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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![But the hernial tumor may appear lower down, and nearer the thigh, as in Femoral Hernia. [Pl. III.] Femoral Hernia is the variety to which females are most sub- ject, though sometimes found in males. It is important to distin- guish it from the Inguinal, for the reason, that a pad of peculiar shape, and smaller in size, is required, differing essentially from that adapted to the other varieties. [The accompanying Plates will explain all these topics to the most ordinary apprehension.] In all these cases the protruding tumor escapes through natural openings found in the abdominal walls; but in some cases, the rup- ture takes place at other and various parts of these walls, and this where no natural opening exists, and is then denominated Ventral Hernia; or when complicated with the other variety, it is called Ventro-Inguinal Hernia. There are several other varieties of Hernia described in the sur- gical books, but as they occur very rarely, it may suffice to say, that they are called by names indicating their seat, viz., Phrenic, Perineal, Pudendal, Vaginal, Thyroideal, Ischiatic, &c. Anatomy of Hernia, or Rupture. In order to have a clear idea of this subject, it is necessary to understand somewhat of the Anatomy of the parts involved in Hernia. And first, let it be remembered, that the interior of the abdom- inal walls is lined with a thin membrane, called the Peritoneum, which incloses and invests the viscera or various organs; and when either of them escapes from the cavity of the abdomen, it must carry before it this investing membrane, so that the hernial tumor must in all cases be covered with the peritoneum; and this last con- stitutes the hernial sac or bag in which the bowel or omentum is found, together with the several fasciae which invest it within the sac. This fact is important to be understood, as furnishing the rea- son why the protrusion, when it occurs, should speedily be returned](https://iiif.wellcomecollection.org/image/b21139179_0014.jp2/full/800%2C/0/default.jpg)
