Origin of the epigastric and obturator arteries by a common trunk from the internal iliac : with an inquiry into the amount of danger occasioned by various positions of arteries in the ordinary operations for femoral and inguinal hernia / by P. Redfern.

Redfern, Peter, 1821-1912

Date:: 1850

Credit: Origin of the epigastric and obturator arteries by a common trunk from the internal iliac : with an inquiry into the amount of danger occasioned by various positions of arteries in the ordinary operations for femoral and inguinal hernia / by P. Redfern. 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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$on the sixteenth clay after operation. This operation was performed by Dr Mackay, R.N., assisted by Mr Girand of Faversnam, who communicated the particulars to Sir A. Cooper.^ 3. A small oblique inguinal hernia passing clown by the side of the sac of an older hernia fiill of fluid—Stricture divided inwards; immediate and copious hemorrhage from the epigastric artery stopped by fainting; recurrence of very serious hemorrhage owing to a clot being forced out by vomiting; hemorrhage finally sup- pressed by lint thrust into the wound, and by pressure in the groin kept up for four days ; lint removed without hemorrhage after fouf days ; occupation resumed after five weeks. The case occurred to Mr Davie, but is recorded by Sir A. Cooper, * * who states that he could give other and similar cases, had he the permission of the surgeons attending^ 4. Oblique inguinal hernia—Division of the tendon of the ex- ternal oblique muscle upwards and outwards for two inches, also upwards and inwards for three-fourths of an inch ; complete division of the epigastric artery, at three-quarters of an inch from its origin, by the incision made upwards and inwards, including the inferior margin of the internal oblique and transversalis; no hemorrhage; death on the following evening fi’om mortification of the intestineSk Recorded by ]\Ir Laurence.® 5. Direct inguinal hernia—Stricture cut upwards and outwards to a very slight extent, and not within three-fourths of an inch of the epigastric artery; division of the cremasteric branch of the epi- gastric ; hemorrhage, the same evening, restrained by cold cloths) profuse arterial hemorrhage on the eighth day, ceasing after the loss of two pints of blood; death, a week after the last hemorrhage, from inflammation. Recorded by Mr Laurence.^ 6. Scrotal hernia, of nine years’ standing, in a patient set. 64—^ Inflammation and suppuration of the whole scrotum; hemorrhage on the tenth day; castration for the purpose of securing the vessm; loss of above a pound of blood; gradual recoveryi Recorded by Sir E. Home.® 7. Scrotal hernia of eight or nine years’ standing^CoUsiderable * Op. Cit., p. 41. 2 Op. Cit., p. 69. ® Treatise on Ruptures, Fifth Edition. Uondon, 1838, p. 271 • * Op. Cit., p. 273. ® Transactions of a Society for the Improvement of Medical and Chirurgical Knowledge. London, 1800. Vol. ii., p. 10.5.$