiciously used, has been attended with serious and fatal consequences, extra cau- tion becomes requisite. In illustration of this remark, I bring forward the following case which has come under my notice: An emaciated widow, aged 53, had a stran- gulated hernia of thirty-two hours' duration; the taxis was carefully and skilfully applied, no undue amount of force appearing to be used. Very shortly after the in- testine had been reduced, she gave a loud shriek, com- plained of violent and excruciating pain, which lasted about an hour, and was then followed by irremediable collapse, and death in three hours after the reduction of the gut. A careful post mortem examination, in nine- teen hours, found the sac protruded through the saphenous opening,, the boundaries of which were very tense, as also those of the femoral ring. On opening the abdomen, a strong smell of garlic obtruded on the nose. A small loop of intestine, which had been in the sac, was deeply indented, and contracted at its upper part, the indentation ])eing covered by fibrinous deposit; the