A plain and popular explanation of the nature, varieties, treatment and cure of hernia, or rupture : with an appendix on mechanical surgery, and the application of the various instruments for prolapsus, varicocele, piles, curved spine, bow-legs, club-feet, and other deformities / by S.N. Marsh.
- Marsh, S. N. (Seymour N.)
- Date:
- [1860?]
Licence: Public Domain Mark
Credit: A plain and popular explanation of the nature, varieties, treatment and cure of hernia, or rupture : with an appendix on mechanical surgery, and the application of the various instruments for prolapsus, varicocele, piles, curved spine, bow-legs, club-feet, and other deformities / by S.N. Marsh. Source: Wellcome Collection.
Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)
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![The prevention of Hernia may often be secured, even in the pre- disposed, or in those exposed to any of its exciting causes, by a Belt or Bondage, or Abdominal Supporter, which should always be worn when in the erect position. To this, it is often useful and necessary to superadd a Suspensory Bandage for the Scrotum. The former takes off the weight of the bowels from the enfeebled muscles; while the latter suspends the testes, and prevents the drag- ging upon the spermatic cords. These means arc often used suc- cessfully in preventing Hernia not only, but in the incipient stage, may avert the necessity of resorting to the permanent use of the Truss. Hernia is frequent in young children, being often discoverable soon after birth. Its most frequent forms in infancy are at the navel, or at the groin. The former is called Umbilical, and the latter Inguinal. [Pl. I.] In either case, the tumor should be forthwith returned into the abdomen, by gentle pressure with the fingers, and a Truss adapted to each peculiar case should be ap- plied and worn constantly, until it is cured. If this course be not early taken, the disease becomes aggravated, and the tumor will increase by the child's crying, vomiting, coughing, or straining at stool. Dr. Marsh has always on hand instruments of the re- quisite size and form, for children at any age. In all such cases, however, the adjustment of these instruments to each particular case demands the skill and experience of the surgeon, else they may be unsuccessful, and even mischievous. Varieties of Hernia. The first symptom of this accident may be merely a sense of weakness or relaxation of the lower part of the abdomen, on one or both sides of the body, in the neighborhood of the groin. At this time there may, or may not be, any tumor or protrusion felt, and yet, on coughing or sneezing, an impulse or sensation of pressure will be felt by the hand or finger applied to the point of rupture. When the protrusion or tumor is felt, it will only be when in the erect position, and it will disappear on lying down, or may be re- turned by slight and painless pressure. It is then called Rednr](https://iiif.wellcomecollection.org/image/b21139179_0010.jp2/full/800%2C/0/default.jpg)


