Abdominal hernia and its consequences : with the principles of its practical treatment / by Rushton Parker.

  • Parker, Rushton, 1847-1932.
Date:
1883
Catalogue details

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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    forty-four, is in good health and strength, and able to exert himself in every way. No collapse ever shewed itself in him, though he had distinct perforation of the intestine! Although the case of gangrene related by Sir Astley Cooper terminated in spontaneous recovery, such a termination may easily fail to occur. It is generally supposed, with every reason, that the prevention of death is due, under similar spontaneous circumstances, to the protective effect of intra- peritoneal adhesions, shutting off the fseces and other putrid materials from the peritoneal cavity. This prevention may fail to occur in some cases where gangrenous intestine is left in a hernial sac, and is almost sure to occur if intestine become suddenly gangrenous while still in contact with adjacent healthy peritoneum, in the absence of a protective layer of lymph. Hence the very proper practice, resulting from a correct appreciation of the antiseptic principle, by which gangrenous bowel discovered in a hernia is now assiduously cut away, to prevent progressive contamination of the neigh- bouring or adjacent peritoneum. Tissues that are dead do not under all circumstances putrefy, but when the putrefactive organisms are not successfully shut out from a dead tissue, putrefaction inevitably occurs. Non-putrefactive gangrene of tissues previously perfectly disinfected is a phenomenon now familiar in surgery, and may be witnessed in external wounds of tissues that have been maintained perfectly aseptic. In fact small areas of commencing gangrene, without wound, may be preserved free from putrefaction and consequent spread, and
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