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.

    22/108 (page 14)
    ! 14 OBSERVATIONS ON HERNI^B. it came. The omentum, when thus difplaced, has been found to be fchirrous* and difeafed by fteato- matous indurations. But the ftrongeft argument for the reduction of the omental herniae is the danger there will be of a portion of inteftine flip¬ ping through the parts which the omentum muft always keep in a dilated (late. When the cellular part of the omentum in a rupture is fo much increased that the return has been thereby rendered impoflible, feveral inftances have occurred where the patient, having been con¬ fined by long illnefs, has been kept in a recumbent pofture, and fuch an emaciation of the parts has enfued, that the contents have been found to be with great facility returnable into the abdomen. Surgeons appear to have taken a hint from this circumftance> and by evacuants and long confine¬ ment have fucceeded in the redudion of fome cafes which, for many years, had been fuppofed irre¬ ducible *. The fymptoms produced by omenta] hernias are always troublcfome and inconvenient to the patient, but they are not often dangerous® The writers of furgica! obfervations have indeed acquainted us, that death has been the confequence of mif- managed cafes of this fort, but thofe inftances are by no means numerous. The knowledge of the poffibility of a fatal event is fufticient to # Sharpe’s Grit. Enq. p. 15. Le Dran> p. 114. Arnaudf p. 292, Potty quarto edit. p. 260. Hlldanus, Obf. Cent, guard