Practical observations on herniae : illustrated with cases / By B. Wilmer.

  • Wilmer, Bradford.
Date:
1802
Catalogue details

Licence: Public Domain Mark

Credit: Practical observations on herniae : illustrated with cases / By B. Wilmer. Source: Wellcome Collection.

    18/108 (page 10)
    the abdomen, and from the Rricfture remaining undivided, the cafe proved fatal. But it is an undoubted fad, except in very recent hernias, that the fac, foon after its protrufion from the abdomen, contracts adheiions to the neighbouring parts $ and after the return of its contents into the belly (in whatever way it is accompliOied), it ever afterwards remains in the groin or fcrotum. It feems pofiihle, that, in very recent defcents, the fac, not having had a fufficient time to form adhefions with the contiguous parts, may be returned into the belly, and an inftance of this is recorded by Mr. Bell in an operation at which he was prefent. But there are fo many reafons for dividing the fac in the operation that it fhould never be negleded. Ruptures are very common in children, whofe fibres refift with little effect the force with which the contents of the belly are pufhed by crying, Braining, &c. The difeafe is often left to the management of nurfes or ignorant people, and is, in genera], much negleded. In the early period of life the tendinous fibres forming the abdominal apertures eafily give way ; and the contents of the hernia are generally, by a recumbent pcfiure, or a flight degree of prefiure with the fingers, returnable into the abdomen *. But in more advanced life the fibres * A ftrangulation fomefimes occurs in the hernia of children. I was lately called to Rugby, in confultatioii with Mr. Bucknell, to a child not two years of age.-^-The tumor was hard, attended with