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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![peritoneal effusion. The intra-peritoneal effusion is, if copious, always promptly followed by collapse; while if slight and gradual the collapse may be so late and so gradual as to be merged in the signs of death by exhaustion. Among the sequelae of strangulation, when successfully relieved by reduction, especially with herniotomy, it may be as well to mention the return or persistence of the hernial protrusion. Not that this has inevitably followed, for an occasional result of herniotomy, from time to time, has been a total radical cure as welcome as it was unexpected and unsought. Of this more in detail later on. Given, then, a chronic hernia, strangulation and even successful herniotomy may be repeated when the necessary circumstances occur. The following instance is peculiar as illustrating an old femoral hernia strangulated and relieved, followed by inguinal hernia on the same side, also strangulated and relieved, the two sacs communicating with each other. If it serve no other pur- pose, the case cannot fail to impress upon surgeons the advisability of not being content with merely saving the patient's life in the relief of strangulation; but of effecting, if possible, a total cure of the hernia, and thus averting, for ever, a repetition of the former danger. [ Medical Times and Gazette, March 4, 1881. ] Strangulated Old Femoral Hernia—Successful Herniotomy—Strau'rulated Inguinal Hernia on same side two years later — Communication between this and former Sac—Successful Herniotomy again. Mrs. D., aged seventy-two, had had a right femoral hernia for twenty years, and no truss. The hernia was generally protruding, but not incon-](https://iiif.wellcomecollection.org/image/b22276129_0049.jp2/full/800%2C/0/default.jpg)
