Abdominal hernia and its consequences : with the principles of its practical treatment / by Rushton Parker.
- Parker, Rushton, 1847-1932.
- Date:
- 1883
Licence: Public Domain Mark
Credit: Abdominal hernia and its consequences : with the principles of its practical treatment / by Rushton Parker. 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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![aid of the narcotic, of warmth, and of rest in every form, is required to the utmost, to guard against death from collapse and other nervous symptoms that may result from unrestrained peristalsis, or distension alone, even if septicemia have been averted by preventing intra-peritoneal perforation. One case of faecal fistula has already been here related (see page 8). Another may be added. [Medical Times and Gazette, February i8, 1882.] Case of Strangtdated Umbilical Heniia—Herniotomy—Facal Fistula- Second Hernioto7)iy, with Closure of the Fistula. Jane O'H , aged thirty-eight, housewife, admitted June 14, 1879. The patient is very short, very stout, very florid, but of exceptionally healthy appearance ; and had usually been quite well, except occasional biliousness. Three years previously she had been struck in the abdomen by a butting goat, followed shortly by umbilical pain and the perception of a swelling. She was laid up a fortnight at home and six weeks in hospital, and has had a hernia ever since. During the past three weeks the hernia had been protruding and irreducible. The bowels had been open every other day, though she had had nausea and vomiting all this period. The last stool was on the morning of admission, vomiting occurring throughout the day, and by evening becoming stercoraceous, on which Mr. Parker was sent for. Under ether, on June 14, 1879, herniotomy was performed under' carbolic acid spray, a swelling about the size of an orange being cut into. The sac was adherent to the skin in some parts, and filled with omentum, which completely surrounded the neck, and hid in its midst a loop of small intestine, congested, and at one part abraded. This was with difficulty returned, and the omentum was tied with many ligatures of caibolised silk. Sutures, drain, and Lister's gauze dressing were used, and the patient never had a bad symptom, the diet being carefully restricted, and opium administered as required. The bowels were moved on the third day, and at convenient intervals afterwards. A piece of skin, adherent to the sac, and itself cicatricial, sloughed early, and suppuration occurred, with the establishment of sinuses, during which boracic ointment and boracic lint were used, frequently changed. The patient was up and](https://iiif.wellcomecollection.org/image/b22276129_0040.jp2/full/800%2C/0/default.jpg)
