The surgical anatomy of inguinal herniæ, the testis and its coverings / by Thomas Morton.

  • Morton, Thomas, 1813-1849.
Date:
1841
Catalogue details

Licence: Public Domain Mark

Credit: The surgical anatomy of inguinal herniæ, the testis and its coverings / by Thomas Morton. Source: Wellcome Collection.

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    its included intestine, and so allow it to come into contact witli the testicle. Mr. Todd, who has recorded two instances in Avhich he had an o|)portunity of dissecting large hernise of this description, differs from Mr. Hey in his opinions as to its nature, and considers that it is by no means peculiar to infancy ; but, on the contrary, that it may be formed at any period of life,| and, also, that it docs occur more frequently than surgeons are aware of. His idea of this species of rupture is, that in it the hernial sac is protruded completely within the cellular sheath of the cord ; and, that Avhen it descends near to the point of insertion of the spermatic vessels into the testicle, its fundus comes in contact with the upper part of the tunica vaginalis testis, and receives from it, on its lower surface, a serous covering proportioned to the magni- tude of the tumour, or the degree of distension of the sac. Mr. liiston, whose views of the nature of this disorder accord with those entertained by Mr. Todd, operated upon a patient admit- ted under his care into the hospital of University College some years since, for an inguinal hernia of this kind, the contents of which had become strangulated, and could not be reduced by the taxis. This man did not become the subject of rupture until he had attained the tAventy-first year of his age.^ The coverings of the hernial sac in this species of rupture are of the same kind as those AAdiich arc met Avith in the com- mon scrotal hernia, with the exception, however, that the upper part of the tunica vaginalis is inter])osed in front of the tumour, underneath the fascia propria, and hitherto has alAvays been opened by the knife of the surgeon in those instances in AAdiich the operation has been performed. || t Vide Practical Observations in Surgery, by W. Hey, F.R.S. Second Edition, 8vo. London, 1810, p. 226. t Vide Observations on Hernia, by Charles H. Todd, in tlie Dublin Hos- pital Reports, vol. i. p. 237. Mr. Todd relates the case of a man affected with a scrotal hernia of this nature, in which the disease did not occur until the thirty-seventh year of his age. J rUc A Clinical Lecture on Hernia, by Mr. Liston, in the Lancet of March 21, 1835, page 885. Also Mr. Liston’s Operative Sureery Secontl Edition, p. 468. ° II Upon this subject see Mr. Liston’s Operative Surgery. Second Edi- tion, p. 468, and Sir Astley Cooper on Hernia. Second Edition. Part I page 79—83.